UnitedHealth Group
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Serve as the primary OptumRx contact for tactical, day to day management of assigned accounts
Manage assigned accounts according to agreed strategy
Maintain documentation of most current benefit designs, including exclusions, inclusions, and co-pay structures; ensure information is accessible by Customer Service and Pharmacy Technicians
Document plan change requests from clients and obtain appropriate approval, and confirm the plan change is completed and accurate
Maintain consistent and regular client communication
Establish multiple corporate relationships and participate in client sponsored events; Cultivate relationships
Understand and execute the client contract according to the terms and conditions, including but not limited to monitoring performance guarantees
Follow all policies and procedures related to job responsibilities and participating in the development and maintenance of departmental policies and procedures, and tools for Client Services, as appropriate
Conduct claims research and member inquiries
Ensure open client requests and requirements are routed and being worked by appropriate business area
Track and report on open client requests providing regular feedback to management team regarding client requirement status and business development opportunities
Educate and assist clients in using help desk for day-to-day inquiries
Assist in client training for remote system access and reporting
Ensure quick response and follow-up to client inquiries, including returning phone calls and emails within the scope of the service level agreement. Notify client after issue resolution within timeframe defined by client contract
Assist in the development of training topics and materials for coworkers and provide support to other departments as requested
Escalate client concerns where appropriate
Complete service requests to translate customer needs and requirements for Optum’s internal teams
Other duties as assigned
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 higher)
1+ years of experience in the healthcare, managed care, or pharmaceutical industries
1+ years of PBM experience/knowledge
Ability to work Monday through Friday from 8 a.m. to 5 p.m. CST or EST
Ability to travel up to 10% of the time
Preferred Qualifications:
Knowledge of guidelines for client contracts
Drug knowledge
Knowledge of Medicare Part D and/or other regulatory guidelines
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
For more information on our Internal Job Posting Policy, .
California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. residents is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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.
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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UnitedHealth Group
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