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?
Coordination of Benefits (COB) Manager, Metrics and Reporting - Frederick, MD, Roanoke, VA or Trumbull, CT-310395
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 Ingenix 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.
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
Coordination of Benefits (COB) Manager, Metrics and Reporting - Frederick, MD, Roanoke, VA or Trumbull, CT
Position Description:
The Coordination of Benefits (COB) Department is a part of Payment Accuracy Solutions under Ingenix Payer & Government Programs.
Primary Responsibilities:
- Investigate and identify members who potentially have other insurance coverage
- Members who are identified as having other coverage are flagged in the core eligibility system(s) so that claims payment can be coordinated appropriately.
- Responsible for day-to-day management of COB data, reporting, metrics, and analytics
- Ensure that all projects, initiatives, and team deliverables are met
- Responsible for daily, weekly, and monthly operational reporting, including finance and compliance reporting that must meet service levels and ISA's.
- Work with various types of data and will perform detailed analysis on the data, with a primary focus on member/eligibility data and claims data
- Data extraction and mining are key aspects of this position, as is the ability to work with data warehousing structures
- Provide presentations, summaries, and recommendations to COB leadership based on analysis
- Will also work with leadership to establish goals/targets for the COB team
- Direct the Reporting & Analytics team and provide coaching and mentorship to each team member
Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. Qualifications Qualifications:
- 2+ years experience performing quantitative data analysis of health care claims or 2 years experience working with health products and claim payment systems
- 1 - 2 years supervisory experience required, within healthcare environment preferred
- 1+ year claims experience (member and claims data) required, healthcare environment preferred
- Knowledge of Microsoft Office Suite (Word, Excel- reporting outputs, producing data and reports & Outlook) required; Visio and Access is preferred
- Data base platforms such as: Oracle, SQL, DB2, and reporting platforms such as: SQL reporting service and/or COSMOS is strongly preferred
- Coordination of Benefits (COB) experience is preferred
- Decision support tools used for data analysis strongly preferred (e.g. SAS, SPSS, SQL etc.)
- Effective communicator who demonstrates leadership qualities required
- Healthcare terminology preferred
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. 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. |
