10 days old

Client Service Manager - Work from Home - 941674

Southfield, MI 48076
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  • Job Code
    941674

If you are located in the state of Michigan, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

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Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM

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Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.SM

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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 weekends and overtime.

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Primary Responsibilities:

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  • Serve as the primary OptumRx contact for tactical, day to day management of assigned accounts
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  • Manage assigned accounts according to agreed strategy
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  • Maintain documentation of most current benefit designs, including exclusions, inclusions, and co-pay structures; ensure information is accessible by Customer Service and Pharmacy Technicians
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  • Document plan change requests from clients and obtain appropriate approval, and confirm the plan change is completed and accurate
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  • Maintain consistent and regular client communication.
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  • Establish multiple corporate relationships and participate in client sponsored events; Cultivate relationships
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  • Understand and execute the client contract according to the terms and conditions, including but not limited to monitoring performance guarantees
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  • Follow all policies and procedures related to job responsibilities and participating in the development and maintenance of departmental policies and procedures, and tools for Client Services, as appropriate.
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  • Conduct claims research and member inquiries
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  • Ensure open client requests and requirements are routed and being worked by appropriate business area.
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  • Track and report on open client requests providing regular feedback to management team regarding client requirement status and business development opportunities.
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  • Educate and assist clients in using help desk for day-to-day inquiries.
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  • Assist in client training for remote system access and reporting.
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  • Ensure quick response and follow-up to client inquiries, including returning phone calls and emails within the scope of the service level agreement. Notify client after issue resolution within timeframe defined by client contract.
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  • Assist in the development of training topics and materials for coworkers and provide support to other departments as requested.
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  • Escalate client concerns where appropriate.
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  • Complete service requests to translate customer needs and requirements for Optum's internal teams
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  • Other duties as assigned.
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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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  • Demonstrated success in the healthcare, managed care, or pharmaceutical industries
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  • Ability to travel up-to 10%.
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  • Must be able to work 8:00 amto 5:00 pmEST
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Preferred Qualifications:

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  • Associate's Degree (or higher)
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  • Knowledge of guidelines for client contracts
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  • Drug knowledge a plus
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  • Knowledge of Medicare Part D and/or other regulatory guidelines
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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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  • Reside in the state of Michigan
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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.Sowhen 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 carehas togo 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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Military & Veterans find your next mission:

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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 https://uhg.hr/transitioning-military

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Learn how Teresa, a Senior Quality Analyst,works withmilitary veterans and ensures they receive the best benefits and experience possible.https://uhg.hr/vet

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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: Client Service, Account Manager, Analyst, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

Posted: 2021-07-16 Expires: 2021-08-15

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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Client Service Manager - Work from Home - 941674

UnitedHealth Group
Southfield, MI 48076

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