Consumer Affairs Advocate career at UnitedHealth Group in Minnetonka

UnitedHealth Group is in need of Consumer Affairs Advocate on Fri, 21 Jun 2013 17:12:38 GMT. 524074: Consumer Affairs Advocate - Telecommuter Position Job Description The Consumer Affairs Advocate serves as a vital member of a fast paced team of professionals, researching and resolving complex member/provider grievances. This high visibility position works with executives across the enterprise, and collaborates with media relations and government affairs professionals to support...

Consumer Affairs Advocate

Location: Minnetonka, Minnesota

Description: UnitedHealth Group is in need of Consumer Affairs Advocate right now, this career will be placed in Minnesota. Further informations about this career opportunity please give attention to these descriptions. 524074: Consumer Affairs Advocate - Telecommuter Position

Job Description

The Consumer Affairs Advocate serves as a vital member of a fast paced team of profes! sionals, researching and resolving complex member/provider grievances. This high visibility position works with executives across the enterprise, and collaborates with media relations and government affairs professionals to support resolution of escalated concerns in compliance with state and federal laws and regulations. This individual will receive, document, process and resolve provider, physician and/or member grievances. This individual will serve as a primary resource to senior management, plan sponsors, enrollees, and regulatory agencies across all states in resolution of oral and written complaints and appeals.

Additional responsibilities include:

• Research and resolve customer complaints and complex or multi-issue appeals submitted by consumers and physicians/providers to UnitedHealth Group executives, state attorney generals and other regulatory agencies
• Provide expert knowledge of appeals process and assess appeals status of c! omplaints
• Correspond both verbally & in writing regar! ding member grievance & appeals and provider appeals
• Collaborate with internal departments to resolve member complaints/grievances according to regulatory timelines
• Assure member complaints/grievances and appeals and provider appeals are resolved within regulatory timeframes
• Provide updates on the appeals process and status of complaints
• Conduct root cause analysis by identifying potential compliance, process, or systemic breakdowns and communicate findings to management
• Assist in preparation of summary grievance reports to regulatory agencies
• Prepare material discussed at member/provider appeal committee meetings
• Develop effective working relationships with the applicable regulatory agencies and plan personnel
• Must be able to work until 05:30 pm Central time Monday - Friday

Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In ret! urn we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.

Requirements
Qualifications

We are seeking candidates with the following qualifications:

• Undergraduate degree preferred (experience may substitute for an undergraduate degree).
• 2+ years of experience of customer service experience analyzing and solving customer problems; must be able to handle escalated phone calls and take ownership of the issue to seek resolution; must be able to maintain a pleasant, courteous and helpful demeanor at all times. Experience in a customer service role in a healthcare environment is preferred.
• 1+ years of experience working with the UHG’s claims processing platforms and systems, working with provider appeals and ! claims, and/or working with UHG’s Escalation Tracking System (ET! S), Complaint Tracking Module and UNET.
• Strong verbal and written communication, multitasking & time/project management, problem solving, organizational, and analytical skills required.
• Team player with ability to uncover defects and seek solutions.
• An intermediate or better level of proficiency in MS Excel and MS Word.
• Ability to cover the incoming customer service phone lines for 12-15 hours weekly, during 09:00 to 05:30 in the Central time zone.

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than eve! r. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
- .
If you were eligible to this career, please email us your resume, with salary requirements and a resume to UnitedHealth Group.

Interested on this career, just click on the Apply button, you will be redirected to the official website

This career will be started on: Fri, 21 Jun 2013 17:12:38 GMT

Apply Consumer Affairs Advocate Here