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About UHG

Careers at UnitedHealth Group

 

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:

Business Operations

Country:

United States

Postal Code:

37024

Approximate Salary:

Not Specified

Position Type:

Full Time

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Risk Adjustment Operations - Process Specialist - Brentwood, TN

UHG - Brentwood, Tennessee

Posted: 08/27/2018

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)   Primary Responsibilities:

  • Influence internal and external customers to facilitate requests to meet client deliverables
  • Project management of chart review initiatives from creation of projects to delivery and completion
  • Improve operational efficiencies through creation and/or changes in current procedures
  • Manage workflow and serve as liaison between internal business partners, external vendors and clients
  • Work with and involve relevant stakeholders (regional and corporate network management, internal customers, external customers, etc.) in negotiation decisions impacting legal or regulatory requirements, and contract standards
  • Drive relevant components of provider relationship management, including leading meetings, as necessary, and steering of provider outreach/communication
  • Educate internal teams on the process and reporting
  • Design and deliver scalable processes for project request receipt and delivery
  • Set expectations to key stake holders and deliver on requests
  • Develop and maintain target metrics to measure workflow, work product and achieve operational efficiencies
  • Manage ad hoc projects and reports from initiation to completion
  • Prepare historical trend analysis on key metrics and recommend metrics-based performance goals

Required Qualifications:
  • Undergraduate degree
  • 3+ years of Healthcare experience
  • 5+ years of experience working with internal and external customers, clients and vendors
  • 2 + year of Intermediate level Microsoft Excel
  • 2+ years of Cross-functional communication experience
  • Good Verbal and Written Communication skills
Preferred Qualifications:
  • Experience in Medicare Risk Adjustment
  • 3+ years of experience managing small to large projects from inception to completion
  • MS Access experience

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)


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: Affordable Care Act, RAF - Risk adjustment Factor, Medicare Advantage

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