Job details
Job type full-time
Full job description
You’ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
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 peopleWe dream of giving you the opportunity to do just thisAnd with the incredible growth of our business, it’s a dream that definitely can come trueAlready 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 livesWe 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 10 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 goalsNo other business touches so many lives in such a positive wayAnd we do it all with every action focused on our shared values of integrity, compassion, relationships, innovation & performance.
The benefit analyst is responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materialsPositions are responsible for overall employer contract loading using various databases and / or source documentsMay research installation issues and develop customer specific resolutionsMay include auditing contract loads for adherence to quality measures and reporting standards.
Training will be conducted virtually from your homeThis position is full-time (40 hours/week) monday - fridayEmployees are required to work our normal business hours of 8:00am – 5:00pmIt may be necessary, given the business need, to work occasional overtime or weekends.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
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
This is a challenging role with serious impactIt’s a fast paced, high volume environment that requires you to work independently while maintaining a strong focus on company policies and guidelinesYour accuracy will be vitally important and monitored carefully to ensure our system is correctly coded and that all plan documents are precise.
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)
2+ years of experience in a pharmacy or healthcare insurance / pharmacy benefit management (pbm) environment using the computer as the primary instrument to perform job duties
1+ years of rx claim plan build coding experience
Experience working with rxclaim, including ability to navigate the system and understand the functionality at a plan administration level
Working knowledge of microsoft excel (ability to create spreadsheets to input, sort, and filter data)
Ability to work a scheduled 8 hours shift within the hours of 8:00 am - 5:00 pm, monday through friday with the possibility of working overtime either before, after, or on a day other than your scheduled day
Preferred qualifications:
Bachelor`s degree (or higher) in pharmacy or healthcare fields
2+ years of experience in a pbm environment performing a benefit related function
Quality assurance experience
Pharmacy technician and / or cpht license
Proficiency with microsoft word, microsoft access and microsoft powerpoint – ability to open, create, edit, save, and send documents, databases, and presentations
Telecommuting requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a unitedhealth group approved high-speed internet connection or leverage an existing high-speed internet service
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Military & veterans find your next mission: we know your background and experience is different and we like thatUnitedhealth group values the skills, experience and dedication that serving in the military demandsIn fact, many of the values defined in the service mirror what the unitedhealth group culture holds true: integrity, compassion, relationships, innovation and performanceWhether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journeyLearn more at https://uhg.hr/transitioning-military
Learn how teresa, a senior quality analyst, works with military veterans and ensures they receive the best benefits and experience possibleHttps://uhg.hr/vet
Careers with optumHere`s the ideaWe built an entire organization around one giant objective; make the health system work better for everyoneSo when it comes to how we use the world`s large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serveOptum, part of the unitedhealth group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potentialFor you, that means working on high performance teams against sophisticated challenges that matterOptum, incredible ideas in one incredible company and a singular opportunity to do your life`s best workSm
Colorado residents only: the hourly range for colorado residents is $20.77 to $36.88Pay is based on several factors including but not limited to education, work experience, certifications, etcAs of the date of this posting, in addition to your salary, uhg offers the following benefits for this position, subject to applicable eligibility requirements: health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; employee assistance program; pto; and employee-paid critical illness and accident insurance.
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 workplaceCandidates are required to pass a drug test before beginning employment.
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