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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
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.
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.
If you live near El Segundo, CA, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges. This position follows a hybrid schedule with three in-office days per week.

REQUIRED QUALIFICATIONS:

• High School Diploma/GED (or higher)
• 2+ years of experience in analyzing and solving customer problems
• 2+ years of experience working in the healthcare industry
• 2+ years of experience working in medical terminology

PREFERRED QUALIFICATIONS:

• Experience working with health care insurance
• Experience in a hospital, physician’s office or medical clinic setting
• Experience working with Medicare and/or Medicaid Services
• Clerical or administrative support background or experience working in a call center environment
• Bilingual: English/Spanish speaking
• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
  Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
  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.
  UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
  UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

• 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