If you are located in Plymouth Meeting, PA, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

Let’s face it, no industry is moving faster than health care. And no organization is better positioned to move health care forward than UnitedHealth Group. We're out to use data, technology and people in ways that help drive change and make the health care system work better for everyone. 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. Take this opportunity to work with a Fortune 5 industry leader.

Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you’ll also be the “go-to” resource for information. The flexibility to work evening hours will also be required.

This position is full - time (40 hours / week). Employees are required to work our normal business hours of 8:00 AM - 5:00 PM.

Our office is located at Plymouth Meeting, PA. Employees will be required to work some days onsite and some days from home.

We offer 3 - 4 weeks of training. The hours during training will be 8:00 AM - 5:00 PM from Monday - Friday.

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

Primary Responsibilities:

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  Act as a Subject Matter Expert for other team members
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  Manage the intake of members or the admission / discharge information post notification
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  Work with hospitals, clinics, facilities and the clinical team to manage requests for services
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  Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
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  Resolve inquiries from members and / or providers

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:

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  High School Diploma / GED (or higher)
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  2+ years of experience with analyzing and solving customer problems
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  2+ years of experience with working in the health care industry
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  2+ years of experience in working with medical terminology
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  Ability to work any shift between the hours of 8:00 AM - 5:00 PM

Preferred Qualifications:

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  Experience in working with health care insurance
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  Experience in a hospital, physician's office, OR medical clinic setting
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  A clerical OR administrative support background OR experience working in a call center environment
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  Experience in working with Medicare and / OR Medicaid Services

Telecommuting Requirements:

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

Your confidence, decisiveness and perseverance will help you positively impact our patient lives. It’s an opportunity to do your life’s best work.SM

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

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.

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