Sr Business Operations Coordinator

Requisition Number: 2366964
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
About the Role:
As a Fortune 5 business, we're one of the world's leading healthcare companies. There are no limits here on the resources you'll have or the challenges you'll encounter.
We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we're on the constant lookout for fresh talent to join our expanding team's healthcare system work better for everyone.
As Business Operations Coordinator, you will be part of ClearHealth Strategies Independent Dispute Resolution (IDR) team. You will work with the paralegals of the IDR team to assist in the eligibility review and submission of arbitration briefs in support of ClearHealth's compliance with the new No Surprises Act legislation. You will be an essential contributor throughout the briefing and submission of documentation to an independent arbiter and may offer additional support in closing disputes after arbiter determinations are received. A candidate should have the ability to work independently and follow defined standards and procedures. You will also be required to effectively communicate with internal stakeholders with the possibility of external communications with health care providers, arbiters, or clients.
This role offers on-the-job training until the individual has enough understanding to work independently. Training will be conducted virtually from your home.
Working Schedule:
This position is full time remote position, Monday - Friday. Employees are required to have flexibility to work normal business hours of 9:00am - 5:30pm depending on time zone. It may be necessary, given the business need, to work occasional overtime.
Primary Responsibilities:

• Respond to inquiries from CMS, arbiters, providers, clients, and ClearHealth
• Submit Briefs and Offers through CMS portal
• Identify issues, analyze EOBs and claims information, apply critical thinking skills to formulate plan of action, and resolve issues independently
• Triage complex issues to management
• Manage multiple priorities in a time sensitive manner
• Work in fast-paced, high-volume environment with quick turnaround time
• Communicate effectively utilizing solid business writing skills
• Prioritize and manage workload to meet deadlines, goals, and objectives
• Collaborate with coworkers in cohesive team environment

You will 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 providing development for other roles you may be interested in.
Required Qualifications:

• Proven ability to manage multiple priorities in a time sensitive manner
• Demonstrated ability to meet deadlines and establish appropriate priorities while working within a team environment
• Demonstrated willingness to learn and contribute within a fast paced environment
• Demonstrated integrity, accountability, and ability to maintain confidentiality
• Proven analytical approach, with the ability to identify trends and perform basic root cause analysis
• Demonstrated ability to handle both standard and non standard processes
• Demonstrated solid verbal and written communication skills
• Proven attention to detail, with the ability to manage workload efficiently and meet goals and objectives in a fast paced environment

Preferred Qualifications:

• Proven experience in medical claims processing
• Demonstrated ability to maintain compliance with HIPAA privacy and security guidelines at all times

*All telecommuters will be required to adhere to the UnitedHealth Group's Telecommuter Policy.
Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.
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: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © 2026 Optum Services (Ireland) Limited. All rights reserved.
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