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Hours Full-time, Part-time
Location Dallas, TX
Dallas, Texas

About this job

Position Description:Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SMThe Associate Employee Installation Specialist will be 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. This position is also responsible for overall employer contract loading using various databases and/or source documents.Primary Responsibilities:Auditing contract loads for adherence to quality measures and reporting standardsResearching errors by comparing Account Management documentation against multiple internal systemsAnalytical and Researching techniques to trend or quantify projects Preparing, processing, and maintaining new group installation and renewals Responding to member eligibility or group questions and verify enrollment statusReconciling reports and group set up discrepancies, as well as analyzing transactional data and submitting retroactive eligibility changesResearch and respond to all claims processing inquiries from Client Management, Clinical, and other internal departments.Perform claim testing to ensure accurate claim adjudicationConduct 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 materialOverall employer contract loading using various databases and / or source documents. May research installation issues & develop customer specific resolutions which may include auditing contract loads for adherence to quality measures and reporting standards

Requirements

Requirements:High School Diploma / GED1+ years of experience in a healthcare insurance environment1+ years of experience in a PBM environment performing a benefit related function 2+ years experience working with RX claims with building Benefit Plans Medicare Part D knowledge and / or experienceKnowledge of Windows PC applications including Microsoft Word and Excel (creating/editing  Word documents to send out and using Excel to create spreadsheets and pivot tables)Assets:Bachelor's Degree (or higher)1+ years of Quality assurance experience1+ years experience working with Medicare part D with Benefit Plan Builds Careers 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.SMDiversity 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: UnitedHealth Group, UHG, Optum, OptumRx, medicare, rx, prescription, plans, benefits, PBM