Like you, Optum, part of the UnitedHealth Group family of businesses is solid on innovation. And like you, well go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. Youll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where youll have a chance to make an impact. We are looking for an immediate joiner who should have relevant exposure to Investigations Process with evidence gathering through fact finding and analysis. Primary Responsibility:
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
Undergraduate / Postgraduate can apply (Except Medical Science & Life Science graduates)
Knowledge of (HIPAA) laws pertaining to confidentiality of protected health information
Extremely well versed with MS Office tools (Excel, Word & PowerPoint)
Proven ability to identify documentation and medical record form(s) and make independent decisions within the scope of ones job responsibilities
Proven good data analytical skills combined with excellent communication skills
Proven to be detail oriented and ability to be self-motivated to complete duties in a timely manner
Proven ability to work in a team environment and to collaborate with a variety of professionals
Proven attention to detail with solid organizational skills
Proven basic analytical skills
Ability to work occasional off-hours schedules as required
Preferred Qualification:
Experience in healthcare domain
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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. #NJP
Job Classification
Industry: RetailFunctional Area / Department: Customer Success, Service & OperationsRole Category: OperationsRole: Operations - OtherEmployement Type: Full time