UnitedHealth Group
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 and start doing your life’s best work.SM
When you work in Operations at UnitedHealth Group, you can help improve the efficiency and usability of a system that’s going to change the face of health care. If it sounds too good to be true, consider this: Through our family of businesses and a lot of inspired individuals, we’re building a high-performance structure that works better for more people in more ways.
Using your enrollment or claims processing knowledge, along with your research skills you will be responsible for the benefit configuration, case installation and maintenance of existing customer setup and new business setup within COSMOS. Day to day activities include: Documentation setup and maintenance, troubleshooting issues, working tickets, project work, process improvement, templet maintenance and cross department collaboration.
Day to day activities include, Cosmos Steady State Configuration and Maintenance, researching & resolving setup concerns, and responding to urgent issues timely, Research Benefit questions, building benefits, and maintenance of benefit configuration on COSMOS, researching & resolving setup concerns, and responding to urgent issues timely. Candidates may on occasion per business needs assist other teams within BCCI during the AEP season.
You will be asked to represent the team on projects as a subject matter expert and must work to ensure requirements from the customer are identified and can be accommodated through configuration. Strong research skills are required to resolve installation or configuration questions and develop customer specific resolutions.
This role requires utilizing controls and analysis to contribute to process improvement initiatives. Daily workload requires individuals to partner with team members, data analysts and business analysts to streamline workflows and ensure desired outcomes to meet regulatory and business operating rules.
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 6:00am – 6:00pm in local time zone. It may be necessary, given the business need, to work occasional overtime or weekends.
We offer weeks of paid training. The hours during training will be an 8-hour shift between 6:00am – 6:00pm in local time zone, Monday – Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Research configuration and setup installation issues and develop customer specific resolution
Participate in cross functional meetings for miscellaneous project initiatives: review requirements, define requirements, troubleshoot challenges
Collaborate with stakeholders
Adhere to documented policies and procedures
Manage workload in a fast-paced environment adhering to tightly controlled processes
Assess and interpret customer needs and requirements
Serving as a resource to others
Internal peer to peer audits to ensure quality standards are surpassed
Participate in cross functional meetings for miscellaneous project initiatives: review requirements, define requirements, troubleshoot challenges
Onboard/train/mentor new team members.
Provide support to Project leads when required.
Use pertinent data and facts to identify and solve a range of problems within area of expertise.
Investigates non-standard requests and problems.
Prioritize and organize own work to meet deadlines.
Provide explanations and information to others on topics within area of expertise.
As business needs require from time to time (mostly during AEP – Annual Election Period) you may be required to assist other BCCI teams.
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
1+ Years First Pass or Physician Cosmos/CPA claims processing experience
1+ Years Cosmos/CPA claims adjustments experience
Experience with PC based software programs and automated database management systems; Microsoft Excel (create, edit, sort, pivot spreadsheets), Microsoft Word (create & edit documents), Microsoft PowerPoint (create & edit presentations)
Ability to work any of our 8-hour shift schedules during our normal business hours of 6:00am – 6:00pm in local time zone, Monday – Friday. It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications:
1+ years experience with Excel macro creation or equivalent
SharePoint |Admin experience
Knowledge of health care benefit principles and medical terminology
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.
Physical and Work Environment:
Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $23.22 – $45.43 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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.
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.
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UnitedHealth Group
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