Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

Will support PCP contracting team through contract config, analysis, maintenance and data management required for proper claims payment for 5k contracted and employed PCPs and over 50k + UHC affiliated PCP providers. This consist of managing and configuring Wellmed PCP and healthplan contract/amendment reimbursement methodologies, within specific timeframes, into the claims payment system. Test and audit claims payment accuracy against contract information loaded. Interprets and configures contracts terms and claims coding in a risk based environment. Respond to configuration helpdesk inquiries from our contracted/healthplan and internal depts. within 48hrs. Support our Tx/Florida Markets on all PCP issues/questions by facilitating meetings and researching their requests in a timely manner

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Use your Sharp Analytical Skills to help us support, compile and report key information
• Create, enhance, and maintain budget or financial planning models, surveys, benchmarks
• Evaluate, interpret and analyze data and business process and analyze/monitor new, routine and ad hoc reports
• Provide support when compiling and reporting information and assume responsibility for data integrity among various internal groups and/or between internal and external sources
• Support short term operational activities.
  

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:

• Claims processing experience
• Intermediate level of proficiency with PC based software programs and automated database management systems required (Excel, Access, PowerPoint)
• Demonstrated process improvement, workflow, benchmarking and / or evaluation of business processes
• Demonstrated excellent communication, time/project management, problem solving, organizational, and analytical skills
• Working knowledge of IKA
• Ability to multitask
  

Preferred Qualifications:

• Bachelors degree in Business, Finance, Health Administration or related field
• 1+ year of experience in business/finance analysis collecting, analyzing, and presenting data and recommendations to management
• Working knowledge of relational databases, database structures
  

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Colorado, Connecticut, Nevada, New York City Residents Only: The hourly range for Colorado residents is $21.68 to $38.56. The hourly range for Connecticut/Nevada/New York City residents is $23.94 to $42.40. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.