Campus Pride Jobs

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.

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high - quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact.

This position is full time, Monday - Friday. Employees are required to have flexibility to work our normal business hours of 8:00 AM - 5:00 PM. It may be necessary, given the business need, to work occasional overtime. Our office is located at 440 E Huntington Dr, Arcadia, CA.

We offer 3 weeks of paid on-the job training. The hours during training will be aligned with your schedule.

If you are located within a commutable distance of Arcadia, CA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Manage the intake of members or the admission / discharge information post notification

• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and / or providers

• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles

• Provide appropriate triage and care coordination notification cases for non - clinical assessment / intervention

• Handle resolution / inquiries from members and / or providers

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.

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

• 1+ years of Utilization Management experience

• 1+ years of customer service experience with analyzing and solving customer problems

• Ability to create, edit, save, and send documents utilizing Microsoft Word and Microsoft Excel

• Ability to type and talk at the same time and navigate through multiple screens

• Ability to work any shift between the hours of 8:00 AM - 5:00 PM from Monday - Friday including the flexibility to work occasional overtime based on business need

Preferred Qualifications:

• Experience with working within the health care industry and with health care insurance

• A clerical OR administrative support background

• Knowledge of ICD - 9 and CPT codes

• Experience in working with Medicare and / OR Medicaid Services

• Call center experience

• Experience with working in a metric - driven work environment

Telecommuting Requirements:

• Reside within a commutable distance of Arcadia, CA

• 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

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California Residents Only: The hourly range for this is $16.00 - $28.27 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.

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