1+ months

Senior Systems Management Specialist - Remote Nationwide - 928745

Schaumburg, IL 60193 Work Remotely
Apply Now
Apply on the Company Site
  • Job Code
    928745

Energize your career with one of Healthcares fastest growing companies.

""

""

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.

""

""

This opportunity is with one of our most exciting business areas:Optum a growing part of our family of companies that makeUnitedHealth Groupa Fortune 6 leader.

""

""

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.

""

""

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

""

""

Primary Responsibilities:

""
    ""
  • Load historical prior authorizations for Med D, Medicaid, HIM and Commercial Clients
  • ""
  • QA checks of the loaded information
  • ""
  • Continuation of therapy prior authorization data loads
  • ""
  • Work with developers and business on process improvement projects
  • ""
  • Create standard operating procedures and training materials
  • "
""

""

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.

"

Required Qualifications

""
    ""
  • High school diploma or GED Equivalent
  • ""
  • Strong knowledge of prior authorizations
  • ""
  • 3+ years RxClaim experience
  • ""
  • Experience with MediSpan data system including GPI drug classification system
  • ""
  • Intermediate experience using MS Excel, Word, Access and Outlook must
  • ""
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a 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.
    ""
  • "
""

Preferred Qualifications

""
    ""
  • Strong knowledge of Continuation of Therapy
  • ""
  • Strong knowledge of Formulary and Benefit setup preferred
  • ""
  • Experience with First Data Bank will be plus
  • ""
  • Experience with Abinitio or SQL is plus
  • "
""

""

""

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: click here.

""

""

""

*All Telecommuters willbe required to adhere to UnitedHealth Group's Telecommuter Policy

""

""

Colorado Residents Only: Thesalary range for Colorado residents is $43,200 to $76,700. 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.

""

""

""

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

""

""


"Job Keywords: Optum, Optum Technology, Systems Management Specialist, Data, SQL, Continuation of Therapy, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

Posted: 2021-04-29 Expires: 2021-06-30

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.

Sponsored by:
ADP Logo

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Senior Systems Management Specialist - Remote Nationwide - 928745

UnitedHealth Group
Schaumburg, IL 60193

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast