Associate Employer Installation Specialist – National Remote

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.
The Associate Employer Installation Specialist works with internal Optum business partners to implement and manage how OptumRx will support Prior Authorization elections for clients.
Acts as a dedicated specialist, executing all procedures and processes necessary to support our business partners as it relates to Prior Authorization (PA) elections for our clients. The PAS Install specialist is responsible for partnering with our internal Prior Authorization, Implementation, and Account Management partners to implement new clients as well as manage all existing clients and complex renewals. They gather requirements, interpret customer requirements and expectations, understand service level agreements, performance guarantees, and document client expectations for the clients they support. They provide steady state management as well as contribute to issue resolution requests and process improvement activities.
This position is full-time. Employees are required to work during our normal business hours of 8:00am – 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of on-the-job training. The hours of training will be aligned with your work schedule.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities

Assist with setting up plan structure and billing, eligibility collection and database loading

Prepare materials such as plan documents and provider education aids

Accurately load contract amendments

Audit contract loads for adherence to quality measurers and reporting standards

Escalate more complex problems to supervisor level

Recommend methods to improve processes used by department

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

Must be 18 years of age OR older

1+ years of Account Management or Customer Service experience

1+ years of experience with pharmacy benefits, PBM, operations (comprehensive understanding prior authorizations)

Working knowledge of standard business applications, Microsoft Office Suite

Ability to work during our normal business hours of 8:00am – 5:00pm CST, including the flexibility to work occasional overtime, based on the business need

Preferred Qualifications:

Experience in RxClaim, PAS, RxCOMET, ServiceNow, Workfront

Prior authorization knowledge

Excellent verbal and written communication skills

Excellent organization skills

Telecommuting Requirements:

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

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $19.47 – $38.08 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.
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