Out Of Network Dispute Business Process Analyst
This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Out of Network (OON) Dispute Resolution team is responsible for end-to-end resolution of regulated OON disputes/arbitrations across UnitedHealthcare (UHC) commercial lines of business on a variety of platforms. This team has expanded in a direct relationship with the No Surprises Act (NSA) section of the federal Consolidated Appropriations Act (CAA). The rapid growth and development of this team has required extensive onboarding and domestic partnerships with WIPRO, our external global partner, and OGA (Optum Global Advantage), an internal global partner.
The Business Process Analyst will work with internal and external business partners to understand current processes and find improvements to be implemented for further success. They will collaborate with current report producers and workforce managers to identify a collaborative single source reporting strategy. This position will also be responsible for identifying opportunities, presenting data and analysis to senior leaders and key business partners.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 8pm EST. It may be necessary, given the business need, to work occasional overtime.
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This will be on the job training and the hours during training will be aligned with your schedule
Primary Responsibilities:
- Serve as a Business Process Analyst for the OON Disputes Team
- Monitor and direct all team performance reporting for all impacted states to support and improve overall data integrity and associated regulatory requirements
- Apply project management discipline to manage and implement departmental initiatives quickly and cost-effectively to ensure that overall department objectives are met
- Develop and update database and report standards to maintain accurate documentation of issues/cases, projects, and metric.
- Strong analytical, problem solving and decision-making skills; ability to exercise good judgment resulting in high-quality individual and team and quality performance
You'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 / GED OR equivalent work experience
- Must be 18 years of age OR older
- 3+ years of experience with project management, process improvement or performance/inventory management
- Current or Previous experience driving business process performance based on analysis of state and federal Surprise Billing/OON Dispute mandates, and overall trends, to improve the compliance quality and effectiveness of the team
- Current or previous experience leveraging strategic relationships across the company with domestic and global partners to ensure compliance with Surprise Billing/OON Dispute mandates and initiatives
- Experience with Microsoft Word (create/edit documents); Excel (pivot tables, formulas); PowerPoint (create/edit presentations); SharePoint, Teams, Outlook
- Experience interacting and collaborating with stakeholders (other team members, internal customers, and executives)
- Understanding of automation and AI functionality
- Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 8pm EST. It may be necessary, given the business need, to work occasional overtime
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 - $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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Perks and Benefits
Health and Wellness
- HSA
- On-Site Gym
- HSA With Employer Contribution
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
- FSA
Parental Benefits
- Non-Birth Parent or Paternity Leave
- Birth Parent or Maternity Leave
Work Flexibility
- Remote Work Opportunities
Office Life and Perks
- Commuter Benefits Program
Vacation and Time Off
- Leave of Absence
- Personal/Sick Days
- Paid Holidays
- Paid Vacation
Financial and Retirement
- Relocation Assistance
- Performance Bonus
- Stock Purchase Program
- 401(K) With Company Matching
- 401(K)
Professional Development
- Promote From Within
- Shadowing Opportunities
- Access to Online Courses
- Tuition Reimbursement
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program
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