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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Positions in this function drive clinical relationships and engagement with physician practices, members, and pharmacies while partnering internally (with areas such as Network contract ACO mgrs, Health Care Economics and Analytics, Medical Directors, Reporting, Health Plan market leaders) with a goal of improving health, well-being, quality and practice performance while reducing medical costs. Positions are accountable for the full range of clinical practice performance which may include but is not limited to improvement on HEDIS and STARs gap closure, coding accuracy, facilitating effective education and reporting, effective super utilizer engagement (e.g., members with complex and/or chronic conditions), and proactively identifying performance improvement opportunities through the use of data analytics, technology, workflow changes and clinical support. These roles develop comprehensive, provider-specific plans to increase their physician practice performance, reduce readmissions and improve their outcomes.
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 8am - 5pm. It may be necessary, given the business need, to work occasional overtime. Our office is located in Chesterfield, MO.
We offer 4 weeks of paid training. The hours during training will be 8am to 5pm, Monday - Friday. Training will be conducted virtually from your home.
Primary Responsibilities:
- Applies knowledge/skills to activities that often vary from day to day.
- Demonstrates a moderate level of knowledge and skills in own function.
- Requires little assistance with standard and non-standard requests.
- Solves routine problems on own.
- Works with supervisor to solve more complex problems.
- Prioritizes and organizes own work to meet agreed upon deadlines.
- Works with others as part of a team.
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 or older
- 2+ years experience as a pharmacy technician
- 2+ years of telephonic customer service experience.
- 1+ year of a healthcare background with medical terminology familiarity of clinical issues.
- 1+ year of working experience with ICD- 9/10 and CPT Codes.
- 1+ year of working experience with Microsoft Tools: Word
- 1+ year of working experience with Microsoft Tools: Outlook.
- Ability to travel 60% of the time for business meetings (including client/health plan partners and provider meetings) and 40% remote work
- Pharmacy Tech License
- Ability to work 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 8am - 5pm. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
- Experience working in a physician, provider, and/or medical office is preferred.
- Medical Assistant
- LPN
- EMR and HEDIS knowledge and experience
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.
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.
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