Associate Clinical Administrator - National Remote
Company: UnitedHealth Group
Posted on: November 26, 2022
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. Come make an impact on the
communities we serve as we help advance health equity on a global
scale. Here, you will find talented peers, comprehensive benefits,
a culture guided by diversity and inclusion, career growth
opportunities and your life's best work. SM
Like you, UnitedHealth Group is strong on innovation. And like you,
we'll 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.
You'll 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 you'll
have a chance to make an impact.
This position is full-time, Thursday - Sunday. Employees are
required to have flexibility to work any of our 8-hour shift
schedules during our normal business hours of 9:00am - 7:30pm
Central Standard Time. It may be necessary, given the business
need, to work occasional overtime.
All Telecommuters will be required to adhere to UnitedHealth
Group's Telecommuter Policy.
- Manage the intake of members or the admission/discharge
information post notification
- Work with hospitals, clinics, facilities and the clinical team
to manage requests for services from members and/or providers
- Manage the referral process, processing incoming and outgoing
referrals and prior authorizations, including intake, notification
and census roles
- Provide appropriate triage and care coordination notification
cases for non-clinical assessment/intervention
- Handle resolution/inquiries from members and/or providers
This is high volume, customer service environment. You'll need to
be efficient, productive and thorough dealing with our members over
the phone. You also must be able to work a flexible schedule that
includes evening hours.
Positions in this function includes those responsible for initial
triage of members, administrative intake of members or managing the
admission/discharge information post-notification, working with
hospitals and the clinical team. Includes managing incoming calls,
managing requests for services from providers/members, providing
information on available network services and transferring members
as appropriate to clinical staff. Manages the referrals process,
processes incoming and outgoing referrals, and prior
authorizations. This function includes intake, notification and
census roles. Employees in jobs labeled with 'SCA' must support a
government Service Contract Act (SCA) agreement.
- Limited work experience
- Works on simple tasks using established procedures
- Depends on others for guidance
- Work is typically reviewed by others
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.
- High School Diploma / GED (or higher) OR equivalent
- 1+ years of customer service experience analyzing and solving
- Able to create, edit, save and send documents utilizing
Microsoft Word and Excel
- Ability to work from Thursday - Sunday 9:00am - 7:30pm Central
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation.
- 1+ years of Call center experience
- Experience working within the health care Industry and with
health care insurance
- A clerical or administrative support background
- Experience working with Medicare and/or Medicaid Services
- Required to have a dedicated work area established that is
separated from other living areas and provides information
- Ability to keep all company sensitive documents secure (if
- Must live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet service
- Must be able to type and talk at the same time and navigate
through multiple screens
- Experience working in a metric-driven work environment
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 that. UnitedHealth Group
values the skills, experience and dedication that serving in the
military demands. In fact, many of the values defined in the
service mirror what the UnitedHealth Group culture holds true:
Integrity, Compassion, Relationships, Innovation and Performance.
Whether 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 journey. Learn more at
Learn how Teresa, a Senior Quality Analyst, works with military
veterans and ensures they receive the best benefits and experience
Ready to answer the call? Take this opportunity to do your life's
UnitedHealth Group is working to create the health care system of
Already Fortune 5, we are totally focused on innovation and change.
We work a little harder. We aim a little higher. We expect more
from ourselves and each other. And at the end of the day, we're
doing a lot of good.
Through our family of businesses and a lot of inspired individuals,
we're building a high-performance health care system that works
better for more people in more ways than ever. Now we're looking to
reinforce our team with people who are decisive, brilliant - and
built for speed.
Come to UnitedHealth Group, and share your ideas and your passion
for doing more. We have roles that will fit your skills and
knowledge. We have diverse opportunities that will fit your
Careers with Optum. Our objective is to make health care simpler
and more effective for everyone. With our hands at work across all
aspects of health, you can play a role in creating a healthier
world, one insight, one connection and one person at a time. We
bring together some of the greatest minds and ideas to take health
care to its fullest potential, promoting health equity and
accessibility. Work with diverse, engaged and high-performing teams
to help solve important challenges.
Colorado, Connecticut, Nevada or New York City Residents Only: The
salary range for Colorado residents is $16.00 - $23.51. The salary
range for Connecticut / Nevada / New York City residents is $16.00
- $25.77. Pay is based on several factors including but not limited
to education, work experience, certifications, etc. 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.
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.
Keywords: UnitedHealth Group, Boston , Associate Clinical Administrator - National Remote, Healthcare , Boston, Massachusetts
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