Claims Manager (TRICARE) - San Antonio, TX

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Company:
 		UnitedHealth Group
Company Profile | Current Opportunities (80)
Job Location(s): San Antonio
Employment Term: Regular
Employment TypeFull Time
Start Date:As soon as possible
Starting Salary Range:Not Provided
Required Experience: Open
Related Categories:Insurance - Claims

Position Description

Job Description - Claims Manager (TRICARE) - San Antonio, TX (314786)
Job Description
Claims Manager (TRICARE) - San Antonio, TX-314786
Description
UnitedHealth Military & Veterans Services is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.
We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the South.
Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever. Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions.
It's not just business as usual. It is one of our proudest endeavors.
If you're ready to help make health care work better for those who serve our nation. If you are smart, creative, and committed. If you want to make a difference. Consider being part of the elite team at UnitedHealth Military & Veterans Services.
UnitedHealth Group has submitted a proposal in response to the TriCare Managed Care Support Contract Solicitation (also known as the "T-3 Solicitation"). TriCare is the health care program serving active duty service members, National Guard and Reserve members, retirees, their families, survivors and certain former spouses.
As a potential government contractor, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF85P.
Position Description:
This position will be accountable to develop business processes and workflows to ensure operational readiness of the TRICARE program for steady state operations. Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary. Manages and is accountable for professional employees and/or supervisors.
This is an opportunity to share in something special; a chance for all of us to serve, to excel, and to know that we've made a difference for those families who have made our nation stronger.
Qualifications
Qualifications:
  • 3 years of exempt level operations management experience managing at least 40-50 people is required
  • 5 years of supervisory experience is required
  • Start-up operations experience is preferred
  • Previous leadership development courses and training are preferred
  • Bachelor's Degree is preferred
  • Sets team direction, resolves problems and provides guidance to members of own team
  • Will oversee work activities of other supervisors
  • Adapts departmental plans and priorities to address business and operational challenges
  • Influences or provides input to forecasting and planning activities
  • Product, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external)
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Job Claim Operations
Primary LocationUS-TX-San Antonio
Organization Military & Veterans Hlth Srvcs
Schedule Full-time
Number of Openings 1

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