5 Unitedhealth Group jobs in Fullerton

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

The Senior Managed Care Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for managed care. This includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure.

• Minimum of three years hospital managed care/commercial collector experience
• 2 years of recent hospital managed care billing experience in an automated environment
• Associates degree or equivalent work experience required
• Knowledge of contract interpretation
• Familiar with hospital billing requirements
• Knowledge of out of state Medicaid billing guidelines
• Knowledge of basic managed care, Medicaid/Medicare billing rules, regulations, and deadline
• Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $38.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Full Time

Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories.

Privacy Notice for California Applicants:

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.

The Managed Care Patient Financial Senior Analyst will analyze financial and health information to develop insights that support business decision-making related to healthcare revenue, cost, and clinical outcomes, specifically within the managed care industry. The position will prepare and complete all aspects of Managed Care reporting including, but not limited to, auditing capitation revenue; PCP and specialty cap; preparing risk pool and incentive summaries; assisting in risk pool auditing and analysis; identifying revenue capture opportunities such as; health plan capitation revenue underpayments, specialty claims overpayment, leakage claims, and billable services; and participating in annual budgeting. Additionally, this position will compile financial analysis and other reporting on a recurring and/or as-needed basis, relevant to healthcare, utilization, and financial management for AltaMed IPA.

• Bachelor's degree in accounting, finance, business, or other related areas required.
• Minimum of 5 years' experience in financial analysis and database reporting in the health care or managed care industry is required.
• Experience with databases and data analysis technology. Microsoft Access is a must. EZ Cap and SQL experience is highly desirable.

$94,764.48 - $118,455.60 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

• JD from a top-tier law school with an excellent academic record .
• Active Bar Admission in California , in good standing.
• 3-5 years of substantive experience in complex commercial litigation and arbitration .
• Proven ability to manage multiple litigation matters and serve as the primary point of contact for clients and internal teams.
• Experience coordinating with other attorneys, paralegals, and staff on case strategy and execution.
• Managed care or broader healthcare industry litigation experience is strongly preferred .
• Proactive, collaborative, and able to thrive in a fast-paced, team-oriented environment.
• Soft Skills: Strong writing, research, analytical, and oral advocacy skills, with a meticulous attention to detail and strategic thinking.

• Represent clients in high-exposure litigation and arbitration matters in the managed care and healthcare industries .
• Lead or support all phases of litigation , including pleadings, discovery, depositions, motion practice, and trial preparation.
• Coordinate with multidisciplinary teams and serve as the day-to-day client liaison on litigation matters.
• Develop legal strategies, draft compelling legal documents, and advise clients on risk mitigation and case resolution .
• Stay informed on relevant legal developments in healthcare litigation and contribute to thought leadership and practice growth initiatives.

Consulting Senior Analyst - Provider Revenue Excellence - Growth & Managed Care Job ID: 98729 Do you want to work on complex and pressing challenges-the kind that bring together curious, ambitious, and determined leaders who strive to become better every day? If this sounds like you, you've come to the right place. Your Impact You will work directly with client leaders and front-line operators to drive change that is critical to the successful realization of client company goals. In this role, you will be supporting healthcare providers with growing volume, optimizing price and capturing value. Our engagements are typically focused on growth solutions that leverage cutting edge assets and expertise, revenue cycle management capabilities across the value chain to ensure maximum value capture, or pricing capabilities that enable providers to excel along the full managed care contracting life cycle. Your clients will also include healthcare services companies and private equity organizations that partner with our provider clients. You will be working on topics such as growth operations, access and service line strategy and managed care. You will ensure that success is a priority with our clients. You will engage at a deep level across our clients' businesses, working with small teams to build the capabilities, systems, and processes needed to deliver bottom-line results and then ensure those results are sustainable. Your work will be about problem solving, coaching, and delivering lasting outcomes to our healthcare clients. Please note that there is flexibility to hire at the Senior Analyst or Specialist level, depending on the candidate's experience. Your Growth Driving lasting impact and building long-term capabilities with our clients is not easy work. You are the kind of person who thrives in a high performance/high reward culture - doing hard things, picking yourself up when you stumble, and having the resilience to try another way forward. In return for your drive, determination, and curiosity, we'll provide the resources, mentorship, and opportunities you need to become a stronger leader faster than you ever thought possible. Your colleagues-at all levels-will invest deeply in your development, just as much as they invest in delivering exceptional results for clients. Every day, you'll receive apprenticeship, coaching, and exposure that will accelerate your growth in ways you won't find anywhere else. When you join us, you will have: Continuous learning: Our learning and apprenticeship culture, backed by structured programs, is all about helping you grow while creating an environment where feedback is clear, actionable, and focused on your development. The real magic happens when you take the input from others to heart and embrace the fast-paced learning experience, owning your journey. A voice that matters: From day one, we value your ideas and contributions. You'll make a tangible impact by offering innovative ideas and practical solutions. We not only encourage diverse perspectives, but they are critical in driving us toward the best possible outcomes. Global community: With colleagues across 65+ countries and over 100 different nationalities, our firm's diversity fuels creativity and helps us come up with the best solutions for our clients. Plus, you'll have the opportunity to learn from exceptional colleagues with diverse backgrounds and experiences. World-class benefits: On top of a competitive salary (based on your location, experience, and skills), we provide a comprehensive benefits package, which includes medical, dental, mental health, and vision coverage for you, your spouse/partner, and children. Your qualifications and skills Undergraduate degree; advanced degree is a plus ideally in a quantitative discipline (statistics, mathematics, economics, operations research, engineering, computer science) or a healthcare discipline 4+ years of professional experience in a healthcare environment with revenue growth or managed care experience Ability to improve physician practice productivity, access operations, care continuity, and patient experience Experience expanding capacity, reducing wait times, and improving digital and front-end access (e.g., scheduling, call centers, online booking) Experience leading or supporting strategic growth of priority service lines (e.g., primary care, cardiology, oncology, surgery) through network expansion, site-of-care shifts, or population targeting Skilled in payer negotiations analytics, contract design, reimbursement modeling, and aligning incentives with system and service line priorities Strong analytical skills in claims, productivity, access, and volume data to identify trends and opportunities Experience partnering across clinical, operational, and administrative functions to execute enterprise-level initiatives Ability to synthesize complex issues, engage senior leaders, and drive consensus Successful track record of delivering measurable impact through implementation of growth, access, and experience initiatives. Please review the additional requirements regarding essential job functions of McKinsey colleagues. Apply Now Apply Later FOR U.S. APPLICANTS: McKinsey & Company is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by applicable law. Certain US jurisdictions require McKinsey & Company to include a reasonable estimate of the salary for this role. For new joiners for this role in the United States, including all office locations where the job may be performed, a reasonable estimated range is $125,000 - $130,000 USD -to help you understand what you can expect. This reflects our best estimate of the lowest to highest (salary/hourly wages) for this role at the time of this posting, ensuring you have a clear picture right from the start, though it's important to remember that actual salaries may vary. Factors like your office location, your unique blend of experience and skills, start date and our current organizational needs all play a part in determining the final figure. Certain roles are also eligible for bonuses, subject to McKinsey's discretion and based on factors such as individual and/or organizational performance. Additionally, we provide a comprehensive benefits package that reflects our commitment to the wellness of our colleagues and their families. This includes medical, mental health, dental and vision coverage, telemedicine services, life, accident and disability insurance, parental leave and family planning benefits, caregiving resources, a generous retirement contributions program, financial guidance, and paid time off. FOR NON-U.S. APPLICANTS: McKinsey & Company is an Equal Opportunity employer. For additional details regarding our global EEO policy and diversity initiatives, please visit our McKinsey Careers and Diversity & Inclusion sites. Job Skill Group - CSS Pre-Associate Job Skill Code - JPS - Junior Specialist Function - Transformation Industry - Healthcare Systems & Services Post to LinkedIn - Yes Posted to LinkedIn Date - Wed Jun 18 00:00:00 GMT 2025 LinkedIn Posting City - New York LinkedIn Posting State/Province - New York LinkedIn Posting Country - United States LinkedIn Job Title - Senior Analyst - Provider Revenue Excellence - Growth & Managed Care LinkedIn Function - Consulting;Health Care Provider;Strategy / Planning LinkedIn Industry - Hospital & Health Care LinkedIn Seniority Level - Associate #J-18808-Ljbffr