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KEY FACTS :
• Our estimated annual revenues for 2008 are over $80 billion.
• We are ranked #25 by Fortune Magazine in its 2007 rankings of the largest US
Corporations based on 2007 revenues.
• Ranked #81 by Fortune Magazine in its 2007 rankings of the largest Global
Corporations based on 2007 revenues.
• #3 Most Admired Healthcare company worldwide.
• Among our industry peers in Health Care: Insurance and Managed Care, in 2007,
Fortune Magazine ranked us
o #1 in Innovation
o #2 in People management.
• UnitedHealth Group is No. 105 on the 2007 Forbes Global 2000, a list of the
world’s largest companies based on sales, profits, assets and market value.
• We are ranked #14 on the 2007 Business Week 50, a list of the top US
Companies.
OPERATIONS IN INDIA :
India operations include large-volume complex healthcare transaction management for all
the business segments. This involves the support to the complete life cycle of the
healthcare payer business.
Join us today for an inspired and purposeful mix of professional growth opportunities and
personal rewards.
Job Responsibilities
• We are currently looking for dedicated professionals to fulfill the following job
responsibilities:
• Responsible for the accurate processing and completion of medical claims.
• Process claims, that route out of automatic adjudication, within current turnaround
standards.
• Proficiency in product lines applicable to processing unit.
• Ability to understand and apply plan concepts to include:
o Deductible
o Coinsurance
o Co-Pay
o Out-of-pocket
o State variations
• Recognize issues related to variable deductible, coordination of benefits, carve-
out an alternate benefits.
• Adhere to quality improvement initiatives.
• Demonstrate increasing productivity to meet minimum requirements while
maintaining quality standards
Desired Profile: We are currently looking for dedicated professionals to fulfill the
following job responsibilities:
Personal Attributes :
o Attention to detail.
o Quality focused
o Strong written and verbal communication skills.
o Organizational skills
o Team player
o Ability to work without close supervision
o Analytical skills
o Open to Night Shifts
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-At UnitedHealth Group, our mission is to help people live healthier lives. To achieve
this goal, we are focused on building a modern, adaptable, innovative and inclusive
system of health care services.
Our scale and potential to improve health makes us one of the most visible stewards of
America’s vast health care system. Entrusted with both important resources and
responsibilities, we are involved on a daily basis in decision-making that has life-
changing consequences for millions of Americans.
UnitedHealth Group announces a partnership with Cisco to build the first national
telehealth network, which integrates leading health care and remote video technology
systems that will give patients access to physicians and specialists when in-person visits
are not possible.
• We seek to enhance the performance of the health system and improve the overall
health and well-being of the people we serve and their communities.
• We work with health care professionals and other key partners to expand access
to quality health care so people get the care they need at an affordable price.
• We support the physician/patient relationship and empower people with the
information, guidance and tools they need to make personal health choices and
decisions.
Our Values
Integrity
Honor commitments.
Never compromise ethics.
We believe:
We will be an enterprise that represents the highest level of personal and institutional
integrity. With integrity, people and institutions will want to work with us, and our core
purpose will not be compromised.
We value Integrity:
We will honor commitments. We will never compromise ethics. We will be known for
living to the highest forms and standards of ethical behavior. We will make honest
commitments and consistently honor those commitments.
We behave:
We will speak the truth. We will deliver on our promises. We will have the courage to
acknowledge mistakes
Compassion
Walk in the shoes of people we serve and those with whom we work.
We believe:
In order to achieve the full potential of our enterprise in its purpose, to Help People Live
Healthier Lives, we must fully understand and align with their needs and realities.
We value Compassion:
We will walk in the shoes of people we serve and those with whom we work. We
celebrate our role in serving people and society in an area so vitally human
as their health. We must be truly compassionate and genuinely understand,
feel and identify with their needs.
We behave:
We will actively listen to fully understand and genuinely empathize with people’s
realities. We will then respond in service and advocacy for each individual, each group or
community, and for society as a whole.
Relationships
Build trust through collaboration.
We believe:
In order to achieve the full potential of our enterprise in our efforts to help people by
Making Health Care Work for Everyone, we understand and believe that we can never
achieve that goal alone. We must positively engage the efforts and interests of everyone
who is touched by and can contribute to that effort.
We value Relationships:
We will build trust through collaboration in order to take action and find solutions. We
understand that relationships are critical to help people work together, even when their
interests are not fully aligned or fulfilled. We realize relationships bind people and
organizations through trust. Trust is earned and preserved through truthfulness, integrity,
active engagement and collaboration with our colleagues and clients.
We behave:
We will approach all people with respect, humility, confidence and energy. We will
confront issues, not people. When we have differences, we will confront them in a direct
way, not passively, to resolve the issues that drive those differences. We will actively
engage with people and institutions to share information, ideas and resources in order to
help others achieve their goals. We will encourage the variety of thoughts and
perspectives that reflect the diversity of our markets, customers and workforce.
Innovation
Invent the future, and learn from the past.
We believe:
Our fundamental role is to Make Health Care Work for Everyone. The health care
environment must be engaged in constant change, yet embody a positive dynamic – it
must change progressively. In turn, we must be thoughtful advocates of such change. We
must value and be proficient at adapting to change as we pursue a course of continuous,
positive and practical innovation as a core competency within our enterprise.
We value Innovation:
We will learn from experiences of the past and use those insights to invent a better future
to make the health care environment work and serve everyone more fairly, productively
and consistently.
We behave:
We will continue to respectfully challenge the status quo. We will encourage and invest
in new ideas. We will be curious and not afraid to fail in honest efforts to focus on
practical and purposeful innovation that builds value and benefits the entire health care
system – so it truly works for everyone.
Performance
Demonstrate excellence in everything we do.
We believe:
The challenges of health care are great. Yet they are matched only by the opportunities.
Our purpose to Help People Live Healthier Lives and our role to Make Health Care Work
for Everyone can only be met by a demonstrated commitment to and achievement of
performance excellence in everything we do.
We value Performance:
We are committed to deliver and demonstrate excellence in everything we do.
We behave:
We will be accountable and responsible for consistently delivering high quality and
superior results that make a difference. We will challenge ourselves to strive for even
better outcomes in all key performance areas.
Elite Team
Smart. Creative. Dedicated. Hard working. Mission driven. We attract, recruit, and hire
only the best and brightest people to help solve challenges, improve quality, create
sustainability, and craft competitive superiority within one of the world’s largest, most
complex and most demanding health care systems. Across the board, we are an elite team
of self-motivated and self-directed employees. We understand that relationships are
critical to help people work together. We have greater expectations of ourselves and
others. As an elite team we value integrity by honoring commitments and never
compromising on ethics. Trust is earned and preserved through truthfulness, integrity,
active engagement and collaboration with colleagues. At UnitedHealth Group, you’ll find
we’re not just inventive in our approach to new solutions; we honor relationships and we
build trust through collaboration.
Innovation
Innovation has always been at the core of our company. A legacy of trying new methods,
of pushing beyond established norms, and of expecting more is distinctly prevalent at
UnitedHealth Group. Today we’re building on our legacy of innovation to focus on
practical and purposeful innovation that builds value and benefits for the entire health
care system - so it truly works for everyone. We’re intensifying our focus on innovation
in benefit designs. We’re looking at new ways to serve consumers, employers and care
providers. We’re also on the cutting edge in the application of clinical data and science-
based best practices. As an employee at UnitedHealth Group you will help us learn from
the experiences of the past and use those insights to invent a better future to make the
health care environment work and serve everyone more fairly, productively and
consistently. Here you’ll find a desire to consistently reach for greater, more meaningful
ways to deliver health care and health insurance to those who need it the most.
ndustry Leadership
We continue to be, and have been, a leader in the health care industry. We focus on
quality, drive innovation, and demonstrate integrity in everything we do. And it shows.
Fortune magazine ranked UnitedHealth Group No. 1 for Innovation in the Insurance and
Managed Care category on its list of the World’s Most Admired Companies. Becoming
an employee at UnitedHealth Group means joining a Fortune 25 company that provides
health and well-being services to people through all stages of life. Most importantly,
we’re in this together—helping millions of people live healthier lives
Personal Impact
When you present a better idea here,
you’ll have the satisfaction of seeing
that idea get shared among smart
people, get respectful consideration, get
built upon, and often, come to fruition.
You’ll find we empower each other to
think and speak freely—to find
imaginative solutions. Because here,
empowerment is a shared value—a
cultural norm—that enables
exceptional people to achieve
exceptional quality in their work. Risk
taking is a norm—an expectation in
many areas. Accountability and
measurement help guide and manage
risk rather than deter it. You will be
accountable and responsible for
consistently delivering high quality and
superior results that make a difference.
Working here you will be committed to
demonstrating excellence in everything
you do. As an employee with
UnitedHealth Group, your impact on
the work that you do is greater than
you can imaginCareer Growth &
Advancement Opportunities
In our hallways, no other word is more prevalent than “opportunity.” Through employee
training, employee mentoring programs, and our emphasis on a team environment, we
strive to give every employee the opportunity to realize his or her full potential. We value
performance while celebrating successes and ensuring that all people understand how
they make a difference. A career at UnitedHealth Group means you have the opportunity
to change jobs or career paths through your own initiative. Career advancement at
UnitedHealth Group is based on hard work and ability—not how long you’re in a certain
role. You can go as fast and as far as you want—in the directions you choose. The
passport for travel is performance and a demonstration of excellence in everything you
do.
Diversity
Throughout our history, we’ve held strongly to the importance of fostering an inclusive
environment where every individual’s unique perspective, background and experiences
are valued and recognized. Today, we focus on integrating diversity into every level of
our operations. Because we not only respect diversity; we believe diverse viewpoints are
one of our greatest assets. We encourage the variety of thoughts and perspectives that
reflect the diversity of our markets, customers and workforces. We know that innovative
products and programming are a direct by-product of hiring, retaining and developing the
brightest and most diverse workforce. UnitedHealth Group depends on our employees'
broad range of talent, personalities and ideas to help us generate the innovations of
tomorrow.
In 2010, UnitedHealth Group spent more than $1.8 million on lobbying activities to work
to achieve favorable legislation, and hired seven different lobbying firms to work on its
behalf. [6] In addition, its corporate political action committee or PAC, called "United for
Health," spent an additional $1 million on lobbying activities in 2010. [7]
Contents
[hide]
• 1 Acquisitions
• 2 Legal issues
o 2.1 Ingenix
o 2.2 Options backdating investigations and lawsuits
o 2.3 Resignation of McGuire
o 2.4 McGuire's settlement with SEC
• 3 Health Care Reform
• 4 Businesses
o 4.1 The Lewin Group
• 5 Foundations
• 6 References
• 7 External links
[edit] Acquisitions
Health care in the United States
Public health care
• Federal Employees Health Benefits
Program
• Indian Health Service
• Medicaid
• Medicare
• Military Health System /
TRICARE
• State Children's Health Insurance
Program (SCHIP)
• Veterans Health Administration
In 1995, the company acquired The MetraHealth Companies Inc. for $1.75 billion.
MetraHealth was a privately held company formed by combining the group health care
operations of The Travelers Insurance Company and Metropolitan Life Insurance
Company also known as MetLife.
In July 2004, UnitedHealth Group acquired Oxford Health Plans and all of United
Healthcare's New York-based small group contracts are now Oxford Health Plans
products. In December 2005, the company received final regulatory approval for its $9.2
billion purchase of PacifiCare Health Systems. It agreed to divest parts of PacifiCare's
commercial health insurance business in Tucson, Arizona and Boulder, Colorado to
satisfy antitrust regulator concerns, and also agreed to end its network access agreement
with Blue Shield of California.
In June 2009, Ingenix, a UHG subsidiary, acquired AIM Healthcare. AIM is the leading
data mining and insurance claim auditing service in the US.
In July 2009, UnitedHealth Group Inc. agreed to acquire Health Net Inc.'s (HNT)
Northeast licensed subsidiaries for up to $570 million in payments spread out over a two
year period.[8]
In July 2010, Ingenix acquired Picis Inc. Picis is a leading provider of health information
solutions for the high-acuity areas of hospitals. [9]
In 2006, the Securities and Exchange Commission (SEC) began investigating the conduct
of UnitedHealth Group's management and directors, for backdating of stock options.
Investigations were also begun by the Internal Revenue Service and prosecutors in the
U.S. attorney's office for the Southern District of New York, who subpoenaed documents
from the company. The investigations came to light after a series of probing stories in the
Wall Street Journal in May 2006, discussing apparent backdating of hundreds of millions
of dollars' worth of stock options by UHC management. The backdating apparently
occurred with the knowledge and approval of the directors, according to the Journal.
Major shareholders have filed lawsuits accusing former New Jersey governor Thomas
Kean and UHC's other directors of failing in their fiduciary duty.[10][11] On October 15,
2006, CEO William W. McGuire was forced to resign, and relinquish hundreds of
millions of dollars in stock options. On December 6, 2007, the SEC announced a
settlement under which McGuire will repay $468 million, as a partial settlement of the
backdating prosecution. Legal actions filed by the SEC against UnitedHealth Group itself
are still pending.[12]
In June 2006, the American Chiropractic Association filed a national class action lawsuit
against the American Chiropractic Network (ACN), which is owned by UnitedHealth
Group and administers chiropractic benefits, and against UnitedHealth Group itself, for
alleged practices in violation of the federal Racketeer Influenced and Corrupt
Organizations Act (RICO).[13]
[edit] Ingenix
In February 2008, New York State Attorney General Andrew M. Cuomo announced an
industry-wide investigation into a scheme by health insurers to defraud consumers by
manipulating reasonable and customary rates. The announcement included a statement
that Cuomo intended "to file suit against Ingenix, Inc., its parent UnitedHealth Group,
and three additional subsidiaries." Cuomo asserted that his investigation found that rates
found in a database of health care charges maintained by Ingenix were lower than what
he determined was the actual cost of certain medical expenses. Cuomo said this
inappropriately allowed health insurance companies to deny a portion of provider claims,
thereby pushing costs down to members. [14]
On January 13, 2009, UnitedHealth Group and Ingenix announced an agreement with the
New York State attorney settling the probe into the independence of the health pricing
database. Under the settlement, UnitedHealth Group and Ingenix would pay $50 million
to finance a new, non-profit entity that would develop a new health care pricing database.
Ingenix would discontinue its medical pricing databases when the new entity makes its
product available. The company acknowledged the appearance of a conflict of interest,
but admitted no wrongdoing.[15]
On January 15, 2009, UnitedHealth Group announced a $350 million settlement of three
class action lawsuits filed in Federal court by the American Medical Association,
UnitedHealth Group members, healthcare providers, and state medical societies for not
paying out-of-network benefits. This settlement came two days after a similar settlement
with Cuomo.[16]
On October 27, 2009, Cuomo announced the creation FAIR Health, the independent,
non-profit organization that will develop a nationwide database for consumer
reimbursement, as well as a website where consumers will be able to compare prices
before they choose doctors. To fund FAIR Health, the Attorney General's office secured
nearly $100 million from insurers such as Aetna Inc, UnitedHealth Group Inc and
WellPoint Inc.[17]
In 2006, the SEC began investigating the conduct of UnitedHealth Group's management
and directors, including Dr. McGuire, as did the Internal Revenue Service and
prosecutors in the U.S. attorney's office for the Southern District of New York, who have
subpoenaed documents from the company.
The investigations came to light after a series of probing stories in the Wall Street
Journal in May 2006, discussing the apparent backdating of hundreds of millions of
dollars' worth of stock options—in a process called options backdating—by UnitedHealth
Group management. The backdating apparently occurred with the knowledge and
approval of the directors, according to the Journal. Major shareholders have filed
lawsuits accusing former New Jersey governor Thomas Kean and UnitedHealth Group's
other directors of failing in their fiduciary duty.[10][18]
On October 15, 2006, it was announced that Dr. McGuire would step down immediately
as chairman and director of UnitedHealth Group, and step down as CEO on December 1,
2006, due to his involvement in the employee stock options scandal. Simultaneously, it
was announced that he would be replaced as CEO by Stephen Hemsley, who has served
as President and COO and is a member of the board of directors.[19] McGuire's exit
compensation from UnitedHealth, expected to be around $1.1 billion, would be the
largest golden parachute in the history of corporate America.[20]
McGuire's compensation became controversial again on May 21, 2009, when Elizabeth
Edwards, speaking on The Daily Show, used it to support her argument for a public
alternative to commercial insurance[21]. Edwards stressed the importance of restoring
competition in health insurance markets noting that at one point, "the President of United
Health made so much money, that one of every $700 that was spent in this country on
health care went to pay him."
Estimates of McGuire's 2005 compensation range from $59,625,444 [22] to $124.8
million[23], and the revenue of United Health Care was then $71 billion. It has therefore
been suggested that Mrs. Edwards may have meant to say that one of every $700 that was
spent on United Health Care premiums went to pay McGuire.
On 6 December 2007, the SEC announced a settlement under which McGuire was to
repay $468 million, including a $7 million civil penalty, as a partial settlement of the
backdating prosecution. He was also barred from serving as an officer or director of a
public company for ten years.[24][25][26] This was the first time in which the little-used
"clawback" provision under the Sarbanes-Oxley Act was used against an individual by
the SEC. The SEC continued its investigations even after it in 2008 settled legal actions
against both United Health Care itself and its former general counsel.[27].
Through 2010 and into 2011, UnitedHealth senior executives have been meeting monthly
with executives of leading health insurers to limit the effect of the health care reform law.
[28]