Team Lead, Provider Claims Education – Remote in Indiana

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. 

 

As the Team Lead for Provider Claims Education, you will oversee a team of Provider Claims Educators and serve as the primary liaison between grievances, claims processing, and provider relations systems. You will lead initiatives to ensure contracted and non-contracted providers (both professional and institutional) are well-informed and compliant with claims submission requirements, coding updates, and electronic transactions.

If you are located in the state of IN, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities:

• Lead and mentor a team of Provider Claims Educators, providing guidance, training, and performance feedback
• Coordinate and oversee provider education efforts, ensuring consistency and accuracy in messaging across the team
• Develop and implement strategic initiatives to improve provider satisfaction and streamline claims processes
• Facilitate communication between internal departments (e.g., call center, provider relations) and external providers to ensure timely and accurate information exchange
• Analyze provider feedback and call center data to identify trends and recommend process improvements
• Conduct high-level provider engagements, including on-site visits and virtual sessions, to assess provider needs and deliver targeted education
• Maintain and update educational materials and resources, including manuals, websites, and fee schedules
• Serve as a subject matter expert on claims submission practices, coding standards, and electronic fund transfer processes

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.

Required Qualifications:

• 2+ years claims processing and/or claims billing experience
• 2+ years of experience in healthcare
• 1+ years of Medicaid experience

 

Preferred Qualifications:

• Experience as an LTSS or HCBS provider or in a provider office
• Experience working with Indiana Medicaid lines of business
• Leadership experience in a healthcare or claims-related setting
• Proven solid analytical, communication, and organizational skills
• Proven ability to manage multiple priorities and lead cross-functional initiatives

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

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.