Fee Schedule Analyst - Telecommute
Company: UnitedHealth Group
Location: Schaumburg
Posted on: June 20, 2022
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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
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