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 (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm EST). It may be necessary, given the business need, to work occasional overtime.
We offer weeks of paid training. The hours during training will be 8am to 5pm EST, Monday - Friday. Training will be conducted virtually from your home.
Primary Responsibilities:
Act as a Subject Matter Expert Assist supervisor with daily reports Manage the intake of members or the admission/discharge information post notification Work with hospitals, clinics, facilities and the clinical team to manage request for services Manage the referral process Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention Resolve inquiries from members and/or providers
Since this role functions as a Subject Matter Expert, you'll need to have directly-related experience. The challenge here lies in managing a full range of tasks, many of them routine in nature, without sacrificing quality. You should also be flexible to work evenings and weekends.
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 of age or older 2+ years of experience with prior authorizations 2+ years of experience working with Medicare services 1+ years of experience working with medical terminology Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm EST). It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
Experience working in a hospital, physician's office, or medical clinical setting A clerical or administrative support background Experience in a call center Experience working with nurses and physicians
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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