20 days old

Associate Benefit Operations Management Analyst - US Remote - 911351

Hartford, CT 06103 Work Remotely
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  • Job Code
    911351

Energize your career with one of Healthcares fastest growing companies.

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You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, its a dream that definitely can come true. Already one of the worlds leading Healthcare companies,UnitedHealth Groupis restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

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This opportunity is with one of our most exciting business areas:Optum a growing part of our family of companies that makeUnitedHealth Groupa Fortune 10leader.

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Optumhelps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

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TheAssociate Benefit Operations Management Analystwill be responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. This position is also responsible for overall employer 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.

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Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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Training will be conducted virtually from your home.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Primary Responsibilities:

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  • Auditing contract loads for adherence to quality measures and reporting standards
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  • Researching errors by comparing Account Management documentation against multiple internal systems
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  • Analytical and Researching techniques to trend or quantify projects
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  • Preparing, processing, and maintaining new group installation and renewals
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  • Responding to member eligibility or group questions and verify enrollment status
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  • Reconciling reports and group set up discrepancies, as well as analyzing transactional data and submitting retroactive eligibility changes
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  • Research and respond to all claims processing inquiries from Client Management, Clinical, and other internal departments.
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  • Perform claim testing to ensure accurate claim adjudication
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  • Conduct installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education material
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  • Overall employer contract loading using various databases and / or source documents.
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  • May research installation issues & develop customer specific resolutions which may include auditing contract loads for adherence to quality measures and reporting standards
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Youll 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.

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Required Qualifications:

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  • High School Diploma / GED (or higher)
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  • 1+ year of experience in a healthcare insurance environment OR PBM environment OR pharmacy related environment
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  • Proficiency with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
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  • Intermediate level of Microsoft Excel, must be able to navigate, create, open and save a spreadsheet. And the ability to sort, filter, and search spreadsheets as well as create formulas
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  • Data Entry experience
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  • If you need to enter a work site for any reason, you will berequiredto screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Telecommuting Requirements:

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  • Dedicated work area established that is separated from other living areas that provides information privacy
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  • Ability to keep all company sensitive documents secure (if applicable)
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  • Residing in a location that can receive a high-speed internet connection (additional information on UnitedHealth Group approved internet providers and restrictions will be provided)
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Preferred Qualifications:

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  • Associate's Degree (or higher)
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  • Certified pharmacy technician
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  • Experience with AS400 / RxClaim
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  • Beginner proficiency with Microsoft Word (ability to create, edit, save, and send documents), Microsoft Access (ability to create, edit, save, and send database) and Microsoft PowerPoint (ability to create, edit, save, and send presentations)
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Soft Skills:

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  • Ability to be flexible and work in a constantly changing environment
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  • Self - directed and the ability to prioritize caseloads based on business and customer need
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Physical and Work Environment:

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  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, and long periods working at a computer
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  • Service center environment with moderate noise level due to Representatives talking, computers, printers and floor activity
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UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non-clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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Careers with Optum.Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to doyour life's best work.SM

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Colorado Residents Only: The hourly range for Colorado residents is $17.12 to $30.34. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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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.

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UnitedHealth Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Keywords:Prior auth, prior authorization, PBM, Pharmacy, pharmacy technician, RXAUTH, PAS, RXClaim, Sharepoint, Business Rules, PresPlus Share, NewLeaf, Optum, OptumRx, UnitedHealthcare, UnitedHealthcare Group,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately

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Posted: 2021-02-06 Expires: 2021-03-08

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Associate Benefit Operations Management Analyst - US Remote - 911351

UnitedHealth Group
Hartford, CT 06103

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