Policy Writer - US Remote

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

Policy Writers have end to end accountability for development and implementation of each Medicare based Clinical Coverage Policy for UnitedHealthcare Medicare and Retirement.  This function supports research and interpretation of CMS rules, billing, and coverage guidelines.  This staff also develops the requirements for implementation of these policies and ensures implementation in our claims systems across platforms.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Research of CMS coverage guidelines
• Interpretation of rules and guidelines for claims payment
• Work with multidisciplinary groups to develop coding to support accurate billing scenarios
• Work directly with implementation teams to implement policy appropriately
• Address policy questions from designated groups within UHG
• Policy updates at least annually, or more frequently as coverage rules change

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:

• Current unrestricted RN licensure in applicable state
• 2 + years of experience with either Medicare Policy, Claims or Claims processing
• 2+ years of Medicare experience (proficient in research of the CMS Medicare Coverage Database (MCD), and interpretation of CMS transmittals, Internet-Only manual (IOM), national and local coverage determinations (NCDs and LCDs)
• 1+ years of Coding experience (e.g., ICD-10, CPT/HCPCS)
• Comprehensive knowledge of medical, surgical and diagnostic procedures and terminology
• Proficiency with Microsoft Office applications (Word, Excel, Outlook, SharePoint)
• Proven excellent written and oral communication skills
• Proven ability to communicate with confidence with other medical professionals
• Proven excellent planning, organizing, time and work management skills

Preferred Qualification:

• Coding Certification (AAPC AHIMA, etc.)

*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 $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.    

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.      

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.