• UnitedHealth Group
  • Philadelphia , PA
  • Telecommuting/Work-At-Home
  • Full-Time
  • 1103 Market St


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Energize your career with one of Healthcare's fastest growing companies.

You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.

Primary Responsibilities:

* Manages ongoing contract relationships and service delivery to clients for one or more accounts.
* Acts as outward - facing, dedicated resource for assigned accounts, typically with direct client contact (not call center) and large or complex accounts.
* Represents client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs.
* Analyze various sources of information and large data sets
* Interpret and analyze claims data from various sources
* Maintain data integrity and ongoing quality control of delivered reports
* Create detailed documentation outlining report criteria and provide recommendations to the requestor based on the results of the report
* Use claim analysis and reporting to identify issues and trends.

Required Qualifications:

* Associate's Degree (or higher)
* 1 years direct client facing experience in Health Care Lines of Business (for example Medicare, Health Care Exchanges, and Commercial Lines of Business)
* 2 years' experience in a Quality Assurance or Data Quality role
* 1 years' experience performing data analytics and reporting
* 2 years' Advanced level of proficiency with Microsoft Excel (use of functions in Microsoft Excel such as Vlookup, Pivots, Formulas, etc.)
* Proficient in Microsoft Word (create/edit documents), Microsoft Outlook (create emails and navigate through calendars) and Microsoft PowerPoint (create/edit presentations)
* If Telecommute, they will be travelling to Philadelphia once or twice a year.

Preferred Qualifications:

* Bachelor's Degree or (Higher)
* 1 years PBM Experience
* 1 years' experience working with Rx Claim system
* 2 years' experience in Medicare or Health Exchanges
* Strong experience with QA processes and methodologies.

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life's best work.SM

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:UHG, OptumRx, RxClaims, Analyst, Excel



* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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