This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U. S. as you take on some tough challenges.
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. The Clinical Administrative Coordinator (CAC) supports care coordination efforts by collaborating with healthcare facilities, provider offices, Clinical Case Managers, and Engagement Specialists. This role is responsible for researching and locating in-network providers for members, verifying provider information, resolving invalid contact information, and communicating findings to support timely member access to care.
The position requires strong organizational skills, attention to detail, effective communication, and the ability to work independently in a fast-paced environment. This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 9:00 am - 6:00 pm CST.
It may be necessary, given the business need, to work occasional overtime. We offer 2 - 3 weeks of on-the-job training. The hours of the training will follow business hours.
Primary
Conduct outbound calls to provider offices and healthcare facilities to: Verify provider participation status within the network Confirm whether providers are accepting new patients Obtain the earliest available appointment dates and times Verify if a referral is required by the PCP. Research and identify appropriate in-network providers to support member care needs Communicate provider search results and appointment availability to members, Clinical Case Managers, and other applicable stakeholders Investigate and validate inaccurate or invalid provider phone numbers using multiple systems and resources Share updated provider contact information with internal teams to maintain data accuracy and workflow efficiency Follow established departmental job aids, workflows, and documentation standards to ensure consistency, accuracy, and compliance Demonstrate effective organizational and time management skills by prioritizing workload and meeting established deadlines Assist with onboarding, training, and mentoring new and existing team members Independently resolve moderately complex issues and escalate concerns when appropriate Meet or exceed established quality, productivity, and performance standards Adhere to all regulatory, contractual, and organizational requirements, including turnaround time expectations Perform additional duties and responsibilities as assigned by leadership 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
High School Diploma / GED OR equivalent work experience Must be 18 years of age OR older Intermediate proficiency with Microsoft Office applications, including: Microsoft Excel Microsoft Word Microsoft Outlook (email, calendar, and task management) Ability to work full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 9:00 am - 6:00 pm CST.
It may be necessary, given the business need, to work occasional overtime.
2+ years of experience working in healthcare, care coordination, provider services, OR a health plan environment Knowledge of medical terminology Experience working in an outbound call center environment Experience researching provider networks, appointment scheduling, OR healthcare access-related services Telecommuting
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 Dedicated, quiet workspace with the ability to install and maintain secure high-speed internet service (minimum 1.5 Mbps download and 1 Mbps upload) via cable or DSL Soft
Strong verbal and written communication skills Ability to manage multiple priorities while maintaining accuracy and attention to detail *All employees working remotely 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 $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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.