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Contract Operations Specialist - Remote in PST
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. This position is responsible for the installation and administration of assigned contracts, including, but not limited to structure building and billing set up, eligibility collection, structure revisions, researching & resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Positions are responsible for overall contract loading using various databases and/or source documents. May research installation issues & develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards. This position is full time, Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 800 AM - 500 PM PST. It may be necessary, given the business need, to work occasional overtime or weekends. This will be paid on-the-job training, and the hours of the training will be aligned with your schedule from Monday - Friday. If you are located within the Pacific Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities • Manage intake, assisting with projects • Triage requests based on status of provider • Communicate with Care Delivery Organizations • Communicate with providers • Process and distribute various different contract documents • Training internal teams on systems • Uses pertinent data and facts to identify and solve a range of problems within area of expertise • Investigates non-standard requests and problems, with some assistance from others • Works exclusively within a specific knowledge area • Prioritizes and organizes own work to meet deadlines • Provides explanations and information to others on topics within area of expertise • Other tasks 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 equivalent work experience • Must be 18 years of age OR older • 2+ years of work experience in State of California Managed Care environment - IPA, Physician Office, Hospital Administrative, OR other Health Care related industry • Experience working with healthcare claims • Experience with computers and Windows based programs including Microsoft Office - Microsoft Word, Microsoft Excel, Microsoft Outlook, and Microsoft Teams • Experience in working with Microsoft SharePoint • This position is full time, Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 800 AM - 500 PM PST. It may be necessary, given the business need, to work occasional overtime or weekends. Preferred Qualifications • Provider contracting experience • Provider relations experience Telecommuting Requirements • Reside within Pacific Time Zone. • 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. Soft Skills • Ability to follow directions • Ability to prioritize and organize own work to meet deadlines • Excellent written and verbal communication skills • Detail oriented • Ability to analyze, interpret data and make recommendations • Ability to meet deadlines while still maintaining quality standards • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy The hourly range for this role is $23.70 to $46.35 per hour based on full-time employment. 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. 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. OptumCare 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. OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED Salary USD 49400 - 98800 per year Experience 3 years required Apply To This Job
