Position Description:

Are you looking to be on the forefront of reducing thecost of healthcare through cost containment and compliance? Do you consideryourself a critical thinker, problem solver, and process improver? Do you havethe ability to analyze numbers and identify trends while being able to buildlasting relationships? Do you have the ability to negotiate? Do you want towork for one of the leading revolutionary healthcare companies that affectevery aspect of the healthcare system?

If yes, the Regional Account Manager (Hospital/ProviderRecovery Analyst) may be the right fit for you. The Regional Account Manager isresponsible for credit balance identification, prevention, and recovery onbehalf of 1,200 insurance companies at our provider client sites. This positionis salary based with incentives based on performance.

Primary Responsibilities:

• Provide expertise in credit balance adjudication byreviewing, researching, and resolving all types of accounts as well asproviding resolution outcomes for health plans, commercial customers andgovernment entities
• Establish professional working relationships to ensure operational efficiency
• Anticipates customer needs and proactively identifies solutions
• Plan,prioritize, organize and complete work to meet established production goals orquotas in a fast pace and ever changing environment
• Accounts receivable follow up
• Analyzeand identify trends and provide reports as necessary
• Ensureadherence to state and federal compliance policies, reimbursement policies andcontract compliance

• Bachelor's Degree
• Healthcare finance experience with a focus in auditingand/or analysis (Someone who can analyze numbers and Identify trends)
• Work Hours - Monday thru Friday 8 AM to 5 PM (CoreBusiness Hours with OT on a RARE occasion depending on the needs of the clientat that time).
• This person will be traveling 50% of this position withinthe New York City area, - You will have to travel to Franklin, TN for 2weeks for training when you are hired, however other than that there should beno overnight travel sights
• Intermediate level of proficiency with Excel (This personshould be able to complete sorting, summing, and creating bar graphs andformulas within Excel)
• 2+ years of Account Management experience (Someone whohas experience managing client relationships)
• Claims/payer knowledge with government and commercialplatforms (Someone who has claims experience from working for a hospital, insurancecompany or healthcare consulting firm)

• 2+ years experience working in a team leadership orspecial project role

• Extended periods of sitting at a computer and use ofhands/fingers across keyboard or mouse

OptumInsight is one of the largest and fastest growing health informationcompanies. We specialize in improving the performance of the health system byproviding analytics, technology and consulting services that enable betterdecisions and results. We integrate workflow solutions that deliver data inreal-time, and create actionable insights - processing health information thatrelates directly to and affects one in four patients in the U.S., one in everythree Medicaid dollars and one in every five emergency room visits. And we doit all with every action focused on our shared values of Integrity, Compassion,Relationships, Innovation & Performance.

What can YOU do with the right information? At OptumInsight, the possibilitiesand the impact are limitless. No matter what your role is at OptumInsight,you'll be empowered to ask more questions, develop better solutions and helpmake the health care system greater than ever. It's always fresh. It's alwaysexciting. And it's never been more important.

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

UnitedHealth Group is a drug-free workplace. Candidates are required to pass adrug test before beginning employment. In addition, employees in certainpositions are subject to random drug testing.