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Are you looking for a great job at a great company? You've
come to the right place! Unity Health Plans Insurance Corporation is proud to offer market-competitive salaries and
benefits, innovative reward and recognition opportunities and a corporate culture that is teamwork-oriented.
Business Analyst I or II – Enrollment/Customer Service
Employment Term: Regular
Employment Type: Full
Time
Are you looking for a challenging and fast-paced position? If so, Unity's Operations Department is looking for an enthusiastic person to join their team as a Business Analyst II. The primary focus of this position will be supporting Enrollment and Customer Service. The Business Analyst (BA) position plays a key leadership role in supporting Unity’s business processes, systems and customers and bridges the needs of the business with the use of Information Technology.
Job Duties and Responsibilities:
· Working with business groups, management and vendors, analyzes, develops and documents detailed business requirements and business processes for proposed solutions to business initiatives.
· Working closely with system analysts and a variety of end users to ensure solution compatibility and user satisfaction.
· Supports troubleshooting and research to determine root causes of issues including such areas as communication, process, training, system defects or other gaps.
· Develops detailed business/User Acceptance test scenarios and test cases. Executes user acceptance test plans and cases and documents results.
· Working closely with Project Managers, demonstrates leadership on project teams and acts as a resource during project planning and testing stages of the project. Advises team members on how to resolve analytical problems.
· Providing business user application support.
· Recommends standards, procedures and process improvements.
· Candidate must understand business unit activities, goals, and critical success factors that influence systems applications.
The preferred candidate will possess the following skills/qualities:
- Ability to problem solving using
advanced analytical skills.
- Advanced knowledge of PC applications.
- Knowledge of Epic systems preferred.
- Knowledge of Health Care preferred
- Good interactive skills with other employees.
- Works well under pressure and adaptable to change.
- Manage multiple projects simultaneously.
- Very reliable in terms of attendance and punctuality.
- Good organizational and time management skills.
- Presents a positive and professional image.
- Prefer a 4 year degree or the equivalent experience in systems analysis and design, process analysis, or eligibility/enrollment build and support.
- A fundamental understanding of system hardware and software.
- Willing to work additional hours as required, meet deadlines and complete tasks.
Salary range: $38,000-$59,000
Applications will be accepted until the position is filled.
Business Analyst II – Provider Services
Employment Term: Regular
Employment Type: Full Time
Are you looking for a challenging and fast-paced position? If so, Unity's Operations Department is looking for an enthusiastic person to join their team as a Business Analyst II. The Business Analyst understands business problems and opportunities in the context of requirements and recommends solutions that enable the organization to achieve its goals. The primary focus of this position will be supporting Provider Services in the design and testing of complex contracts and records to allow accurate and efficient provider reimbursement. This position works closely with project implementation, provides business user support, and conducts trouble shooting and research to determine root causes of issues such as communication, process, training, system defects or other gaps.
Candidate must understand business unit activities, goals, and critical success factors that influence systems applications.
The preferred candidate will possess the following:
- Ability to problem solve by use of advanced analytical skills.
- Advanced knowledge of PC applications and Microsoft Office.
- Advanced knowledge of Epic systems.
- Advanced knowledge of Health Insurance Operations preferred.
- Good interactive skills with other employees.
- Works well under
pressure and adaptable to change.
- Manage multiple projects simultaneously and complete timely.
- Very reliable in terms of attendance and punctuality.
- Good organizational and time management skills.
- Presents a positive and professional image.
- Prefer a 4 year degree in a business related field or the
equivalent experience as a Business Analyst in the area of contracts and reimbursement.
- Work additional hours as required to meet deadlines and complete tasks.
Salary range: $48,000-$59,000
Applications will be accepted until the position is filled.
Claims Investigator
Employment Term: Regular
Employment Type: Full Time
Unity Health Insurance, a leader in the managed care industry, is seeking an energetic, top-notch individual to join our team. This position is responsible for detecting, investigating and resolving claim coding and compliance issues as well as instances of healthcare fraud.
The primary responsibilities of this role involve:
- Detecting and investigating claim cost risk areas.
- Preparing audit plans to address high risk audit issues.
- Working independently and in a team environment that may be comprised of medical professionals, claims analysts, compliance, provider relations/contracting staff and auditors.
- Coordinates and conducts medical record review and claim audit activities with appropriate staff to ensure findings are supported by medical documentation.
- Perform analysis and make recommendations to claims adjuster.
- Work as key member of special investigative unit.
- Report results to internal compliance committee.
- Assist with preparing quarterly outcome reports on audit findings.
The successful candidate will possess these qualifications:
- Certified as a facility hospital coder (RHIT or CCS), Certified
Legal Nurse Investigator (CLNI), or nurse (RN or LPN).
- Four years claims related experience, with advanced knowledge of coding, fee and reimbursement, and claims processing policies and procedures.
- Experience reviewing and understanding medical records, preferably in a hospital facility setting.
- Strong understanding of governmental medical payment policies/regulations and update process (CMS, Medicare, Medicaid, and DHS).
- Knowledge of
HIPAA regulations.
- Strong verbal and written communication, analytical thinking and problem solving.
- Experience working with healthcare providers.
- Epic healthcare software and/or claim coding compliance software knowledge desirable.
Salary range: $52,000-$64,000
Applications will be accepted until the position is filled.
Customer Relations Supervisor - Enrollment
Employment Term:
Regular
Employment Type: Full Time
Unity Health Insurance, a locally owned and operated health insurer based in Sauk City, Wisconsin is looking for an energetic individual to join our Enrollment and Distribution Service Department as a Customer Relations Supervisor. We are looking for someone highly motivated to work with our Enrollment Service Representatives and Distribution Service Specialists who process daily enrollment eligibility files and operate the Distribution Center. The supervisor will co-manage the day-to-day
functions of the enrollment and distribution areas; oversee process and work distribution, assuring adequate staffing, making adjustments to work flows as necessary and monitoring budgetary requirements.
Candidates should have excellent organizational skills and be able to handle several activities and projects at one time. The successful candidate must be committed to maintaining and enhancing the high level of service our customers are accustomed to receiving.
Requirements include:
- High School diploma or equivalent; Bachelor’s Degree preferred.
- 2-3 years experience in customer service, enrollment, or mailroom.
- 1-2 years prior supervisor experience or 2-4 years prior team lead experience.
- Good knowledge of personal computer software applications.
- Good knowledge of mailroom equipment.
- Excellent verbal and written communication skills.
- Ability to work in a fast paced environment.
- Knowledge of health insurance principles and enrollment eligibility guidelines is preferred.
- Ability to schedule and coordinate department activities, identify training needs, and effectively respond
to changes in the work environment.
- Tact, integrity, flexibility, problem solving capability is useful or necessary to possess for the position.
- EPIC knowledge is preferred.
Salary range: $44,000-$54,000
Applications will be accepted until the position is filled.
Financial Analyst II or III (Health Informatics Analyst)
Employment Term: Regular
Employment Type: Full Time
Are you ready for a challenging analytical position in a friendly work environment? Then Unity is the company for you because we have an opening for a Financial Analyst in our Provider Relations department.
Duties include:
- Health/claims data analysis and financial modeling to support the contract negotiation process with providers across Unity’s service area.
- Evaluate medical expense trends and identify cost saving opportunities through improvements in quality and efficiency.
- Support the reporting and analytical needs for HEDIS, quality initiatives and pay for performance programs.
- Assist with reporting and analysis for our health services and medical management teams related to referrals and authorizations.
- Represent Provider Relations on committees and serve as the subject matter expert on projects across the organization.
- Present findings and make recommendations to Unity’s management team.
The ideal candidate would be placed into a level II or III
position depending on background and level of skills.
Candidates would have the following:
- Minimum of a bachelor’s degree in Finance, Health Care Administration, Medical Informatics, Business Management or
related field is required.
- 2 - 4+ years of relevant experience in the following areas: Healthcare analytics including provider reimbursement, claims/medical utilization and expense, underwriting, medical coding and healthcare quality.
- Must be familiar with NCQA HEDIS standards and technical specifications in order to build data queries and complex analyses.
- Proficiency and demonstrated skill with MS Excel (pivot tables, link workbooks, macros, etc.).
- Proficiency and demonstrated skill with query tools (Business Objects, MS Access, and MS SQL) and relational databases is very beneficial.
- Inquisitive, well-organized, and creative in analytical approach and presenting findings to management.
- Highly motivated to resolve issues on a timely basis and with an attention to detail.
- Strong interpersonal and communication (written and verbal) skills to be applied with internal staff and external parties.
- Ability to manage multiple tasks and deadline-oriented.
Salary range: $41,000-$59,000
Applications will be accepted until the position is filled.
Project Manager
Employment Term: Regular
Employment Type: Full Time
Unity Health Insurance is seeking a Project Manager to coordinate and implement organizational projects. The primary
responsibility is to collaborate with key staff to design projects and meet project goals.
We are seeking candidates with the following qualifications:
- Excellent oral and written communication skills.
- Excellent negotiation skills.
- Excellent organizational skills.
- Excellent interpersonal skills.
- Demonstrated success with project management, 1-3 years preferred.
- Strong analytical skills and ability to do complex problem solving.
- Strong meeting process and facilitation skills.
- Experience leading and managing project-oriented
teams /workgroups.
- Strong insurance industry background.
- Coursework in Project Management processes and software is desired.
- Bachelors Degree preferred.
Salary range: $44,000-$54,000
Applications will be accepted until the position is filled.
Sr Marketing Coordinator – Communications and Public Relations
Employment
Term: Regular
Employment Type: Full Time
Unity’s marketing department is seeking a highly skilled communications professional who will lead efforts in message effectiveness and execute the public relations strategy for Unity’s presence in the media. Your expertise will be utilized to create, revise and execute messaging on behalf of Unity Health Insurance. You will support efforts in strengthening the recognition, understanding, and brand
of Unity, working with all levels of the organization. This position provides an expert level of communication advice, consultation and production to the organization in the areas of written materials, communication techniques and material review. The Sr. Marketing Coordinator- Communications and Public Relations position serves as a primary liaison to coordinate messaging and brand strategies with UW Health and other business partners.
The successful candidate will possess the following knowledge and skills:
- Bachelor’s degree in Public Relations, Communications and 8-10 years experience.
- Experience with public relations execution and role of a company brand steward, with ability to communicate the brand through written and verbal communication.
- Must have initiative with self-directed responsibilities.
- Ensure and manage a consistent voice across internal and external channels, including print, online, broadcast and social media.
- Demonstrate a high level competency in written communication, with preference in medical or health insurance communications.
- Strong organizational and interpersonal skills, teamwork-minded approach.
- Microsoft office knowledge required.
- Health Insurance experience preferred; health or medical experience required.
Salary range: $48,000-$59,000
Applications will be accepted until the position is filled.
Web User Interface Designer/Editor
Employment Term: Regular
Employment Type: Full Time
Unity Health Insurance’s Marketing department is looking for a creative and technical individual to join our Marketing team. As a Web User Interface Designer, you will create web and digital designs along with the technical expertise to execute highly functional websites and electronic media.
The successful candidate will possess the following knowledge and skills:
- Bachelor’s degree in web-related / graphic design field.
- Minimum 5 years experience of web design experience.
- Advanced skills in Adobe Creative Suite
products.
- Strong computer skills; experience in web CMS systems, using standard ASP.Net technologies and html. Proficiency in Microsoft Suite.
- Experience developing for cross-browser compatibility.
- Must be highly organized, with keen attention to detail ability to multi-task and meet deadlines in a fast paced environment.
- Exceptional verbal and written communication skills and knowledge in producing print materials.
Salary range: $60,000-$74,000
Applications will be accepted until the position is filled.
Kimila A. Daniels, SPHR
Assistant Vice President, Human Resources
Unity Health Insurance
840 Carolina St
Sauk City, WI 53583
608-643-1511 (direct line)
608-644-2024 (fax)
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