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Form of workYou'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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.
Position in this function are responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Positions are responsible for overall employer contract loading using various databases and / or source documents. May research installation issues and develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards.
What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/
This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 08:00am - 05:00pm. It may be necessary, given the business need, to work occasional weekends and overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Primary Responsibilities:
- Oversee design, development, and deployment of Client Benefit Plan Design parameters for new business.
- Provide consultative services pertaining to benefit set up, new implementations, and special projects.
- Complete, maintain, and process pertinent documentation records.
- Complete plan updates in order to meet turnaround times, quality measurements, and performance guarantees.
- Work with other corporate departments, clients, and third - parties to solve benefit plan issues as needed.
- Specialize in claims processing system functionality, including analysis of new and changing system capabilities.
- Monitor and expedite resolution of escalated point of sale issues.
- Work with Associate Benefit Consultants and Benefit Consultants to problem-solve complex custom plan design set up and utilize RxClaim functionality to meet client business needs when needed
- Travel and short - term out of town assignments may be necessary.
- Additional job duties and projects, 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:
- High School Diploma / GED (or higher)
- 5+ years of experience with healthcare claims
- 5+ years of PBM experience
- New client implementation or onboarding experience
- General understanding of plan benefit design
- Microsoft Excel experience including spreadsheet creation and formula manipulation
- Ability to work 8:00am - 5:00pm,Monday to Friday
- Ability to travel 10% of the time
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
Preferred Qualifications:
- Bachelor's Degree (or higher)
- 5+ years of experience in Benefit Administration with RxClaim / AS400 platform experience
- Certified Pharmacy Technician
- Experience in prioritizing caseloads based on business and customer need
- Microsoft Word experience including creating / updating documents
- Microsoft PowerPoint experience including creating / updating presentations
- Knowledge of Medical / Medicaid plan regulations and other government pharmacy programs
- Pharmacy claim knowledge
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
California, Colorado, Connecticut, Nevada, Washington or New York, Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / Washington / New York / Rhode Island residents is $27.07 - $53.08.Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
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: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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