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Senior Auditor
Senior Auditor-November 2024
Irvine
Nov 23, 2024
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
VIEW COMPANY PROFILE >>
About Senior Auditor

  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.Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM

  You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

  Primary Responsibilities:

  Support the insourcing of Prescription Validation Review (PVR) including the development of the system and processes Support the goal of 1300 PVRs per day Research state and federal regulatory issues Uses pertinent data and facts to identify and solve a range of problems within area of expertise Presents ideas and best practices to management to address business and operational process improvements Review and compare pharmacy submitted documents against pharmacy claims to ensure accuracy Address pharmacy inquiries about prescription validation reviews Perform calculations to assess accuracy of billing Document prescription review process and findings concisely and accurately Prioritizes and organizes own work to meet agreed upon deadlines Other duties as assigned by management

  What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits

  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) Current and unrestricted Pharmacy Technician License in state of residence Current and active National Pharmacy Technician Certification (ExCPT or PTCB) 1+ years of experience as a Pharmacy Technician in a retail pharmacy, PBM, or specialized pharmacy 1+ years of experience in Microsoft Word (creating/updating documents) and Microsoft Excel (creating/updating spreadsheets, pivot tables, and formulas) Ability to work shifts during core hours of 6:00AM - 5:00PM PST

   Preferred Qualifications:

  Bachelor's Degree (or higher) 2+ years of experience in Microsoft Word (creating/updating documents) and Microsoft Excel (creating/updating spreadsheets, pivot tables, and formulas) Experience with RxClaim and PARP In-depth knowledge of pharmacy operation

  All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

  California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, or Washington residents is $18.80 to $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.

  Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

  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.

  #RPO, #Green

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