Fee Schedule Analyst - Telecommute

Company: UnitedHealth Group
Location: Schaumburg
Posted on: June 20, 2022

Job Description:

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Obtain, analyze, review and transform data
Communicate directly with state employees regarding fee schedule, rules and guidelines
Monitor and maintain various state workers' compensation fee schedule information
Summarize information regarding state rules and guidelines
Review colleague work for accuracy
Present research, analysis and interpretation for colleagues and clients
Support short and long term operational / strategic business activities through analysis
Develop recommended business solutions through research and analysis of data and business process and implement when appropriate
Develop, build and manage databases containing workers' compensation fee schedule information

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:
Bachelor's degree or equivalent experience
Experience with data transformation and data standardization
Experience gathering requirements from various sources and documenting processes
Knowledge of state mandated workers' compensation and fee schedules
Knowledge of general healthcare billing, bill review, code sets and/or fee schedules
Knowledge of CMS Medicare files (RBRVS, CLAB, DMEPOS, etc.)
Proficiency with Excel (basic functions and formulas including VLOOKUP)
Preferred Qualifcations:
1+ years of SQL experience
Working knowledge of relational databases and database structures
Ability to communicate analysis to clients and the business in writing and verbally
Ability to problem solve including multiple priorities and research conflicting and / or inaccurate data
Ability to work under tight timelines

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $54,400 to $97,000. The salary range for Connecticut / Nevada residents is $60,000 to $106,700. 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.
*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.

Keywords: UnitedHealth Group, Schaumburg , Fee Schedule Analyst - Telecommute, Professions , Schaumburg, Illinois