Talent.com
Policy Write - Remote
Policy Write - RemoteUnitedHealth Group • Minnetonka, MN, United States
Policy Write - Remote

Policy Write - Remote

UnitedHealth Group • Minnetonka, MN, United States
30+ days ago
Job type
  • Full-time
  • Remote
Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

You'll enjoy the flexibility to work remotely

  • from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

  • Researching and maintaining medical policies for Community and State (Medicaid business)
  • Performing project work related to Value Creation projects
  • Perform clinical research as requested through a health technology support line
  • Auditing CPT, HCPCS and ICD-10 coding for medical policy documents and benefits for UHC ensuring we maintain compliance utilizing the appropriate coding for the review and reimbursement of medical services and benefits
  • Serve as a key resource on complex and / or critical issues
  • Solve complex problems and develop innovative solutions
  • Lead cross functional discussions related to clinical topics
  • Provide explanations and information to others on complex issues
  • Present work in large group settings
  • 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.

    Years of post-high school education can be substituted / is equivalent to years of experience.

    Required Qualifications :

  • Registered Nurse (RN)
  • 3+ years of experience working within a managed care organization or health insurer
  • Experience working with the Medicaid line of business in Prior Authorizations, Appeals or Claims OR in Medical Policy
  • Experience with InterQual guidelines
  • Preferred Qualifications :

  • Certified coder (AAPC or AHIMA)
  • 3+ years of experience working with the Medicaid line of business in Prior Authorizations, Appeals or Claims OR in Medical Policy
  • Experience in health technology assessment and evaluation
  • Experience writing policies or SOPs
  • Proficient in the use of MS Word and PowerPoint
  • Proven critical thinking skills
  • Proven solid attention to detail
  • Proven excellent written and verbal communication skills including the ability to present information in or to large audiences
  • Proven ability to work with minimal supervision
  • Proven ability to multi-task, shifting back and forth effectively among multiple activities
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • The hourly range for this role is $16.00 to $20.43 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

    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.

    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.

    Create a job alert for this search

    Policy • Minnetonka, MN, United States

    Related jobs
    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    OCPA • Andover, Minnesota, us
    Remote
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Commercial Lines Field Underwriter | Remote

    Commercial Lines Field Underwriter | Remote

    KING'S INSURANCE STAFFING LLC • Minneapolis, MN, United States
    Remote
    Full-time
    Our client, an A-rated insurance carrier, is expanding their underwriting department and seeking to add a results-driven Commercial Lines Field Underwriter to join their Minnesota team.In this role...Show more
    Last updated: 26 days ago • Promoted
    Underwriting Consultant - Remote

    Underwriting Consultant - Remote

    UnitedHealth Group • Minnetonka, MN, United States
    Remote
    Full-time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...Show more
    Last updated: 30+ days ago • Promoted
    Remote Opinion Contributor (Hiring Immediately)

    Remote Opinion Contributor (Hiring Immediately)

    Earn Haus • Robbinsdale, Minnesota, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Worker's Compensation Claims Representative - REMOTE

    Worker's Compensation Claims Representative - REMOTE

    Ryder • Minneapolis, MN, US
    Remote
    Full-time
    Worker's Compensation Claims Specialist.This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program. Investigates and resolves low to high ...Show more
    Last updated: 7 days ago • Promoted
    Lender Services Specialist - US Remote

    Lender Services Specialist - US Remote

    Remote Staffing • Minneapolis, MN, US
    Remote
    Permanent +1
    Lender Services Specialist - Remote.Our Title Group is a leading full-service title and settlement services company, serving real estate companies, corporations, and financial institutions in suppo...Show more
    Last updated: 1 day ago • Promoted
    EntryLevel Tax Preparer

    EntryLevel Tax Preparer

    Jackson Hewitt • Andover, MN, United States
    Full-time +1
    Seeking a job that fits around your life? Look no further! We provide flexible scheduling options, so you can balance work and personal commitments. Embrace the possibilities by adding this side gig...Show more
    Last updated: 18 days ago • Promoted
    Remote Flexible Writer

    Remote Flexible Writer

    Outlier • Minneapolis, MN, United States
    Remote
    Full-time
    Earn up to $15 / hour + performance bonuses.Outlier, a platform owned and operated by Scale AI, is looking for.If you're passionate about improving models and excited by the future of AI, this is you...Show more
    Last updated: 1 day ago • Promoted
    Remote Financial Advising Expert - AI Trainer ($50-$60 / hour)

    Remote Financial Advising Expert - AI Trainer ($50-$60 / hour)

    Data Annotation • Edina, MN, United States
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show more
    Last updated: 4 days ago • Promoted
    Manager, RFP Writing

    Manager, RFP Writing

    Medica • Minnetonka, MN, United States
    Full-time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...Show more
    Last updated: 30+ days ago • Promoted
    Remote Survey Contributor for Leading Brands (Hiring Immediately)

    Remote Survey Contributor for Leading Brands (Hiring Immediately)

    Earn Haus • Burnsville, Minnesota, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Remote Investment Analyst - AI Trainer ($50-$60 / hour)

    Remote Investment Analyst - AI Trainer ($50-$60 / hour)

    Data Annotation • Lakeville, MN, United States
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show more
    Last updated: 7 days ago • Promoted
    Underwriter - Crop

    Underwriter - Crop

    QBE Americas, Inc. • Ramsey, MN, United States
    Full-time +1
    Primary DetailsTime Type : Full time Worker Type : Employee.The purpose of this role is to contribute to the financial success of the company by underwriting crop insurance, assuring compliance with ...Show more
    Last updated: 10 days ago • Promoted
    (Remote) Strategic Pharmacy Consultant

    (Remote) Strategic Pharmacy Consultant

    National Financial Partners • Minneapolis, MN, United States
    Remote
    Full-time
    NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance.We are an organization of consultative advisors and problem solvers. We help companies and individuals aroun...Show more
    Last updated: 26 days ago • Promoted
    Remote Opinion Influencer (Hiring Immediately)

    Remote Opinion Influencer (Hiring Immediately)

    Earn Haus • Champlin, Minnesota, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Dir Capability | REMOTE

    Dir Capability | REMOTE

    Kaav • Minneapolis, MN, US
    Remote
    Full-time
    Telecommute - Remote, MN-based ideal Typical hours are 8am CT to 5pm CT, M-F, Short term coverage for maternity leave Team Management : Manage a team of product m.Show more
    Last updated: 30+ days ago • Promoted
    Underwriter | Remote

    Underwriter | Remote

    Allianz • Minneapolis, MN, United States
    Remote
    Full-time +1
    Serve as a senior client facing representative for AZRA.Meet Brokers, clients; attend conferences, organize meetings for the team at conferences. Management of the transaction process; Responsibilit...Show more
    Last updated: 25 days ago • Promoted
    Block Advisor Tax Advisor - Remote

    Block Advisor Tax Advisor - Remote

    H&R Block • Minneapolis, MN, US
    Remote
    Full-time
    At H&R Block, we believe in the power of people helping people.Our defining purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere.We also believe ...Show more
    Last updated: 27 days ago • Promoted