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Employer Installation Specialist - US Telecommute

  • Remote Job Bot
  • Texas, USA
  • May 17, 2019

Job Description

Energize your career with one of Healthcare?s fastest growing companies.??

You dream of a great career with a great company ? where you can make an impact and help people.? We dream of giving you the opportunity to do just this.? And with the incredible growth of our business, it?s a dream that definitely can come true. Already one of the world?s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.? We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum ? a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

This is a challenging role with serious impact. It's a fast paced, high volume environment that requires you to work independently while maintaining a strong focus on company policies and guidelines. Your accuracy will be vitally important and monitored carefully to ensure our system is correctly coded and that all plan documents are precise.

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 & 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 & develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards.

Primary Responsibilities:
  • Contribute to the success of customer implementation through active participation in meetings for new business wins
  • Prepare plan materials such as administrative documents and customer education materials
  • Perform structure building, revisions and billing set up
  • Research installation issues and develop customer specific resolutions
  • Audit contract loads for adherence to quality measures and reporting standards
Required Qualifications:
  • High School Diploma / GED or higher
  • 5+ years of PBM experience
  • 1+ years of case installation experience
  • Knowledge of Prior Authorization systems, guidelines and processes
  • Proficient in Microsoft Office Tools including Microsoft Excel (formulas, pivot tables, create / edit spreadsheets), Microsoft Word (editing, view mark ups, show red lines)
  • Ability to work flexible hours between 7am and 7pm
Preferred Qualifications:
  • Undergraduate degree (or higher) or equivalent experience
  • Experience working with Prior Authorization platforms
  • COSMOS or UNET experience
  • PBMCT certification
  • CPhT certification
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.? Join us and start doing your life?s best work.SM

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.

Keywords: Optum, PBM, UHG, Installation, specialist
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