[Hiring] Quality Assurance Analyst @UnitedHealth Group

Role Description

This position is Remote in Central, Mountain, or Pacific Time Zones. You will have the flexibility to work remotely as you take on some tough challenges.

The Quality Assurance Analyst primary responsibilities are to conduct reviews during the Itemized Bill Review active claim process and provide feedback to reduce errors and improve processes and performance.

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 6:30 am - 3:30 pm MST. 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.

Primary Responsibilities:

• Validate / analyze claim data for accuracy utilizing job aids, claim documents, policies, and procedures
• Deliver / communicate fact-based quality review determinations in objective, non-confrontational manner
• Provide supporting documentation for audit findings
• Maintain tracking/reporting of daily tasks
• Achieve production and quality goals/metrics
• Identify / communicate uncommon patterns / trends to Team Lead / Manager

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.

Qualifications

• High School Diploma / GED
• Must be 18 years of age OR older
• 3+ years of healthcare industry experience working with appeals and/or medical claims
• 2+ years of remote/work from home experience
• Experience with computers and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Experience with Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
• Ability to work between the hours of 6:30 am - 3:30 pm MST from Monday - Friday including the flexibility to work occasional overtime based on business need

Requirements

• 3+ years of medical claims and / OR auditing experience
• RemProduct / process knowledge
• System / application knowledge

Telecommuting Requirements

• Reside within Mountain, Pacific, or Central Time Zone
• 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

• Attention to detail including financial information
• Organizational and analytical skills
• Flexible and adaptable to a growing and changing environment
• Team player
• Ability to manage delicate matters with diplomacy

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Salary

The salary for this role will range from $23.89 - $42.69 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

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.