Associate Employer Installation Specialist - National Remote

Company: UnitedHealth Group
Location: Minneapolis
Posted on: November 19, 2023

Job Description:

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.
The -Associate -Employer Installation Specialist -will be responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. This position is also responsible for overall employer contract loading using various databases and/or source documents.This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 7:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime. -We offer weeks of on-the-job training. The hours during training will be 7:00am - 5:00pm CST, Monday - Friday. - -*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Primary Responsibilities:

• Auditing contract loads for adherence to quality measures and reporting standards
• Researching errors by comparing Account Management documentation against multiple internal systems
• Analytical and Researching techniques to trend or quantify projects
• Preparing, processing, maintaining new accounts and group installation and/or renewals
• Responding to member eligibility or group questions and verify enrollment status
• Reconciling reports and group set up discrepancies, as well as analyzing transactional data and submitting retroactive eligibility changes
• Research and respond to all claims processing inquiries from Client Management, Clinical, and other internal departments
• Perform claim testing to ensure accurate claim adjudication
• Conduct installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education material
• Overall employer contract loading using various databases and/or source documents. May research installation issues & develop customer specific resolutions which -may -include auditing contract loads for adherence to quality measures and reporting standardsYou'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) and/OR equivalent work experience
  • 1+ years of experience in a PBM (Pharmacy Benefit Management) environment performing a benefit related function
  • 1+ years of experience in a healthcare insurance environment using the telephone and computer as the primary instruments to perform job duties
  • Licensed Pharmacy Tech
  • Intermediate level of Microsoft Excel (tracking data, tasks, looking up client info, create and/or edit spreadsheets, sort, filter)
  • Experience conducting intake and/or transcribing information into various systems and/or applications with a high level of detail
  • Ability to work an 8-hour shift between normal business hours 7:00am - 5:00pm CST, Monday - Friday including the flexibility to work occasional overtime based on business needs
  • Must be 18 years of age or olderPreferred Qualifications:
    • 1+ years of experience using ServiceNow and prior authorizations systems
    • Ability to get Pharmacy Tech certification
    • Proficiency with Microsoft Word, Access and PowerPoint
    • Ability to conduct quality assurance checks on client informationTelecommuting 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:
        • Ability to navigate in multiple computer systems and/or applications
        • Ability to be flexible and work in a constantly changing environment -
        • Self-directed and the ability to prioritize caseloads based on business and customer needCalifornia, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / 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.#RPO #GREEN

Keywords: UnitedHealth Group, Minneapolis , Associate Employer Installation Specialist - National Remote, Other , Minneapolis, Minnesota