National Recoveries Consultant

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The National Recoveries Consultant will be responsible for supporting Class Action, Mass Tort, and complex litigation recovery initiatives involving products, medical devices, or pharmaceuticals that have been identified as harmful or defective. The National Recovery Consultant partners with internal and external legal teams and law firms to facilitate the recovery of healthcare claim payments through settlement opportunities. This position will increasingly support legal teams through data expertise. This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30 am - 5:00 pm EST. It may be necessary, given the business need, to work occasional overtime. We offer 8 weeks of paid on-the-job training. The hours of training will be aligned with your schedule.

Class Action: Notice of Pharmaceutical Settlement received; review settlement terms and filing requirements and prepare summary of case Request data from all client data sources, providing case summary, parameters and standard data elements Prep necessary communications, reporting, and claim filing Upon receipt of payments, prepare financial statements, update reporting Mass Tort: Notice of Tort Action received; review case, terms and participation requirements Receive Plaintiff Lists from external law firms and lien resolution groups; prepare member data match and retrieve claim histories Review claim histories and build relevant liens to submit for recovery Pull data into a standard template for Lien Resolution Program negotiation to occur Upon receipt of payments, prepare financial allocation, update reporting For states that preclude subrogation, obtain policy language to prove subrogation rights Follow up with external law firms and lien resolution groups on aging liens Litigation Data Analytics & Legal Support: Work closely with UHG legal teams, providing support in data collection, analysis, matching for various ongoing litigation efforts Participate in the development and implementation of evolving processes and best practices related to legal data requests and recovery operations Serve as a subject matter resource for claims, member, and financial data utilized in litigation support activities Responsibilities may expand to include additional legal support 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.

High School Diploma / GED OR equivalent years of experience Must be 18 years of age OR older 2+ years of experience in interpreting and analyzing large data sets Understanding and knowledge of health care claims Intermediate level of proficiency with Microsoft Excel (sorting, summing, creating bar graphs, and formulas such as pivot tables and lookups) Experience with computers and Windows based programs Ability to work any of our full time, 8-hour shifts schedules during our normal business hours of 7:30 am - 5:00 pm EST from Monday - Friday, including the flexibility to work occasional overtime given