Vacancy caducado!
This role is temporarily remote. Training is conducted virtual from your home. This role is an onsite role and you will transition once training is completed to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. SM Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. SM The Employer Installation Specialist is responsible for the installation of assigned accounts. This position is responsible for overall employer contract loading using various databases and / or source documents. You may research installation issues and develop customer specific resolutions. This also may include auditing contract loads for adherence to quality measures and reporting standards. This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. This role will eventually transfer back into the office located at 115 W Wausau Ave. Wausau, Wisconsin 54401. All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Primary Responsibilities:
- Handling Electronic Eligibility Files and supporting the UMR Enrollment System
- Work directly with external and internal customers including vendors
- Responsible for analyzing system, manual and workflow processes and making appropriate recommendations for improvement
- Manage improvement from recommendation to completion, by creating specifications, test plans, working with the IT area, testing, production review and implementing new procedures or training materials
- Loading and support of all eligibility files for new and existing customers for UMR
- Handles outgoing eligibility files for ID card, pharmacy vendors and many other vendors
- This position supports the Enrollment System and process and all projects supporting this system, which include: mandates including the HIPAA 834 and 270 / 271 Transactions
- Installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials
- Positions are responsible for overall employer contract loading using various databases and / or source documents
- May research installation issues and develop customer specific resolutions
- May include auditing contract loads for adherence to quality measures and reporting standards
- Analyzes and investigates
- Provides explanations and interpretations within area of expertise
- High School Diploma / GED (or higher)
- Ability to work Monday - Friday, 8:00 am - 5:00 pm, flexible hours with overtime on weekends and throughout the week
- You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations
- If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- 1+ years of experience with business analysis
- Experience in the healthcare insurance industry
- Experience writing and executing test plans in either a QA or UAT capacity
- Project coordination experience
- Experience with DB2 and / or Mainframe
- Experience working with programming in web-based application and / or databases
- Experience acting as a liaison between business and IT teams
- Knowledge of project methodologies - being able to manage small projects
- Experience working with process improvement teams
- Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
- Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
Vacancy caducado!