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in Eden Prairie, MN

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Hours Full-time, Part-time
Location Eden Prairie, MN
Eden Prairie, Minnesota

About this job




Energize your career with one of Healthcare’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 14 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, and Performance.
 
Primary Responsibilities:

Provide holistic family support to families of children with special needs, owning end-to-end resolution of benefit issues
Serves as an ongoing, single point of contact for members, primarily via the phone channel (may also will use email, chat, text), delivering compassionate support to consumers, creating a memorable, positive consumer experience. Must create and build ongoing relationships with others (to include both consumers and teammates)
Make decisions independently and solve problems creatively without requiring established procedures, using sound judgment and critical thinking, while consistently following through on commitments and framing realistic expectations for consumers
Plans, prioritizes, organizes and completes work to meet established objectives
Mentors and coaches colleagues, and acts as a resource for others
Anticipates member needs and proactively seeks out external and internal resources where appropriate to add unexpected value for the member. Ability to determine appropriate referrals to other programs/services as needed without technology guidance
Proactively identifies areas of improvement for the broader member experience and escalates the issue and proposed solution for the benefit of the entire team
Ongoing education for conditions that fall under the special needs umbrella is required. Will be on the job and provided by UHG
Provide other services in the future yet to be defined. For example: decision support services
Contributing to the community of the team, being vocal with what you have learned
Provide services such as:

End to end resolution of coordination of benefits, and medical & pharmacy claims, billing/appeals/prior authorization/etc. issues; striving to remove the burden from the consumer
Help members with medical, behavioral and pharmacy needs as well as connect them with resources in and out of our company
Support in researching and identifying healthcare providers that meet and align with consumer needs
Educate and coach consumers on clinical, wellness and community resources they can use to help increase their family’s quality of life
Educate consumers on their benefit package and quarterback interactions to additional benefit experts or resources. Expected to do much more legwork on the member’s behalf and not transfer
Intervene with care providers (healthcare provider offices) on behalf of the consumer to assist with appointment scheduling or connections with internal specialists for assistance when needed
Assist consumers in navigating myuhc.com and other UnitedHealth Group resources and encourage and educate them to become self-sufficient
Provide resources and guidance to help members navigate key transition times in their dependents’  life, when benefits and resources typically change

Requirements




Required Qualifications:


High School Diploma / GED
Comfortable working Monday - Friday an 8 hour shift between 7:00 am - 6:00 pm with possible OT and weekends based on business needs
1+ year of experience in a consumer-facing role resolving and/or advocating on behalf of consumers
Experience using computer and Windows PC applications (Microsoft Excel, Word and Outlook), including: strong keyboard; navigation skills; adeptness in learning new computer programs; the ability to type and talk at the same time and toggle between multiple screens
Preferred Qualifications:


Experience providing care for children with special needs
Claims processing experience 
Experience within a service delivery capacity (examples include, but are not limited to: social services, caregivers, hospitality, social work, sales, non-profit agencies)
Bachelor’s Degree (or higher)
Bilingual fluency in English and Spanish 
1+ year of experience working in healthcareCareers 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 do 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: UHG, Eden Prairie, MN, Healthcare, Advisor, Call CenterÂ