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Job Information

UnitedHealth Group Employer Installation Specialist - US Telecommute in Dallas, Texas

Energize your career with one ofHealthcare’s 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, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is 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 make UnitedHealth Group a Fortune 6 leader.

Optum helps 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.

The Employer InstallationSpecialist is 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. Positions are responsible for overall employer contract loading using various databases and / or source documents. May research installation issues and develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards.

Primary Responsibilities:

  • Research issues and develop customer specificresolutions

  • Build, maintain, and audit benefits in RxCLAIM

  • Provide and design all pieces for implementation

  • Serve as a resource to business partners and co -workers

  • Assist with the development of process improvement forthe department

  • Analyze data

  • Design the benefit plan

  • Support client management with research

  • Perform other duties as assigned

  • Generally, work is self - directed and not prescribed

  • Work with less structured, more complex issues

  • Provide explanations and interpretations within area ofexpertise

  • Maintain an acceptable quality level and productionturnaround time

  • Use automation tools effectively

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 (or Higher)

  • 2+ years of experience in a pharmacy or healthcareinsurance / Pharmacy Benefit Management (PBM) environment using thecomputer as the primary instrument to perform job duties

  • Working knowledge of Microsoft Excel (ability to createspreadsheets to input, sort, and filter data)

  • Experience working with RxClaim, including ability tonavigate the system with ease and read a claim

  • Available to work a scheduled 8 hours shift within thehours of 8:00 am - 5:00 pm, Monday through Friday with the possibility ofworking overtime either before, after, or on a day other than yourscheduled day

Preferred Qualifications:

  • Bachelor's Degree (or Higher) in pharmacy or healthcarefields

  • Quality assurance experience

  • Pharmacy Technician and / or CPHT License

  • Proficiency with Microsoft Word, Microsoft Access andMicrosoft PowerPoint – ability to open, create, edit, save, and senddocuments, databases, and presentations

  • 5+ years of experience in a healthcare insuranceenvironment using the telephone and computer as the primary instruments toperform job duties

  • 2+ years of experience in a PBM environment performinga benefit related function

Soft Skills:

  • Ability to be flexible and work in a constantlychanging environment

  • Self - directed and the ability to prioritize caseloadsbased on business and customer needs

Physical Requirements and WorkEnvironment:

  • 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

  • Service center environment with moderate noise leveldue to Representatives talking, computers, printers and floor activity

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life’s best work . SM

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.

Keywords: Prior auth, prior authorization, PBM, Pharmacy, pharmacy technician, RXAUTH, PAS, RXClaim, Sharepoint, Business Rules, PresPlus Share, NewLeaf, Optum, OptumRx, UnitedHealthcare, UnitedHealthcare Group