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

At UnitedHealthcare , we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life’s best work. SM

Senior Claims Business Process Analyst: This position will be assigned to ClearHealth Strategies’ Independent Dispute Resolution (“IDR”) team. You will work with the IDR team in a quasi-legal process to assist in the review of disputes, eligibility analysis, and preparation of arbitration briefs in support of ClearHealth’s compliance with the federal No Surprises Act and state surprise billing laws. Using available state and federal guidelines, you will be an essential contributor throughout the IDR process, with focus on briefing and submission of documentation to an independent arbiter. You will be expected to cogently respond to requests from CMS, independent arbiters, providers, clients, management, and other individuals throughout the day. Candidate should have the ability to work independently and follow defined standards and procedures with efficiency and accuracy.

This position is full time (40 hours/week) Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00 am – 5:00 pm depending local time zone. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule. Training will be conducted virtually from your home

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

Primary Responsibilities:

• Prepare arbitration briefs

• Respond to inquiries from CMS, arbiters, providers, clients, and ClearHealth management

• Identify issues, analyze EOBs and claims information, apply critical thinking skills to formulate plan

• of action, and resolve issues independently

• Triage complex issues to management

• Manage multiple priorities in a time sensitive manner

• Work in fast-paced, high-volume environment with quick turnaround time

• Communicate effectively utilizing strong business writing skills

• Prioritize and manage workload to meet deadlines, goals, and objectives

• Collaborate with coworkers in cohesive team environment

• Ready to work, ready to learn mindset

• Integrity, accountability, and ability to maintain confidentiality

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

• Must be 18+ yrs of age or older

• Paralegal Certification

• Two (2) or more years of legal experience either in a law firm or within a company

• Maintain compliance with HIPPAA privacy and security guidelines at all times

• Ability to work full-time between 8:00 am – 5:00 pm local time, including the flexibility to work occasional overtime given the business need.

Preferred Qualifications:

• Insurance claims, medical billing and/or health insurance industry experience

• Experience in Personal injury litigation

• Knowledge of medical claims process helpful

• At least one year of experience in the federal No Surprises Act and/or state surprise billing disputes

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $28.03 - $54.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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 marginalized 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 / 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 .

#RPO