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Job Opening details:-
Company Name :- Optum
Position Name :-
Company Location :- Tacoma, WA 98402
Job Category :- General
Full Job Description :-
If you are located within one of the following state: Washington, Idaho OR Oregon, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
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 10 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.
Our Care Navigators have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.
This position is full – time (40 hours / week) Monday – Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of 9:00 am to 5:30 pm PST. It may be necessary, given the business need, to work occasional overtime.
Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Completes telephonic outreach to DSNP members utilizing auto dialer and manual dialing
Educates member on gaps in care and assists with scheduling provider appointments
Assists members with social determinants of health and links to community resources
Ensures member has access to PCP
Identifies gaps in care and assists in closure of gaps
Outreaches members on caseload consistent with program guidelines
Consistently meets metrics, both quality & performance
Provides excellent customer service to both members and providers
Constantly maintains schedule adherence and good attendance
Maintains confidential health information according to state and federal regulations including HIPAA
Act as a Subject Matter Expert for other team members
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
Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
Resolve inquiries from members and/or providers
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
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.
High School Diploma / GED (or higher)
2+ years of call center and / or telephonic customer service experience
1+ years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties
1+ years of Healthcare / insurance experience and/or Social work / community outreach / advocacy experience
1+ years of experience in analyzing and solving customer problems
Work experience using Microsoft Word (edit, create & save documents), Microsoft Excel (sorting & filtering data), and Microsoft Outlook (email, folders, attachments and calendaring)
Ability to work Monday – Friday 9:00am – 5:30pm PST
Bachelor’s Degree (or higher) in Social Work, Public Health or related field
Bilingual in English and Spanish or other language
Previous experience as a telecommuter
Medicaid and / or Medicare experience
Experience working with medical terminology
Reside within one of the following state: Washington, Idaho, OR Oregon
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Must be able and comfortable with maintaining metrics and goals within the department
Must be comfortable working on the phone and multiple systems on the computer simultaneously while assisting members
Must be comfortable making outreach to members without prior engagement
Excellent Organizational Skills
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military
Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet
Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world’s large accumulation of health – related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do 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.
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