Operations Support Analyst

Dallas, TX
$28.27-50.48 per hour
Permanent
Full-time

1 day ago

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.UMR, UnitedHealthcare's third-party administrator (TPA) solution, is the nation's largest TPA. When you work with UMR, what you do matters. It's that simple . . . and it's that rewarding.In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth.Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast - paced and highly diversified career.This role directly supports UMR's premier account, GEHA, with ~730k medical members operating in the shared service model with a business partner handling member calls using UMR's ecosystem. This role will work cross workstream and with internal and external stakeholders to ensure the operations are executed with a high level of quality and efficiency to provide excellent service to our business partner, GEHA, and their members. This role requires attention to detail, critical thinking, and problem solving using technical system knowledge and workflows around it. Strong customer service skills are also a must as they may be required to work directly with external businesses and GEHA directly in complex and difficult situations.You will work with a complex, matrix organization with 20+ interrelated business units. It is a fast-paced, intense culture where everyone is pushing the envelope. Now, you can step into this challenge and help create new business process solutions that raise the performance of our health care system for years to come. As an Operations Support Analyst, you'll be in the driver's seat on vital projects that have strategic importance to our mission.This position is full-time. Employees are required to have flexibility to work on any of our 8-hour shift schedules during our normal business hours of 7:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.Primary Responsibilities:

Lead & participate in related workflow projects
Provide coaching and development to various departments as well as externally to our business partners
Build and refine operational documentation to support UMR and external business partner operations
Monitor and track operational performance related to the Premier Account and present information to leadership with recommendations
Determine trending analysis at the customer level to improve overall customer experience, enhance efficiency, and resolve issues
Perform other tasks as necessary to support the success of the Premier Account, UMR's operations, and our external business partner operations

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 OR equivalent work experience
Must be 18 years of age OR older
1+ year of current or previous years' experience with CPS (claim processing system for UMR) (UMR is UnitedHealthcare's third-party administrator (TPA) solution and you must be or have been an employee of UMR specifically to have experience with the UMR claims system)
2+ years of Customer Service experience
2+ years of experience working on process improvement implementation and owning and resolving complex issues (doesn't have to be role specific)
Experience with Microsoft Excel (sort and filter data, pivot tables)
Experience with Microsoft PowerPoint (create and edit presentations)
Ability to work full-time, in any of our 8-hour shift schedules during our normal business hours of 7:00am - 5:00pm CST, including the flexibility to work occasional overtime, given the business need

Preferred Qualifications:

1+ years of Operations Service Manager experience within UMR with increasing responsibilities, including experience with high profile OR highly demanding OR unique customers
2+ years of Claim Processing experience in CPS (claim processing system for UMR), including complex adjustments, research and analysis of claim reports and issue resolution for coding OR processing issues (UMR is UnitedHealthcare's third-party administrator (TPA) solution and you must be an employee of UMR specifically to have experience with the UMR claims system)
Supervisory or team lead experience
Experience with coaching and mentoring of employees

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:

Capability to provide leadership and direction to individuals and regarding complex situations requiring investigation
Analytical, problem - solving and decision - making skills
Communication and interpersonal skills
Experience planning, organizing, setting priorities, and meeting deadlines while handling multiple work assignments

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay 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 are 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 hourly pay for this role will range from $28.27 - $50.48 per hour 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.#RPO

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