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Claims Operations Manager - Telecommute

Company: UnitedHealth Group
Location: Las Vegas
Posted on: April 10, 2021

Job Description:

You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work.(sm)The Claims Operations Manager is responsible for management and administration of multiple functions, or management of general business operations within Claims Department.You'll enjoy the flexibility to telecommute* from within the U.S. as you take on some tough challenges. Primary Responsibilities:

  • Oversee daily operations of multiple levels of staff and multiple functions across one or more business units
  • Manage day to day site operations, supervisor leadership (internal and external to organization), and accountability for financial and non-financial results (budgets and actuals)
  • Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims
  • Authorize the appropriate payment or refers claims to investigators for further review
  • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary
  • Lead project management and implementation initiativesYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
    • High school diploma or GED
    • 3+ years supervisory/managerial experience in claims adjudication or customer service
    • 2+ years managing relationships with clients and/or vendors
    • 2+ years managing budgets, process improvement and quality assurance
    • Intermediate Microsoft Office skills
    • Ability to travel 25% if needed
    • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersPreferred Qualifications:
      • Undergraduates degree or higher
      • Understanding of claims processing systems
      • 5+ years of healthcare claims leadership experience
      • 2+ years of experience developing presentations to include charting
      • Senior Level Supervisory/Managerial experience in medical claimsCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.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, Las Vegas , Claims Operations Manager - Telecommute, Executive , Las Vegas, Nevada

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