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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:



United States

Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

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Product Research Consultant - Reimbursement Policies – Telecommute

UHG - Minneapolis, Minnesota

Posted: 08/5/2018

We’re in search of a Senior Product Research Consultant to join our team.  You will be empowered to guide a team with the following; development and maintenance of UnitedHealthcare policies, cultivation of new project initiatives,, monitor and research third party sources to ensure UnitedHealthcare’ s alignment and identify potential reimbursement opportunities. 


You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:

  • Lead a collaborative team in the research, development, and implementation of proposed and adopted reimbursement policies

  • Support research and documentation of the impacts to new, changed and deleted codes to UHC reimbursement policies

  • Provide coding and reimbursement policy expertise to UHC departments

  • Ensuring claims are handled in proper accordance with policies

  • Support the review and analysis of third party publications and resources regarding reimbursement and coding standards

  • Support the review of other UnitedHealthcare policies/protocols for potential opportunities

  • Guide the creation and/or maintenance of materials owned within the department

  • Demonstrated ability to work across multifunctional teams

  • Review the work of others

  • Develop innovative approaches

  • Mentor others


Required Qualifications:

  • BS degree or equivalent work experience

  • 1+ years of experience researching Medicaid/Medicare regulations

  • 1+ years of Project Management experience

  • Certified coder via AHIMA or AAPC

  • Knowledge of physician coding methodologies including CPT, HCPCS, and ICD-10

  • Intermediate level of proficiency with PC based software programs including MS Word, Excel, Outlook

  • Experience leading and facilitating virtual meetings

  • Must be able to communicate effectively with both technical and non-technical co-workers

  • Must be able to work in a fast-paced team-oriented environment

  • Experience working with Healthcare Billing Practices/Physician Claims

  • Familiarity with process improvement methodologies

  • Reimbursement policy experience

  • Experience using SharePoint

Careers 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)


*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.



Job Keywords: Product Research Consultant, Reimbursement Policies, telecommute, telecommuter, remote, work from home


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