Business Operations Specialist - Green Bay, WI

Position Description:
We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm)This Business Operations RX Specialist position is required to handle complex or escalated member issues related to prescription drug claims. This position is responsible for providing process and operational support to functions within All Savers operations.  Primary Responsibilities:


Act as the point of contact for escalated member RX issues, providing end to end service, including issue identification and understanding, and following up with remediating action

Serve as a liaison for Claims and Customer Service teams on Rx issues

Communicate and collaborate with members, providers, employers and internal staff  to resolve prescription drug issues

Track and monitor multiple ongoing issues for status and resolution

Maintain relevant operations information (e.g., policies and procedures, process changes, problem resolution steps) in coordination with Pharmacy Benefit Analyst

Required Qualifications:

High School Diploma/GED
1+ years of Claims experience
1+ years of Customer Service experience
UHOPS knowledge
Experience in a role requiring excellent communication, time/project management, problem solving, organizational, and analytical skills

Preferred Qualifications:

Proficient with All Savers Self-funded product
Proficient in Microsoft Office (Word, Excel, etc.)
Issue Resolution experience
Knowledge of OptumRx/Pharmacy
Proficient in RX Claims and/or ISETCareers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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: Business Operations Specialist, Green Bay, UnitedHealth Group, Claims, Customer Service, UHOPS, Pharmacy