Claims Business Process Consultant

Job title: Claims Business Process Consultant

Company: UnitedHealth Group


Job description: Claims Business Process Consultant – Letterkenny, RemoteOptum is a global organisation that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.About the Role:As a Fortune 5 business, we’re one of the world’s leading healthcare companies. There are no limits here on the resources you’ll have or the challenges you’ll encounter.We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we’re on the constant lookout for fresh talent to join our expanding teams. healthcare system works better for everyone.Working Schedule:This is a full-time position with standard working hours of Monday to Friday from 8:30am to 17:30pm. Occasional after-work hours may be required to support operational needs.As a Claims Business Process Consultant, it is essential for the individual to demonstrate critical thinking skills that challenge the status quo. In this role, maintaining a sense of curiosity and openness to new developments is crucial. This individual will be expected to continuously seek opportunities for improvement, whether through enhancing our team narrative or leveraging robust data analytics and Excel skills to analyze data that supports proposed changes.Primary Roles & Responsibilities of a Claims Business Process Consultant:

• Creating analytical findings for the internal clients of UHG as per specifications received from them using information available in specific databases.
• Perform quality checks on reports and data for accuracy, completeness, and consistency before sending it across to the clients both internal and external.
• Uses technical skills to lead individual tasks to completion.
• Demonstrate awareness of the impact of claims business processes/changes on other parts of the business.
• Shares pertinent knowledge with team members. Is open to feedback from other colleagues. Serves as a resource to others.
• Effective communication (written and verbal) of the issues, including any barriers or risks to their resolution. Clearly and concisely articulates the issues to their leader.
• Independently seeks opportunity to enhance or identify an issue with minimal supervisor intervention.
• Ability to work to a deadline; using organization and prioritization skills.
• Does not depend on others for instruction, guidance or direction; seeks guidance on only the most complex tasks.
• Uses good judgment to challenge our current processes/procedures and recommends more efficient solutions for the team and higher quality for our consumers.
• Adaptable and capable of working in a fast-paced environment.

Required Qualifications of a Claims Business Process Consultant:

• Bachelor’s degree from an accredited university or college or equivalent work experience.
• Proven experience/knowledge in medical claims processes and/or Health Care Industry.
• Prior experience in issue resolution.
• Solid experience in business analysis and presenting data to management.
• High-level written and verbal communication skills. (e.g., professional emails, speaking on meetings and able to articulate problems and solutions to leaders)
• Strong experience in piecing together data to “tell a story”, using operational metrics and data/analytics to drive change.
• Ability to take responsibility and deliver projects while communicating timelines.
• Ability to work well both independently and within a team in a deadline driven environment.
• Ability to problem solve and research conflicting and/or inaccurate data.
• Advanced skills with Microsoft Office Suite of applications. (PowerPoint, Excel & Word)

• Examples of advanced skills in Excel would be as listed but not limited to: pivot tables, control charts, smart art proficiency and formulas.

Preferred Qualifications of a Claims Business Process Consultant:

• Technical knowledge and experience in Power BI and SQL would be preferred

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.For more information on our Internal Job Posting Policy, click .All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy.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 marginalised 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 employer and all qualified applicants will receive consideration for employment without regard to disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, sexual orientation, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. © 2024 UnitedHealth Group. All rights reserved.#RPO

Expected salary:

Location: Letterkenny, Co Donegal

Job date: Fri, 10 Jan 2025 23:28:26 GMT

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