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Claims Strategic Business Assessment Auditor - Wausau, WI, Cincinnati, OH, Westerville, OH or San An: UnitedHealth Group

Job ID316365
Company NameUnitedHealth Group
Job CategoryAccounting/Finance; Healthcare
LocationWausau, WI
Position TypeFull-Time, Employee
Experience2-5 Years Experience
Date PostedNovember 11, 2009 (Reposted Dec 3)


Job Category:
Business Operations

Reference Code:
316365

Position Type:
Full-time, Regular




UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.

Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.

Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?


Claims Strategic Business Assessment Auditor - Wausau, WI, Cincinnati, OH, Westerville, OH or San Antonio, TX-316365

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

Description

UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.

In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.

Claims Strategic Business Assessment Auditor - Wausau, WI, Cincinnati, OH, Westerville, OH or San Antonio, TX

Position Description:

Responsible for end-to-end business audits of claims and operations and recommendations for business process improvements. Diagnose risks associated with processes and recommend improvement opportunities during audits to remediate or mitigate risk. This position is also responsible for audit reporting and analysis to support continuous quality improvement. May assist in the creation, implementation, and evaluation of special projects or programs as needed as well as assist management with other audits outside of claims and operations

Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

Qualifications

Qualifications:

  • HS Diploma or equivalent is required; a BA/BS is highly preferred.
  • 3 or more years of Full Life Cycle Claims Processing Auditing experience is required.
  • ICD-9, CPT coding and all other claims coding knowledge is required.
  • 3 or more years of MS Office experience is required (MS Word, Excel, and Outlook)
  • MS Project, Visio and PowerPoint are highly preferred.
  • Healthcare insurance experience is preferred.
  • Project management experience is helpful.
  • Written and Verbal communications skills are a must.
  • Strong Team player is needed.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.




Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



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