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UnitedHealth Group

UnitedHealth Group is looking for a Senior Claims Data Analyst – Telecommute  #JobPostingsNearPagosaSprings #PagosaSpringsHiring #AnalystJobsPagosaSprings #DataAnalystJobsPagosaSprings

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.(sm)Do you crave a challenge and relish the opportunity to solve complex problems using revolutionary thinking? If so, then take the next step in your career and dive deep into the world of data analysis and analytic development.  Help us transform the health care industry by joining a dynamic team of analysts dedicated to developing innovative analytics and automations that drive health care cost savings.Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities: Research potential overpayment scenarios through the use of client policies and provider contracts, seeking to identify overpaid claims used to build recurring algorithms Identify and refine criteria to successfully build and enhance new and existing algorithm logic ensuring correct claim payment Work routinely within EXCEL to manipulate and analyze claims data Research and quickly Identify patterns of claim payment abnormalities through big data analysis Develop metrics to forecast new algorithm profitability Write business requirement documents for new algorithms and update existing documents as the algorithm logic is developed or changes over time Maintenance existing production algorithms to maximize performance while working directly with the programmers to test and implement changes Facilitate new algorithm kick off calls and training with our matrix partners Monthly analysis of algorithm performance; forecasted vs. actuals Provide management weekly reports outlining work completed and issues encountered Lead special projects with little to no manager supervision or assistance Breakdown complex problems into individual root causesYoull be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications: 5+ years of experience working healthcare claims lifecycle (ie: submission, processing, adjudication, and payment) 2+ years experience working around claims processing or claims auditing within a large claims system  (experience with CSP and/or COSMOS highly desired) Intermediary experience with excel (must be able to create pivot tables, add foundational formulas, charts, etc. with little to no supervision) Experience detecting data anomalies through the use of large data sets Experience communicating thru multiple mediums to a variety of stakeholders   Experience working in a high-paced environment Telecommute is available for this opportunity If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersCareers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter PolicyDiversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.  Job Keywords: claims, claims system, CSP, COSMOS, over payment, retrospective, prospective, telecommuter, remote, work from home, telecommute Recommended SkillsAnalysisTestingResearchManagementClaimsAlgorithmsRecommended JobsAnalystClaims AnalystAtlanta,GaClaims Analyst, Atlanta,GaSenior Claims Data Analyst – TelecommuteUnitedHealth GroupWork From HomeFull Time
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})Credentialing AnalystNextStep RecruitingAtlanta$18.00 – $22.00/Hour
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})Senior Claims Business Analyst – RemoteUnitedHealth GroupAtlanta
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