Senior Enrollment Quality / Audit Representative - Wausau, WI, Cypress, CA or Irvine, CA
January 10, 2018
Position Description:Energizeyour career with one of Healthcare's fastest growing companies. Youdream of a great career with a great company – where you can make an impact andhelp people. We dream of giving you theopportunity to do just this. And withthe incredible growth of our business, it's a dream that definitely can cometrue. Already one of the world's leading Healthcare companies, UnitedHealthGroup is restlessly pursuing new ways to operate our service centers, improveour service levels and help people lead healthier lives. We live for the opportunity to make adifference and right now, we are living it up. Thisopportunity is with one of our most exciting business areas: Optum –a growingpart of our family of companies that make UnitedHealth Group a Fortune 6 leader. Optum helps nearly 60 million Americans live their lives tothe fullest by educating them about their symptoms, conditions and treatments;helping them to navigate the system, finance their healthcare needs and stay ontrack with their health goals. No other business touches so many lives in sucha positive way. And we do it all with every action focused on our shared valuesof Integrity, Compassion, Relationships, Innovation & Performance.Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.Primary Responsibilities:Complete quality review of new and updated benefit plans and set-up for accuracyAnalyze data, identify defects and coding inconsistencies, and provide feedback as necessaryDocument work performed and audit results based on client elections and predetermined standards and guidelinesPerform other duties as assigned
Required Qualifications:Bachelor's Degree (or Higher) or High School Diploma / GED with 2+ years healthcare industry1+ years of experience working within Microsoft Excel with the ability to filter and sortData analysis experiencePreferred Qualifications: Quality Auditing experienceKnowledge of government programs such as Medicare or MedicaidPrevious RxClaim experience OptumRx isan empowering place for people with the flexibility to help create change.Innovation is part of the job description. And passion for improving the livesof our customers is a motivating factor in everything we do. If you're ready to talk about groundbreakinginteractions, let's talk about what happens when a firm that touches millionsof lives decides to gather results from millions of prescriptions every monthand analyze their impact. Let's talk about smart, motivated teams. Let's talk aboutmore effective and affordable healthcare solutions. This is caring. This isgreat chemistry. This is the way to make a difference. We're doing all this,and more, through a greater dedication to our shared values of integrity,compassion, relationships, innovation and performance. Join us and start doing your life's best work.Diversity 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.Keywords: UnitedHealth Group, UnitedHealth Care, Health Care, Auditing, Microsoft Excel, RxClaim, Data Analysis
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.