Senior Recovery / Resolution Analyst - National Remote | Optum

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

Optum is a global organization 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.

The Senior Recovery / Resolution Analyst will work with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules.

This position is full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 AM - 4:30 PM. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of paid on-the-job training. The hours during training will be 8:00 AM - 4:30 PM from Monday - Friday. Training will be conducted virtually from your home.

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

Primary Responsibilities:

• Respond timely to all questions from assigned team members and management about internal process and procedures.
• Provide continuous availability for questions and assistance (70%)
  • Provide ongoing coaching and development to ensure peak performance.
  • Handle escalated calls; anticipate customer needs and proactively develop solutions to meet them.
  • Mentor team members by completing side - by - side training.
  • Research and provide guidance regarding applicability of laws, regulations and other requirements to cases, contracts, or decisions.
  • Prepare and facilitate ongoing training opportunities for assigned team members.
  • Provide or seek settlement authority in accordance with internal policy / guidelines and client expectations.
• Perform oversight on work completed by assigned team members monthly to ensure understanding of department policies and procedures.
• Deliver oversight results to assigned team members (15%)
• Identify trends and impacts to our business and resolve where appropriate or bring those concerns forward to management (10%)
  • Partner with management in the creation and development of team job aids to ensure the information is consistent and up to date.
  • Collaborate with business partners to resolve issues impacting the business.
  • Attend and participate in Team Lead team meetings by raising team concerns or questions to ensure the teams are consistent across all internal policies and procedures.
• Create and deliver client reporting as needed (5%)
• Prioritize and organize own work to meet deadlines and established objectives.
• Assist management on special projects and any other assigned tasks.

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
• 1+ years of experience in Optum Subrogation policies and procedures, Health Insurance, P&C Insurance, and / OR negotiation experience
• Microsoft Word (ability to use to generate professional correspondence)
• Microsoft Excel (ability to use to analyze data, formatting, and creating charts / tables)
• Microsoft Outlook (ability to use to manage multiple email boxes and calendars)
• Working knowledge of the healthcare insurance / managed care industry
• Ability to work any 8-hour shift between the hours of 8:00 AM - 4:30 PM from Monday - Friday including the flexibility to work occasional overtime based on business need
• Must be 18 years of age OR older

Preferred Qualifications:

• Presentation OR policy documentation experience
• Experience with working in the Healthcare Industry
• Experience with working with Claims and / OR Recovery

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

Soft Skills:

• Ability to provide coaching and guidance in formal and informal settings
• Candidate must be highly organized with effective and exceptional communication skills
• Strong analytical, problem solving and decision - making skills required; ability to exercise good judgment
• Ability to prioritize work, handle multiple tasks and work both independently and in team settings
• Exceptional telephone and customer service skills; ability to interact professionally in challenging situations
• Open to change and new information; ability to adapt behavior and work methods to changing organization and integrate best practices into the subrogation recovery process
• Demonstrated negotiation experience, specifically in the capacity of persuading and influencing others; ability to negotiate fair settlements consistent with the prevailing subrogation law

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / Rhode Island residents is $27.07 - $53.08 per hour. 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.

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 #GREEN