Arbitration Claims Specialist
Optum/UHG · Dallas, Texas, United States · US
Utilization Review
Remote
Not yet analysed
Demand74
Career growth55
Healthcare fit58
Remote potential85
5-year outlook
Entry-to-mid payer operations compensation with modest step-ups as you move into senior IDR, appeals, or compliance lead roles; growth depends on progression into team lead or regulatory/compliance specialisms rather than on clinical credentials.
Clinical license
Not required
Applicant reach
broad
Seniority
junior
Employment type
–
Date found
2026-11-08
Intelligence details
Flexible work details
- Eligible countries
- United States
- Rate period
- Hourly
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
A realistic foot-in-the-door to payer-side healthcare operations at a large, stable employer, especially for a clinician who wants remote work and a break from patient care. Don't expect clinical skills to accelerate pay or scope here — treat it as a launchpad toward appeals, compliance, or revenue-cycle leadership.
Who should apply
Burnt-out nurses or allied health staff seeking remote payer-side work; IMGs and healthcare graduates who need US healthcare-system experience and income while building a non-clinical track; clinicians with prior authorization, denials, or billing exposure who want to move into regulatory/IDR compliance.
CV angle
Reframe real clinical experience as regulated case documentation and review: discharge summaries, progress notes, and prior-auth/appeal letters become 'written summaries and case reviews in a compliance-driven environment'; interactions with insurers, EOBs, and denial letters become 'interpreting claims data and EOBs to identify issues and determine next steps'; mandatory HIPAA training and audit-ready charting become explicit HIPAA compliance evidence. Emphasize volume, turnaround, and independent triage rather than clinical diagnoses.
Skills to highlight
- Clinical documentation and case writing
- Claims and EOB interpretation
- Prior authorization and denial/appeal handling
- HIPAA privacy and security compliance
- Critical thinking and independent issue triage
- Multidisciplinary and payer communication
- High-volume workload management and turnaround
- Regulatory/legal-adjacent correspondence
Role summary
A remote, payer-side operations role on Optum/ClearHealth Strategies' Independent Dispute Resolution team: you review claims and EOBs, assess eligibility, and draft arbitration briefs and correspondence with CMS, arbiters, providers, and clients to comply with the federal No Surprises Act and state surprise-billing laws.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.