1+ months

Senior Systems Management Specialist - Remote Nationwide - 936390

Schaumburg, IL 60193 Work Remotely
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  • Job Code
    936390

Technology Careers with Optum. Information and technology have amazing power to transform the health care industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.(sm)

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

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Primary Responsibilities:

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  • Load historical prior authorizations for Med D, Medicaid, HIM and Commercial Clients
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  • QA checks of the loaded information
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  • Continuation of therapy prior authorization data loads
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  • Work with developers and business on process improvement projects
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  • Create standard operating procedures and training materials
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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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  • 2+ yearsof prior authorization experience
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  • 2+ years RxClaim experience
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Preferred Qualifications:

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  • Intermediate experience using MS Excel, Word, Access and Outlook
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  • Strong knowledge of Continuation of Therapy
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  • Strong knowledge of Formulary and Benefit setup preferred
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  • Experience with First Data Bank will be plus
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  • Experience with Abinitio or SQL is plus
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  • Experience with MediSpan data system including GPI drug classification system
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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.

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You can learn more about all we are doing to fight COVID-19 and support impacted communities: click here.

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

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Colorado Residents Only: The hourly range for Colorado residents is $20.77to $36.88.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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"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: 2021-06-04 Expires: 2021-09-01

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:
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Senior Systems Management Specialist - Remote Nationwide - 936390

UnitedHealth Group
Schaumburg, IL 60193

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