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.

　　This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1301 ATWOOD AVENUE Johnston, RI

　　We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule.

　　Primary Responsibilities:

　　Supporting a care team of APC(s) and RN(s) with overall coordination of member care Functioning as part of a collaborative team Work with hospitals, clinics, facilities and the clinical team to manage requests for services Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles Data entry of medical records, vaccinations/lab results, health maintenance information and member chart management Assisting with scheduling of member appointments and transportation Arranging facility and member education Building facility relationships Resolve inquiries from members and/or providers Obtain medical records for members Presence in facilities and account for all patients

　　Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you'll also be the "go-to" resource for information. The flexibility to work evening hours will also be required.

　　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 Must be 18 years or older 1+ years of experience working in the health care industry 1+ years of experience working with medical terminology Intermediate experience using a computer and Microsoft Office - Microsoft Word (create correspondence and work within templates) Intermediate experience with Microsoft Excel (data entry, sort / filter, and work within tables) Intermediate experience with Microsoft Outlook (email and calendar management) Experience with Adobe PDF (creating, manipulating and editing) Field based position with flexibility to travel the state of Rhode Island Ability to work full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime.

　　Preferred Qualifications:

　　2+ years experience analyzing and solving problems 1+ years of experience working with health care insurance Experience in a hospital, physician's office or medical clinic setting Clerical or administrative support background Medical Assistant certification

　　Soft Skills:

　　Attention to detail Organizational skills with the ability to multi-task Working within a matrixed team (supporting, collaborating, and building relationships)

　　Rhode Island Residents Only: The hourly range for Rhode Island residents is $18.80 - $36.78 per hour. 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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