You'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.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 6:00 AM - 6:00 PM PST. It may be necessary, given the business need, to work occasional overtime.

We offer 1 week of paid training. The hours during training will be 7:00 AM - 3:30 PM PST from Monday - Friday. Training will be conducted virtually from your home.

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

Primary Responsibilities:

• Build Credibility and Trust with members by creating a better member experience through defined and improved issue accountability.
• Identify and resolve operational problems using defined processes, expertise, and judgment.
• Ability to adapt in a dynamic and high growth environment, while demonstrating independent thinking and decision making.
• Demonstrate outstanding service to identify the source of the members issue and work to resolve the inquires in a timely and professional manner.
• Establish a good working relationship with business partners that focuses on resolving members issues timely and accurately (Business Partner examples: claims appeals).
• On occasion will do training refreshers for the staff based on trending provided to management
• Acts as a Subject Matter Expert for the team, mentoring staff and completing audits.

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
• 4+ years of experience with working in medical claims examinee role OR medical claims auditor
• 4+ years of experience with working in a compliance driven healthcare environment
• Proficiency with Microsoft Office (Microsoft Word, Microsoft Excel, Microsoft PowerPoint, and Microsoft SharePoint)
• Ability to work any 8-hour shift between the hours of 6:00 AM - 6:00 PM PST from Monday - Friday including the flexibility to work occasional overtime based on business need

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Communication skills - verbal and written
• Demonstrated ability to form alliances with supporting organizations and work in a matrixed environment
• Demonstrated ability to multi - task
• Ability to understand multiple products and multiple levels of benefits within each product

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The hourly range for this is $23.22 - $45.43 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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

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