Optum ยท 3 days ago
Senior Recovery Resolution Analyst
United States
Full-time
Remote
Mid, Senior Level
$28.27/hr - $50.48/hr
2+ years expOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Senior Recovery Resolution Analyst will work with a team to research issues and determine feasibility of reducing medical costs through claim system processes and business rules. This role involves examining business operations, investigating claims, and ensuring compliance with policies.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization
Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
Investigate and pursue recoveries and payables on subrogation claims and file management
Process payment on claims
Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
Use pertinent data and facts to identify and solve a range of problems within area of expertise
Qualification
Required
High School Diploma / GED
Active Certified Professional Coder (CPC) credential
Must be 18 years of age OR older
2+ years of experience with claims auditing and researching claims information
1+ years of coding experience
Knowledge of claims processing systems and guidelines/processes
Experience in healthcare setting
Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends
Preferred
Coding Certification (CCS or CPMA)
1+ years of experience analyzing data and identifying cost saving opportunities
Knowledge of Medicaid / Medicare Reimbursement methodologies
Experience with Microsoft Access (create, edit, format, manipulate data)
Experience with OPRS (claims processing system)
Experience working with medical claims platforms
Experience with Microsoft Excel (create, edit, sort, filter)
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase