UnitedHealth Group is hiring work from home in all 50 states!
UnitedHealth Group is the second-largest healthcare company in the United States. This company makes over $240 billion a year! This huge healthcare company is hiring change management and billing representatives in many states now!
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You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Energize your career with one of Healthcare’s fastest growing companies.
You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm EST. It may be necessary, given the business need, to work occasional overtime or weekends.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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Primary Responsibilities:
- Serve as the primary OptumRx contact for tactical, day to day management of assigned accounts
- Manage assigned accounts according to agreed strategy
- Maintain documentation of most current benefit designs, including exclusions, inclusions, and co-pay structures; ensure information is accessible by Customer Service and Pharmacy Technicians
- Document plan change requests from clients and obtain appropriate approval, and confirm the plan change is completed and accurate
- Maintain consistent and regular client communication.
- Establish multiple corporate relationships and participate in client sponsored events; Cultivate relationships
- Understand and execute the client contract according to the terms and conditions, including but not limited to monitoring performance guarantees
- Follow all policies and procedures related to job responsibilities and participating in the development and maintenance of departmental policies and procedures, and tools for Client Services, as appropriate.
- Conduct claims research and member inquiries
- Ensure open client requests and requirements are routed and being worked by appropriate business area.
- Track and report on open client requests providing regular feedback to management team regarding client requirement status and business development opportunities.
- Educate and assist clients in using help desk for day-to-day inquiries.
- Assist in client training for remote system access and reporting.
- Ensure quick response and follow-up to client inquiries, including returning phone calls and emails within the scope of the service level agreement. Notify client after issue resolution within timeframe defined by client contract.
- Assist in the development of training topics and materials for coworkers and provide support to other departments as requested.
- Escalate client concerns where appropriate.
- Complete service requests to translate customer needs and requirements for Optum’s internal teams
- Other duties as assigned.
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.
Required Qualifications:
- Associate’s Degree (or higher)
- 1+ years Direct Client Facing Experience in Health Care Lines of Business (for example Medicare, Medicaid, and Commercial Lines of Business)
- Proficient in Microsoft Word (sending and receiving information and creating documents) Microsoft Excel (creating spreadsheets)
- Monday – Friday 8am – 5pm EST and overtime as needed
Preferred Qualifications:
- 1+ years PBM experience
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
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CLICK HERE TO APPLY NOW
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