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…
Skills: Customer Service, Root Cause Analysis, Active Listening, Problem Solving, CRM Tools
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come b…
Skills: Clinical Assessment, Care Coordination, Behavioral Health Nursing, Member Engagement, Health Care System Navigation
Heron Ridge Associates, part of the Optum family of businesses, is seeking a Licensed Clinical Therapist to join our team in Brighton, MI. As a member of the Optum Behavioral Care team, you’ll be an integral part of our …
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 ca…
Skills: Care Coordination, Psychosocial Assessment, Case Management, Patient Advocacy, Interdisciplinary Collaboration
Explore opportunities with Elk Valley, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping p…
Skills: Personal Care, Daily Living Assistance, Vital Signs Monitoring, Medication Reminders, Meal Preparation
$5000 Sign-on bonus offered to full-time external candidates. Explore opportunities with Access Hospice Care , a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As …
Skills: Triage, Hospice Care, Nursing Evaluation, Patient Assessment, Crisis Management
Associate Director Actuarial Services - Remote - Minnetonka, MN preferred
Minnetonka, Minnesota, United States · Remote OK
$113k–$193k/yr
Senior$7.6B raised
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come b…
Skills: Actuarial Modeling, Data Analysis, Medicare Advantage Bidding, MS Excel, Pricing Methodologies
Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping …
Muntinlupa, National Capital District, Philippines · On-site
Senior$7.6B raised
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 ca…
Skills: ORMB Software Development, Cloud Platforms, AI/ML, RAG, Agentic Development
$2,500 Sign-on Bonus for External Applicants Explore opportunities with Casa de la Luz Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the …
Skills: Triage, Hospice Care, Nursing Evaluation, Patient Assessment, Crisis Management
$7500 Sign on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care…
Skills: Patient Care, Triage, Care Coordination, Patient Education, Electronic Health Records
Eden Prairie, Minnesota, United States · Remote OK
$20/hr–$36/hr
Mid level$7.6B raised
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 ca…
Skills: ICD-10 Coding, CPT Coding, HCPCS Coding, Medical Terminology, Emergency Department Coding
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 Insight is improving the flow of health data and information to cre…
Explore opportunities at The Corvallis Clinic, part of the Optum family of businesses. For more than 75 years, our multi-specialty group has been committed to delivering exceptional care to our patients and fulfilling ca…
Skills: Referral Processing, Prior Authorizations, Electronic Health Records, Medical Scheduling, Insurance Verification
Apex Home Healthcare is hiring for a PRN Licensed Practical Nurse / LPN to join our passionate team in Jacksonville, Florida! Explore opportunities with Apex Home Healthcare, a part of LHC Group, a leading post-acute car…
Skills: Patient Care, Technical Skilled Care, Patient Monitoring, Family Instruction, Communication
Explore opportunities with Elk Valley, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping p…
Skills: Direct Nursing Care, Clinical Documentation, Care Coordination, Infection Control, Patient Monitoring
Explore opportunities with Assured Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to …
Skills: Patient Care Coordination, Clinical Documentation Review, Case Management, Direct Patient Care, Audit Compliance
This position is Remote in Pacific Time Zone. You will have the flexibility to work remotely* as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions …
Eden Prairie, Minnesota, United States · Remote OK
$113k–$193k/yr
Senior$7.6B raised
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 ca…
Skills: AI Solution Architecture, Technical Fluency in AI, Executive Communication, Stakeholder Alignment, Solution Design
Handle incoming and outgoing calls to resolve client issues by performing root cause analysis and coordinating with internal and external resources. Ensure accurate documentation of all interactions and strive for first-call resolution to improve health outcomes.
Requirements
Requires a High School Diploma or GED and at least one year of experience in a clerical or customer service environment using phones and computers. Candidates must have healthcare experience and the ability to work a full-time schedule between 8:00 am and 5:00 pm PST.
Full job description
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.
This position is full time, 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 PST. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule or will be discussed on your first day of employment.
Watch this video to understand the expectations of being a remote worker with UnitedHealthcare.
Primary Responsibilities:
Demonstrate understanding of internal / external factors that may drive caller questions / issues (e.g., recent plan changes, mass mailings, call directing / rerouting, weather emergencies)
Ask appropriate questions and listen actively to identify underlying questions / issues (e.g., root cause analysis)
Gather appropriate data / information and perform initial investigation to determine scope and depth of question / issue
Identify and coordinate internal resources across multiple departments to address client situations, and escalate to appropriate resources as needed
Proactively contact external resources as needed to address caller questions / issues (e.g., providers, labs, brokers)
Identify and communicate steps / solutions to caller questions / issues, using appropriate problem-solving skills and established guidelines, where available (e.g., workarounds, descriptions of relevant processes)
Offer additional options to provide solutions / positive outcomes for callers (e.g., online access to relevant information, additional plan benefits, workarounds for prescription delays)
Make outbound calls to resolve caller questions / issues (e.g., to callers, providers, brokers, pharmacies)
Drive resolution of caller questions / issues on the first call whenever possible (e.g., first-call resolution, one-and-done)
Ensure proper documentation of caller questions / issues (e.g., research conducted, steps required, final resolution)
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
1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
Health care experience with primary / specialty appointments OR health plans
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Ability to work any of our full time, 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm PST from Monday - Friday, including the flexibility to work occasional overtime given the business need
Preferred Qualifications:
Bilingual fluency in English and Spanish
Experience with working in EPIC system
Experience with working in a remote position
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 (UHG requires a wired internet connection: cable, DSL or fiber internet service with Minimum speed standard of 25 Mb download/10-15 Mb upload. Wireless services such as satellite, hot spot, line of sight antenna cannot be used for telecommuting.)
Ability to connect directly into internet - via hard wire (either directly to modem or router)
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 $16 - $29 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.
Related keywords
HealthcarePharmacy BenefitsCRMOnyxSiebelSharePointEPICTelecommutingFirst-Call ResolutionHealth PlansCustomer SupportWindows PC
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
Click below to search careers or join our social communities:
• Search & apply for careers at careers.unitedhealthgroup.com/
• Follow us on Twitter at twitter.com/UnitedHealthGrp
• Follow and like us on Facebook at facebook.com/unitedhealthgroup
• Follow us on Instagram at instagram.com/unitedhealthgroup
More about UnitedHealth Group can be found at unitedhealthgroup.com/
Offices: Eden Prairie , Minnesota, US · 2716 N Tenaya Way, Las Vegas, NV 89128, US · 4425 E Cotton Center Blvd, Phoenix, AZ 85040, US · 1900 E Golf Rd, Schaumburg, IL 60173, US · 8822 Three Chopt Rd, Henrico, VA 23229, US
Health CareWellness and Health ManagementRetiree Solutionsand Information TechnologyHospitalHealth CareWellnessBiotechnologyInsuranceLife Science
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
Click below to search careers or join our social communities:
• Search & apply for careers at careers.unitedhealthgroup.com/
• Follow us on Twitter at twitter.com/UnitedHealthGrp
• Follow and like us on Facebook at facebook.com/unitedhealthgroup
• Follow us on Instagram at instagram.com/unitedhealthgroup
More about UnitedHealth Group can be found at unitedhealthgroup.com/
Offices: Eden Prairie , Minnesota, US · 2716 N Tenaya Way, Las Vegas, NV 89128, US · 4425 E Cotton Center Blvd, Phoenix, AZ 85040, US · 1900 E Golf Rd, Schaumburg, IL 60173, US · 8822 Three Chopt Rd, Henrico, VA 23229, US
Health CareWellness and Health ManagementRetiree Solutionsand Information TechnologyHospitalHealth CareWellnessBiotechnologyInsuranceLife Science