Claims Business Process Consultant - National Remote - Healthcare Technology and Operations

Join the UnitedHealth Group Team as a Claims Business Process Consultant

UnitedHealth Group is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. We are seeking a highly skilled and experienced Claims Business Process Consultant to join our team. As a Claims Business Process Consultant, you will play a critical role in ensuring the smooth operation of our claims systems and processes, providing analysis, and recommendations to improve our business operations.

About UnitedHealth Group

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location, and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health, which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Key Responsibilities:

• Claims Systems Analysis: Analyze and interpret claims data to identify trends, issues, and opportunities for improvement.
• Business Process Improvement: Develop and implement process improvements to enhance claims handling efficiency, accuracy, and customer satisfaction.
• Requirements Gathering: Collaborate with stakeholders to gather and document business requirements for claims systems and processes.
• Solution Development: Identify and develop solutions to address business needs and improve claims handling processes.
• Testing and Quality Assurance: Participate in testing and quality assurance activities to ensure claims systems and processes meet business requirements and are functioning as expected.
• Training and Support: Provide training and support to claims staff on new processes, systems, and procedures.
• Performance Metrics and Reporting: Develop and track key performance metrics to measure claims handling efficiency, accuracy, and customer satisfaction.
• Collaboration and Communication: Collaborate with cross-functional teams, including claims, underwriting, and IT, to ensure alignment and effective communication.

Requirements:

Essential Qualifications:

• Education: High School Diploma or equivalent required; Bachelor's degree preferred.
• Experience: 4+ years of experience analyzing and solving customer problems in an office setting environment using the telephone and computer as primary instruments to perform job duties.
• Claims Experience: 2+ years of experience in claims.
• Management Experience: 1+ year of experience in management.
• Project Coordinator Experience: 1+ year of experience in project coordination.
• Computer Skills: Moderate proficiency with computer and Windows PC applications, including the ability to learn new and complex computer system applications.
• Multi-Tasking: Ability to multi-task, including understanding multiple products and multiple levels of benefits within each product.
• Communication: Excellent communication and interpersonal skills.

Preferred Qualifications:

• Analytical Skills: Strong analytical and problem-solving skills.
• Process Improvement: Experience with process improvement and lean principles.
• Project Management: Experience with project management and coordination.
• Technical Skills: Familiarity with claims systems and software.

What We Offer:

Compensation and Benefits:

We offer a competitive salary and comprehensive benefits package, including:

• Salary: $58,300 to $114,300 annually (California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C., Maryland residents only).
• Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution.

Career Growth and Development:

We are committed to the growth and development of our employees. As a Claims Business Process Consultant, you will have opportunities to:

• Develop New Skills: Enhance your analytical, problem-solving, and communication skills.
• Advance in Your Career: Take on new challenges and advance in your career within UnitedHealth Group.
• Collaborate with Cross-Functional Teams: Work with various teams across the organization to drive business results.

Work Environment and Culture:

Remote Work:

We offer the flexibility to telecommute from anywhere within the U.S.

Company Culture:

At UnitedHealth Group, we value diversity, equity, and inclusion. We are committed to creating a work environment that is inclusive, respectful, and supportive of all employees.

How to Apply:

If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! Please click the link below to submit your application.

We look forward to reviewing your application!