Benefit Consultant - US Telecommute

UnitedHealth Group

Job Description

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 6 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.

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Today, more and more employers are turning to us for innovative ideas and high levels of performance. Now, we invite you to help us welcome new members as you help install assigned accounts. You’ll be responsible for overall employer contract loading using various databases and/or source documents. Along the way, you’ll discover the training, resources and opportunities you’d expect from a Fortune 6 leader.

This is a challenging role with serious impact. It’s a fast paced, high volume environment that requires you to work independently while maintaining a strong focus on company policies and guidelines. Your accuracy will be vitally important and monitored carefully to ensure our system is correctly coded and that all plan documents are precise.

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 8:00 AM - 5:00 PM or 9:00 AM - 6:00 PM local time zone. It may be necessary, given the business need, to work occasional overtime.

Primary Responsibilities:

  • Contribute to the success of customer implementation through active participation in meetings for new business wins

  • Prepare plan materials such as administrative documents and customer education materials

  • Perform structure building, revisions and billing set up

  • Research installation issues and develop customer specific resolutions

  • Audit contract loads for adherence to quality measures and reporting standards

  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, and long periods working at a computer

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 or equivalent work experience

  • 2+ year of experience with Healthcare claims

  • 2+ years of PBM experience

  • New client implementation or onboarding experience

  • General understanding of plan benefit design

  • Microsoft Excel experience including spreadsheet creation and formula manipulation

  • Available to work 8:00 AM - 5:00 PM or 9:00 AM - 6:00 PM local time zone Monday – Friday

  • Ability to travel up to 10% of the time

Preferred Qualifications:

  • Bachelor's Degree (or higher)

  • 1+ years of experience in Benefit Administration with RxClaim / AS400 platform experience

  • Certified Pharmacy Technician

  • Experience in prioritizing caseloads based on business and customer need

  • Microsoft Word experience including creating / updating documents

  • Microsoft PowerPoint experience including creating / updating presentations

  • Pharmacy claim knowledge

  • Knowledge of Medicare pharmacy plan regulations and other government pharmacy programs

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

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.

Keywords: Healthcare, health care, benefits, claims, implementation, onboarding

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