Qureos Mentor

UnitedHealthcare

<div>At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 
UnitedHealthcare is seeking a highly qualified Executive Assistant who can thrive in a dynamic and varied work environment. This position will provide support to the Chief Executive Officer and senior leadership team of UnitedHealthcare Student Resources in a manner consistent with the highest levels of performance and professionalism based in our St. Petersburg, FL office. This position requires solid skills in the areas of relationship building, communication, and partnering with other leaders' executive assistants, as well as with colleagues at all levels in the organization. 
The role is based in St. Petersburg, Florida, working in a hybrid model defined as three days per week in the office. 
Primary Responsibilities:<ul><li>
Provide comprehensive administrative support to the CEO and senior leaders, including complex calendar management, travel coordination, meeting preparation, expense and contact management</li><li>
Serve as a gatekeeper and liaison between executives and internal/external stakeholders, ensuring timely, professional, and thoughtful communication</li><li>
Anticipate executive needs by proactively identifying priorities, risks, and opportunities to optimize leaders' time and effectiveness</li><li>
Handle highly sensitive and confidential information with the utmost discretion and professionalism and in accordance with internal policies and procedures</li><li>
Exercise sound judgment in managing executive communications, documents, and decision support materials</li><li>
Manage logistics end to end, including agendas, materials, room setup, technology coordination, vendor management, and follow up actions</li><li>
Plan and coordinate executive meetings, leadership offsites, team sessions, sales meetings, town halls and large scale events, both in person and virtual</li><li>
Support certain cross functional initiatives by tracking deliverables, timelines, and dependencies with internal teams</li><li>
Prepare presentations, briefing materials, and executive summaries as needed</li><li>
Maintain organized records, documentation, and reference materials to support continuity and effectiveness</li><li>
Identify opportunities to improve processes, workflows, and administrative systems within the executive office</li><li>
Work effectively as an integral member of a team; provide administrative support on various business unit projects and initiatives</li><li>
Act as a liaison and work with building management and UHG facilities manager to maintain awareness of potential issues and or repairs needed within the office environment and coordinate maintenance and repair</li></ul> 
Critical skills:<ul><li>
Self starter mindset: Anticipates needs and acts without being asked</li><li>
Executive presence: Poised, polished, and credible in all interactions</li><li>
High judgment &amp; discretion: Trusted with sensitive and confidential matters</li><li>
Relationship builder: Solid interpersonal skills and ability to work across levels and functions</li><li>
Detail oriented: Maintains accuracy while managing competing priorities</li><li>
Adaptable &amp; resilient: Thrives in a dynamic, high pressure environment High energy, positive outlook, remains calm in stressful situations and when problem solving</li></ul> 
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:<ul><li>
5+ years of administrative experience supporting C-suite leaders within a global, complex and fast-paced, matrixed organization</li><li>
Experience supporting multiple executives at a time and demonstrated ability to manage multiple priorities with accuracy, urgency and minimal direction</li><li>
Experience leveraging AI capabilities such as ChatGPT and Copilot to improve team efficiency</li><li>
Proven experience in event planning and project coordination</li><li>
Experience coordinating large meetings and events with a broad executive audience</li><li>
Advanced proficiency within Microsoft Office Outlook, Excel, PowerPoint, Word, Teams, Visio</li><li>
Proven exceptional professionalism, discretion, and emotional intelligence</li><li>
Proven solid written and verbal communication skills with the ability to interact confidently with senior leaders and external partners</li><li>
Willing and able to travel 5-10% +/- depending on business need</li><li>
Reside within commuting distance to St Petersburg, Florida</li></ul> 
Preferred Qualifications:<ul><li>
Health insurance experience</li><li>
Experience supporting a CEO and multiple senior leaders simultaneously</li><li>
Notary</li><li>
Demonstrated ability to operate as a strategic partner, not just an administrative resource</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</div>

Executive Assistant to Chief Executive Officer - Hybrid in St Petersburg, FL

<div>This position is Onsite. Our office is located at 115 W WAUSAU AVE, WAUSAU, 54401.
UMR, UnitedHealthcare's third-party administrator (TPA) solution, is the nation's largest TPA. When you work with UMR, what you do matters. It's that simple . . . and it's that rewarding.
In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth.
Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast-paced and highly diversified career.
This position is full time (40 hours / week), Monday - Friday. Employees have the flexibility to work an 8-hour shift schedule during our normal business hours of 7:00am - 8:00pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer 9 weeks of paid training. The hours during training will be 8:00am to 4:30pm CST, Monday - Friday. Training will be conducted onsite. 
Primary Responsibilities:<ul><li>
Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims</li><li>
Analyze and identify trends and provide reports as necessary</li><li>
Consistently meet established productivity, schedule adherence and quality standards</li></ul>
This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim. 
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:<ul><li>
High School Diploma / GED OR equivalent work experience</li><li>
Must be 18 years of age OR older</li><li>
Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications</li><li>
This position is onsite at 115 W WAUSAU AVE, WAUSAU, 54401, candidates must be able to work full time at this role.</li><li>
Ability to work full time (40 hours / week), Monday - Friday. Employees have the flexibility to work an 8-hour shift schedule during our normal business hours of 7:00am - 8:00pm CST. It may be necessary, given the business need, to work occasional overtime.</li></ul> 
Preferred Qualifications:<ul><li>
1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools</li><li>
1+ years of experience with processing medical, dental, prescription, OR mental health claims</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 
#RPO #RED #RPOLinkedIn</div>

Claims Representative

<div>At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together 
Why work for the leading organization in health care to help improve the lives of millions? You'll find that this is no small opportunity on our Healthcare Economics team. There are new challenges and bigger rewards around every turn. Now is the time, and this is the place where you'll find a career in which you can make a big difference in our company, our industry, and even our world. 
As a Sr. Healthcare Economics Consultant on our team, you will build financial models, analyze claims data and develop reports for stakeholders. You will have the ability to observe large-scale data trends as well as dig deep into the details. Our team is focused heavily on optimizing and automating many of our processes through various programming languages. As a Data Analyst, you will translate data into meaningful insight; and this insight will support strategic business decisions aimed at improving both the affordability and accessibility of healthcare for our members. 
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. 
Primary Responsibilities:<ul><li>
Model out scenarios to forecast impact of business strategies</li><li>
Provide consulting services to external clients to understand and improve pharmacy benefit insights</li><li>
Use detailed claims data to identify and solve a range of problems within the pharmacy and medical benefit</li><li>
Identify and lead process automation opportunities through various programming languages such as SQL and R</li><li>
Write queries from relational databases and summarize information in a meaningful way</li><li>
Prioritize and organizes own work to meet client deadlines</li><li>
Act as a Subject Matter Expert to share insights on data trends across the organization</li><li>
Act as a resource for others with less experience</li><li>
Work in a fast-paced environment and adapt to evolving requirements</li></ul> 
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:<ul><li>
Bachelor's Degree or equivalent work experience</li><li>
5+ years of analytical experience</li><li>
3+ years of work experience with SQL</li><li>
Advanced level of proficiency working with MS Excel including Pivot Tables, SUMIFS, SUMPRODUCT, and VLOOKUPs</li><li>
Proven ability to effectively manage multiple priorities</li></ul> 
Preferred Qualifications:<ul><li>
Healthcare informatics and/or medical claims experience</li><li>
Intermediate level proficiency with SQL</li><li>
Beginner to intermediate level proficiency with R, Python and/or other statistical programs</li><li>
Beginner to intermediate level proficiency with Tableau and/or Power BI or other visualization tools</li><li>
Proven ability to communicate and present data to stakeholders</li></ul><div><ul><li> 
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy</li></ul></div> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. 
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</div>

Sr. Healthcare Economics Consultant - Remote

<div>$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The RN Field Clinical Care Coordinator, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the members' needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.
If you reside within the Braintree, Weymouth, Quincy, MA market and surrounding areas, you will have the flexibility to work telecommute* as you take on some tough challenges.
This is a Field-based role. Expect to spend at least 50% of your time in the field visiting our members in their home. You'll need to be flexible, adaptable and, above all, patient in all types of situations.
Primary Responsibilities:<ul><li>
Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs</li><li>
Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, lease restrictive level of care</li><li>
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services</li><li>
Manage the care plan throughout the continuum of care as a single point of contact</li><li>
Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan</li><li>
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members</li></ul>
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:<ul><li>
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays</li><li>
Medical Plan options along with participation in a Health Spending Account or a Health Saving account</li><li>
Dental, Vision, Life&amp; AD&amp;D Insurance along with Short-term disability and Long-Term Disability coverage</li><li>
401(k) Savings Plan, Employee Stock Purchase Plan</li><li>
Education Reimbursement</li><li>
Employee Discounts</li><li>
Employee Assistance Program</li><li>
Employee Referral Bonus Program</li><li>
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)</li></ul>
More information can be downloaded at: http://uhg.hr/uhgbenefits
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:<ul><li>
Current and unrestricted independent licensure as a Registered Nurse in the state of MA</li><li>
2+ years of clinical experience</li><li>
Intermediate level of proficiency with MS Office, including Word, Excel and Outlook</li><li>
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)</li><li>
Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service</li><li>
Ability to travel in assigned regions to visit members in their homes and/or other settings, including community centers, hospitals or providers' offices</li><li>
Access to reliable transportation &amp; valid US driver's license</li></ul>
Preferred Qualifications:<ul><li>
Bachelor's or master's degree in nursing</li><li>
Certified Care Manager (CCM)</li><li>
1+ years of community case management experience coordinating care for individuals with complex needs</li><li>
Experience working in team-based care</li><li>
Background in Managed Care</li><li>
Ability to utilize an Electronic Medical Record or other electronic platforms</li><li>
Bilingual in Cantonese, Mandarin, and Vietnamese</li></ul>
Physical Requirements:<ul><li>
Ability to transition from office to field locations multiple times per day</li><li>
Ability to navigate multiple locations/terrains to visit employees, members and/or providers</li><li>
Ability to transport equipment to and from field locations is needed for visits (ex. laptop, etc.)</li><li>
Ability to remain stationary for long periods of time to complete computer or tablet work duties</li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul> 
**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis (&quot;Internal Candidates&quot;) are not eligible to receive a sign on bonus. 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. 
#RPO #RED</div>

RN Field Clinical Care Coordinator -Braintree, Weymouth, Quincy, MA and surrounding areas

<div>At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.
Expect to spend about 80% of your time in the field visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Do you live or are you willing to travel to any of the following counties? Essex and surrounding counties, NJ
Primary Responsibilities:<ul><li>
Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs</li><li>
Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines</li><li>
Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan</li><li>
Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health</li><li>
Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission</li><li>
Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team</li></ul> 
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:<ul><li>
Current, unrestricted independent licensure as a Registered Nurse in New Jersey</li><li>
2+ years of clinical experience</li><li>
1+ years of experience with MS Office, including Word, Excel, and Outlook</li><li>
Access to reliable transportation and the ability to travel up to 80% of your time within assigned territory to meet with members and providers</li></ul> 
Preferred Qualifications:<ul><li>
BSN, Master's degree or higher in clinical field</li><li>
CCM certification</li><li>
1+ years of community case management experience coordinating care for individuals with complex needs</li><li>
Experience working in team-based care</li><li>
Background in managed care</li></ul> 
Physical Requirements:<ul><li>
Ability to transition from office to field locations multiple times per day</li><li>
Ability to navigate multiple locations/terrains to visit employees, members and/or providers</li><li>
Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)</li><li>
Ability to remain stationary for long periods of time to complete computer or tablet work duties</li></ul><ul><li> 
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $40.00 to $54.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</div>

RN Clinical Coordinator - Field Based in Essex and Surrounding Counties - New Jersey

<div>This position is Remote in North Carolina. You will have the flexibility to work remotely* as you take on some tough challenges.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
As a Provider Advocate, you'll play a crucial role in the healthcare industry by serving as the primary point of contact for healthcare providers. Your responsibilities include resolving issues efficiently, often on the first call, and providing support through various channels like calls and chats. You'll need to navigate multiple systems, collaborate with internal partners, and promote self-service digital tools to enhance provider satisfaction. Success in this role is measured by metrics such as first call resolution rate, provider satisfaction scores, and efficient issue resolution time. This dynamic position requires excellent multitasking, effective communication, and a deep understanding of healthcare processes.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:35am - 6:05pm EST. It may be necessary, given the business need, to work occasional overtime, weekends, and or some holidays.
We offer 11 weeks of paid training. The hours during training will be 8:00am - 4:30pm EST from Monday - Friday (subject to change based on trainer availability). Training will be conducted virtually from your home. 100% attendance is a must during training period. 
Primary Responsibilities:<ul><li>
Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues</li><li>
Service Providers in a multi-channel environment including call, dual chats, and email as required.</li><li>
Quickly and appropriately, triage, contacts from healthcare professionals (i.e. physician offices, clinics, billing offices)</li><li>
Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g. benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health)</li><li>
Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction</li><li>
Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner</li><li>
Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&amp;S, M&amp;R, E&amp;I) provider types, and call types</li><li>
Influence providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution</li></ul> 
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:<ul><li>
High School Diploma / GED OR equivalent work experience</li><li>
Must be 18 years of age OR older</li><li>
1+ years of customer service experience analyzing and solving customer's concerns</li><li>
Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications</li><li>
This position involves handling provider calls or concurrent chats, with an expected volume of 50 - 70 calls/chats daily. It requires full attention to work duties. Employees in this role must ensure they have uninterrupted work time during their shifts, except for scheduled breaks and lunch periods</li><li>
Available to work full-time (40 hours/week) Monday - Friday for any hours between 9:35am-6:05pm EST. It may be necessary, given the business need, to work some holidays, weekends, and/or overtime as business needs require.</li></ul> 
Preferred Qualifications:<ul><li>
Experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers as the primary job tools</li><li>
Health care experience and knowledge of healthcare terminology</li></ul> 
Telecommuting Requirements:<ul><li>
Reside within the state of North Carolina.</li><li>
Ability to keep all company sensitive documents secure (if applicable)</li><li>
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.</li><li>
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.</li></ul> 
Soft Skills:<ul><li>
Proficient in multi-tasking, including managing multiple conversations simultaneously.</li><li>
Skilled in quickly resolving calls and messages, effectively preventing escalated complaints.</li><li>
Strong time management skills.</li><li>
High emotional intelligence and empathy.</li><li>
Excellent active listening and comprehension abilities.</li><li>
Exceptional written communication skills.</li><li>
Demonstrated problem-solving, organizational, and interpersonal skills.</li><li>
Proven track record of consistently achieving quality and productivity standards.</li><li>
Typing Speed greater than or equal to 35-40 WPM with accuracy of 90%</li></ul> 
<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 
#RPO</div>

Provider Customer Service Call and Chat Representative

<div>This position is Remote in State of Arizona. You will have the flexibility to work remotely* as you take on some tough challenges.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
As a Provider Advocate, you'll play a crucial role in the healthcare industry by serving as the primary point of contact for healthcare providers. Your responsibilities include resolving issues efficiently, often on the first call, and providing support through various channels like calls and chats. You'll need to navigate multiple systems, collaborate with internal partners, and promote self-service digital tools to enhance provider satisfaction. Success in this role is measured by metrics such as first call resolution rate, provider satisfaction scores, and efficient issue resolution time. This dynamic position requires excellent multitasking, effective communication, and a deep understanding of healthcare processes.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:35am - 6:05pm PST. It may be necessary, given the business need, to work occasional overtime, weekends, and / OR some holidays.
We offer 11 weeks of paid training. The hours during training will be 8:00am - 4:30pm PST from Monday - Friday (subject to change based on trainer availability). Training will be conducted virtually from your home. 100% attendance is a must during training period. 
Primary Responsibilities:<ul><li>
Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues</li><li>
Service Providers in a multi-channel environment including call, dual chats, and email as required.</li><li>
Quickly and appropriately triage, contacts from healthcare professionals (i.e. physician offices, clinics, billing offices)</li><li>
Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g. benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health)</li><li>
Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction</li><li>
Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner</li><li>
Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&amp;S, M&amp;R, E&amp;I) provider types, and call types</li><li>
Influence providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution</li></ul> 
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:<ul><li>
High School Diploma / GED OR equivalent work experience</li><li>
Must be 18 years of age OR older</li><li>
1+ years of customer service experience analyzing and solving customer's concerns</li><li>
Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications</li><li>
This position involves handling provider calls or concurrent chats, with an expected volume of 50 - 70 calls/chats daily. It requires full attention to work duties. Employees in this role must ensure they have uninterrupted work time during their shifts, except for scheduled breaks and lunch periods</li><li>
Available to work full-time (40 hours/week) Monday - Friday for any hours between 9:35am-6:05pm PST. It may be necessary, given the business need, to work some holidays, weekends, and/or overtime as business needs require.</li></ul> 
Preferred Qualifications:<ul><li>
Experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers as the primary job tools</li><li>
Health care experience and knowledge of healthcare terminology</li></ul> 
Telecommuting Requirements:<ul><li>
Reside within State of Arizona.</li><li>
Ability to keep all company sensitive documents secure (if applicable)</li><li>
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.</li><li>
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.</li></ul> 
Soft Skills:<ul><li>
Proficient in multi-tasking, including managing multiple conversations simultaneously.</li><li>
Skilled in quickly resolving calls and messages, effectively preventing escalated complaints.</li><li>
Strong time management skills.</li><li>
High emotional intelligence and empathy.</li><li>
Excellent active listening and comprehension abilities.</li><li>
Exceptional written communication skills.</li><li>
Demonstrated problem-solving, organizational, and interpersonal skills.</li><li>
Proven track record of consistently achieving quality and productivity standards.</li><li>
Typing Speed greater than or equal to 35-40 WPM with accuracy of 90%</li></ul> 
<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 
#RPO</div>

Join UnitedHealthcare and explore 13   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

UnitedHealthcare

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