This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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.
Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California, to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.
The Health Advocate is responsible for welcoming and orienting prospective patients to care management services and coordinating delivery of quality services through appropriate data gathering and resource referrals. Acts as the primary point of contact to facilitate effective patient communication in support of the care management team to ensure continuity of care across the care continuum and improve patient outcomes.
This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of paid training. The hours during training will be 8:00 am to 5:00 pm, Monday - Friday. Training will be conducted virtually from your home.
Primary Responsibilities
- Act as a Subject Matter Expert.
- 100% phone based high volume outbound/inbound calls to qualified members to provide information and answer questions about health plan programs.
- Provide "best-in-class" customer service to enrollees.
- Meet established productivity, schedule adherence, and quality standards while maintaining good attendance.
- Identify, qualify, and engage members into the most appropriate health and wellness programs to meet their needs.
- Effectively engage members that either qualify for our programs or are interested in learning more about what is offered.
- Accurate documentation of consumer interaction.
- Appropriately follow all processes and procedures.
- Maintain engagement with all the customer requests to ensure high quality of customer service.
- Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention.
Since this role functions as a Subject Matter Expert, you'll need to have directly-related experience. The challenge here lies in managing a full range of tasks, many of them routine in nature, without sacrificing quality.
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
- Must be 18 years of age OR older
- 1 year of Case Management experience
- Experience with computers and Windows based programs including Microsoft Word, Excel, Outlook, Access
- 2+ years of experience working in the health care industry- hospital, physician's office or medical clinic setting Flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm
Preferred Qualifications
- Experience working in a hospital, physician's office, or medical clinical setting
- A clerical or administrative support background
- Experience in a call center
- Experience working with nurses and physicians
- 2+ years of experience with prior authorizations
- Certified Medical Assistant (CMA)
- Understanding of Medicare and MediCal / Medicaid benefits.
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.
Soft Skills
- Outstanding customer service skills.
- Excellent verbal and written communication skills with ability to read, write, speak and understand English clearly.
- Good critical thinking skills, resourcefulness and ability to adapt in escalated situations
- Ability to problem-solve to effectively assist patient with issues and challenges.
- Ability to concurrently perform multiple tasks.
- Ability to manage workload and complete assigned tasks within designated timeframes.
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 - $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group 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.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
