Senior Claims Business Process Consultant - Phoenix, AZ or Houston, TX

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Company:
 
UnitedHealth Group
Company Profile | Current Opportunities (128)
Job Location(s): Houston
Employment Term: Regular
Employment TypeFull Time
Start Date:As soon as possible
Starting Salary Range:Not Provided
Required Experience: Open
Related Categories:Consulting Services, Healthcare - Administration/Billing, Insurance - Claims

Position Description

Job Description - Senior Claims Business Process Consultant - Phoenix, AZ or Houston, TX (315012)
Job Description
Senior Claims Business Process Consultant - Phoenix, AZ or Houston, TX-315012
Description
AmeriChoice 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're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
Position Description:
Positions in this function are responsible for all related aspects of claim system processes and claim business rules. Includes claims systems utilization, capacity analyses/planning and reporting. Includes claims-related business and systems analysis. Ensures data integrity, data security and process optimization.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
Qualifications
Qualifications:
  • 3 years of experience managing business requirement documents for IT projects is required
  • 3 years audit experience with claims research is required
  • Proficiency in MS Word, Excel, and PowerPoint is required
  • Experience in Diamond, COSMOS, and/or FACETS is preferred
  • Project management experience is preferred
  • Bachelor's Degree is preferred
  • Anticipates customer needs and proactively develops solutions to meet them.
  • Serves as a key resource on complex and/or critical issues.
  • Solves complex problems and develops innovative solutions.
  • Performs complex conceptual analyses.
  • Reviews work performed by others and provides recommendations for improvement.
  • Forecasts and plans resource requirements.
  • Authorizes deviations from standards.
  • May lead functional or segment teams or projects.
  • Provides explanations and information to others on the most complex issues.
  • Motivates and inspires other team members.
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.
Job Claim Business Process
Primary LocationUS-AZ-Phoenix
Other LocationsUS-TX-Houston
Organization Network Claims Cost Mgmt
Schedule Full-time
Number of Openings 1

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