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?
Accountant-219852
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, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.
This position will Work with senior leader to set up new capitation payment system for fixed prepayment to healthcare providers in complex matrix environment. Produce financial provider ledger reports and internal reports. Read and translate complex provider contracts and assist with implementation of contracts on complex payment platforms. Ensure that capitation interfaces with other accounting systems. Ensure that accounting procedures with respect to capitation transactions are reflected in financial statements. Utilize PARIS (Provider Alternative Reimbursement and Incentive System) and AMISYS Capitation Subsystem for quick resolution of provider issues, identification of provider and customer set-up needs, and recommendations to Network Management, and Consumer Decision Support & Advocacy Management. Plan and conduct in-depth analysis on a variety of financial issues for Provider Relations and Legal Department regarding correct payment methodology and related issues. Resolve provider issues/disputes quickly and efficiently. Ensure that provider contracts are administered accurately. Implement/participate in financial process changes that may impact business partner. Perform tests related to integrated business setups. Serve as coordinator for projects with other areas of the company such as acquisition payers utilizing independent systems. Use Excel to create Journal entries, prepare ad-hoc reports and internal reports, create rate grids to keep track of rates, prepare spreadsheets for account reconciliation, and create Summary Forms for tracking the agreement change. Use Access to calculate the payment for Risk Share providers, process Error Reports, and create database queries and links. Provide detailed summaries, reports and recommendations to assist with the planning and direction of departmental operations and projects for managerial decision making. Make recommendations for process improvement.
Qualifications
- Bachelor's degree or equivalent in Accounting, Business Administration, Finance or related field
- Demonstrated experience with resolution of payment inquiries and disputes; analyzing financial statements, including profit and loss statements; General Ledger, liability and expense account reconciliation; and computerized analytical tools, including Excel and Access.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
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. |
