Energize your career with one of Healthcares fastest growing companies.
You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, its a dream that definitely can come true. Already one of the worlds leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.
Reviews and analyzes medical records, medical payout and detailed pharmacy transaction history information to determine an appropriate Medicare Set Aside (MSA) Allocation for recommendation to client
Conducts research on Medicare expenses allowed in appropriate state for workers compensation and keeps abreast of all changes in law and Centers for Medicare / Medicaid Services guidelines
According to Company MSA Services guidelines, writes the MSA report, calculates financial grid for injury- and non-injury-related medical expenses and coordinates with PMSI for related pharmaceutical costs
Works with claim adjusters to obtain clarification on outstanding issues for MSA
Works with claim adjusters and attorneys in negotiating and defending recommended allocations as necessary
Works with Case Administration Specialists and various departments within the business unit in coordinating daily work deadlines per Company MSA Services production standards
Maintains level of required quality as determined by Management done through the QC department in monthly evaluations
As determined by Management and determined on business needs, maintain a minimum production level
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.