Talent.com

Claim analyst serp_jobs.h1.location_city

serp_jobs.job_alerts.create_a_job

Claim analyst • minneapolis mn

serp_jobs.last_updated.last_updated_1_day
Director of M&R Claim Operations - Remote

Director of M&R Claim Operations - Remote

UnitedHealth GroupMinneapolis, MN, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
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 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Customer Care Professional, Beneficiary Claim Support, Bilingual, Remote

Customer Care Professional, Beneficiary Claim Support, Bilingual, Remote

ThriventMinneapolis, Minnesota, USA
serp_jobs.filters.remote
serp_jobs.job_card.full_time
This role isnt on the other end of a complaint line and escalated callers are rare.Instead youre empowered to provide a call experience that doesnt rely on a script and youll own it from the first ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Analyst

Analyst

TALENT Software ServicesMinneapolis, MN, US
serp_jobs.job_card.full_time
Are you an experienced Analyst with a desire to excel? If so, then Talent Software Services may have the job for you! Our client is seeking an experienced Analyst to work at their company in Minnea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Data Analyst

Data Analyst

Beamer and UserflowMinneapolis, MN, US
serp_jobs.job_card.full_time
Beamer + Userflow : Building the All-in-One Toolkit for Product Success.Welcome to Beamer and Userflow, two innovative teams united by a shared mission : to empower product-led growth (PLG) companies...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
State Licensed Medical Claim Review Nurse

State Licensed Medical Claim Review Nurse

VirtualVocationsSaint Paul, Minnesota, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Claim Review Nurse (RN).Key Responsibilities Perform clinical reviews of medical claims and appeals to ensure medical necessity and accurate billing Identify a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
AVP, Actuarial Claim Analysis & Insights

AVP, Actuarial Claim Analysis & Insights

Arch Capital GroupSt. Paul, MN United States of America
serp_jobs.job_card.full_time
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potentia...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Customer Care Professional, Beneficiary Claim Support, Bilingual, Remote

Customer Care Professional, Beneficiary Claim Support, Bilingual, Remote

Thrivent FinancialMinneapolis, MN, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
This role isn't on the other end of a complaint line, and escalated callers are rare.Instead, you're empowered to provide a call experience that doesn't rely on a script, and you'll own it from the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Analyst

Analyst

Elegant Enterprise- Wide Solutions IncMinneapolis, Minnesota, USA
serp_jobs.job_card.full_time
Job Title : Records Management Analyst.Demonstrated organizational skills and strong attention to detail with the ability to consistently and systematically document work product / actions taken.Famil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Financial Analyst

Financial Analyst

Sightline Commercial SolutionsMinneapolis, MN, United States
serp_jobs.job_card.full_time
ESSENTIAL DUTIES AND RESPONSIBILITIES : Assist in the preparation of monthly financial reports and comparative analysis for monthly and quarterly resultsComplete timely month end close activities in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Business Analyst

Business Analyst

Apex SystemsSaint Paul, MN, US
serp_jobs.job_card.full_time
Contract ends : November 10, 2027.Hybrid : Saint Paul, Minnesota 3 days a week.Elicit and document requirements using interviews, document analysis, requirements workshops, storyboards, surveys, site...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Tax Analyst

Tax Analyst

Paladin TechnologiesMinneapolis, MN, US
serp_jobs.job_card.full_time
This dynamic role reports to the Sales Tax Manager.Accurate record keeping in all areas of responsibility.Provide reports as requested by management in a timely and acceptable format.Represent Comp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Senior Claim Counsel

Senior Claim Counsel

TravelersSt. Paul,MN
serp_jobs.job_card.full_time
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 16...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Analyst

Analyst

Talent Software ServicesMinneapolis, MN, US
serp_jobs.job_card.permanent
Analyst Job Summary : Talent Software Services is in search of an Analyst for a contract position in Minneapolis, MN.The opportunity will be six months with a strong chance for a long-term extension...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Analyst - Financial Analyst II

Analyst - Financial Analyst II

ArtechSaint Paul, MN, US
serp_jobs.job_card.temporary
Job id : 18232 -1 Location : Arden Hills, MN 55112 (Hybrid) Duration : 6 Months Contract Pay Range : $40.Hybrid role, 3 days onsite in AH. This role will be a member of the Rebates and Fees Team within ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Business Analyst

Business Analyst

ProMachSaint Paul, MN, US
serp_jobs.job_card.full_time
ProMach is excited to add a skilled Business Analyst to team up with internal stakeholders for smooth IT project execution. In this role, you'll define, analyze, validate, and document business need...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Counterterrorism Analyst / Insurgency Analyst

Counterterrorism Analyst / Insurgency Analyst

Leidos IncMinneapolis, MN, United States
serp_jobs.job_card.full_time
Looking for an opportunity to make an impact?.Powered by a team as diverse as it is talented, we're driven by a shared passion for delivering bold solutions that fuel our customers' success.We beli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Technical Analyst

Technical Analyst

Meadows Group Rochester MNMinneapolis, MN, US
serp_jobs.job_card.full_time
Located in the northwest suburbs of Minneapolis, MN.Our client prefers local Minnesota candidates, no relocation offered, must have valid US work status (Citizen or Green Card).Join a privately hel...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Data Analyst

Data Analyst

GravieMinneapolis, Minnesota, United States
serp_jobs.job_card.full_time
Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use. Our industry-changing products and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
MULTI-LINE ADJUSTER - MINNESOTA

MULTI-LINE ADJUSTER - MINNESOTA

Property Claim ProfessionalsSaint Paul, MN, US
serp_jobs.job_card.full_time
A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area. There are many competing vendors in our marketpla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Credit Analyst

Credit Analyst

Executive Recruiting ConsultantsHopkins, MN, US
serp_jobs.job_card.full_time
We have partnered with a successful multi-location locally owned community bank, known for the footprint in the communities they serve. This bank has earned numerous awards for customer service.You ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Director of M&R Claim Operations - Remote

Director of M&R Claim Operations - Remote

UnitedHealth GroupMinneapolis, MN, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

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 to start Caring. Connecting. Growing together.

This position is responsible for leading and directing a claims operations team of 300+ employees to ensure delivery of our contractual regulatory commitments for the UHC Medicare and Retirement Health plans. Acts as the primary point of contact for Medicare and Retirement for new business implementation, regulatory contract requirements and critical issue resolution. Manages and drives activities related to the UHC Medicare and Retirement Claim functions for health plans, ensuring operational contract compliance as defined by CMS and retirement plans.

You'll enjoy the flexibility to work remotely

  • from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

  • Closely monitors and leads ongoing review of claim adjudication metrics, performance, improvements, and issues with business partners and claim teams
  • Works closely with the UHC Operations Business Partners and cross functional teams to accomplish organizational goals and to meet the contractual needs as defined by CMS
  • Serves as the primary contact with the health plans and business partners on the implementation of new or expanding business
  • Conducts root cause analysis on claims that contribute to decrease in performance and failure to meet commitments to understand reasons for not meeting requirements, as well as developing action plans to address the issues / gaps with the cross functional teams
  • Develops and executes plans to improve existing performance and efficiency in operational processes
  • Leads large, complex projects to achieve key business segment objectives
  • Oversees the operational aspects of new product implementations to ensure operational contract compliance
  • Monitors performance results and works with the cross functional teams to address gaps in performance
  • Provides support and coordinates with UHC Benefit Operations for any claims needs in audits or regulatory inquiries
  • Responsible for operational management, meeting our commitments, supporting strategy development for the group and enhancing our capabilities
  • 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 :

  • 10+ years of claims experience
  • 5+ years of leadership experience, managing direct reports, in a growing environment with continuous build out of processes
  • Proven ability to manage and drive large scale team performance (150+)
  • Demonstrated track record of generating results and having an impact on organizations
  • Proven problem-solving skills and ability to translate knowledge to operations
  • Demonstrated ability to interface and present to senior management effectively
  • Ability to manage multiple tasks and priorities in a matrix environment, solid problem-solving skills and attention to detail
  • Excellent communication (both written and verbal) skills
  • Medicaid, Medicare, Long Term Care and / or government health plan experience a plus
  • 25% travel
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits re subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    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.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.