UnitedHealth Group Hiring for Senior Specialist Data Control – National Remote Job at Dallas, TX Full Time

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

Energize your career with one of Healthcare’s fastest growing companies.

You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

The statements listed below are not intended to be all inclusive of the duties and responsibilities of the position. Based on leadership decisions and business needs, “all other duties as assigned” will be expected for each position.

Responsible for assisting with quality monitoring, training and maintaining process documentation. Review and transcription of medical documentation from providers. Determine rework of services including analyzing cost/charge requirements. Review of sensitive laboratory and HIV results and completion. Ongoing communication with team members and other operational departments from issue resolution to order completion.

• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Assist with conducting trainings, performing quality checks and issue resolution for new hires and continuous learning trainings for existing specialists
• Review and decide on inquiries from Provider Network Management and Accounts Payable in regards to payment to providers
• Review and decide on when to apply or waive charge and cost on services that will be charged to the customer based on contractual guidelines and by thorough review of order documentation
• Advise team members when missing components require follow-up appointments to be scheduled including what service codes are required
• Analyze order notes, task notes, history and medical and/or dental program guidelines to ensure contract specifications are met as well as ensuring these results are adequate for professional medical and/or review
• Ongoing communication within Data Control department and other operational departments to ensure exams are received from practitioners and processed in a timely manner
• Identify issues that require communications with various internal departments to facilitate completion of an order, verify contract requirement or resolve contract issues
• Assist in decision making based on contract requirements and guidelines
• Assist with writing and maintaining content of documents for the department related to the production of its daily work flow to include work instructions, standard operating procedures and reference materials
• Monitor departmental and company tasks and assignments to determine if immediate attention is required by emailing, meeting or calling another operational unit, provider or employee to ensure it gets completed in order to meet departmental/company goals and turn around expectations
• Perform data entry, manage department email inboxes and sort and distribute emails to appropriate team members
• Provide operational triage assistance and basic education for misrouted customer inquiries
• Act as a resource and liaison to support team members and internal/external customers with processes, training, education and issue resolution related to services provided based on contract guidelines and contractual requirement while building strong working relationships

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 higher) or equivalent experience.
• 1+ years similar or related work experience
• Equivalent combination of education, experience and/or applicable military experience
• Internal Data Control Optum Serve Candidate
• Database experience (maintenance and querying) and working with electronic files/documents
• Proficient computer skills including Microsoft Office suite
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Preferred Qualifications:

• Basic understanding of military protocol
• Knowledge of adult learning/training methods and tools
• National Career Readiness Certificate
• Medical or Dental transcription
• Demonstrated leadership experience

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Strong ability to make sound judgment calls and decisions on a daily basis with limited information and guidance
• Excellent teamwork and leadership skills
• Strong analytical thinking; multi-tasking, organizational and time management skills
• Excellent verbal and written communication skills with individuals at all levels of the organization
• Ability to problem solve and propose solutions in a fast paced environment
• Ability to demonstrate an appropriate level of assertiveness in performing work responsibilities under extreme deadlines
• Must be able to problem solve and propose solutions in a fast paced environment and the ability to demonstrate an appropriate level of assertiveness in performing work responsibilities under extreme deadlines
• Excellent time management and organizational skills
• Ability to work autonomously with minimal direction

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

Careers with LHI. Our focus is simple. We’re innovators in cost-effective health care management. And when you join our team, you’ll be a partner in impacting the lives of our customers, and employees. We’ve joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We’re located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We’re supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission-driven focus. For you, that means one incredible team and a singular opportunity to do your life’s best work.SM

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $16.00 – $26.88. The salary range for Connecticut / Nevada residents is $16.83 – $29.66. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

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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