Optum is a leading global organization dedicated to enhancing health care through innovative technology, supporting millions in their journey to a healthier life. By joining our dynamic team, you will play a vital role in improving health outcomes by connecting individuals with essential care, pharmacy benefits, data, and resources. Here, you’ll be embraced by a culture rich in inclusion, collaborate with talented colleagues, and enjoy comprehensive benefits along with growth opportunities for your career. Help us make a difference in the communities we serve as we work together to advance global health optimization. Together, let’s embrace the mission of Caring. Connecting. Growing Together.

In this role, you will oversee the installation and management of assigned contracts, engaging in various tasks such as constructing billing setups, collecting eligibility data, revising structures, and troubleshooting related issues. You’ll also be responsible for database management and the preparation of essential plan materials, including administrative documents and educational resources for customers. You may be tasked with investigating installation discrepancies and crafting customer-specific solutions while ensuring compliance with established quality and reporting standards.

This is a full-time position with a schedule from Monday to Friday, requiring an 8-hour shift within business hours of 8:00 AM to 5:00 PM PST. Occasional overtime or weekend work may be required based on business needs.

We offer paid on-the-job training with hours tailored to your schedule from Monday to Friday. If you’re situated in the Pacific Time Zone, enjoy the flexibility of working remotely while tackling challenging tasks.

Key Responsibilities:

• Manage intake processes and assist with various projects.
• Triage requests according to provider status.
• Maintain communication with Care Delivery Organizations and providers.
• Process and distribute diverse contract documents.
• Provide training to internal teams on systems.
• Use relevant data to identify and resolve problems in your expertise.
• Investigate non-standard requests with some supervision.
• Focus on tasks particular to your knowledge area.
• Organize and prioritize your workload to meet deadlines.
• Provide clear explanations and information regarding your areas of expertise.
• Perform other related tasks as assigned.

You’ll be recognized for your contributions in a stimulating environment that offers clear direction for success and opportunities for advancement in your career.

Essential Qualifications:

• High School Diploma or GED, or equivalent experience.
• Minimum 18 years of age.
• At least 2 years of experience in California’s Managed Care environment—such as IPA, physician office, hospital administration, or other health care-related industries.
• Familiarity working with healthcare claims.
• Proficient in computers and Windows-based software including Microsoft Office (Word, Excel, Outlook, Teams).
• Experience utilizing Microsoft SharePoint.
• This full-time role mandates employees work Monday through Friday from 8:00 AM to 5:00 PM PST, with potential overtime or weekend work as necessary.

Preferred Qualifications:

• Experience in provider contracting.
• Background in provider relations.

Telecommuting Requirements:

• Residency within the Pacific Time Zone is mandatory.
• Obligated to ensure the security of company-sensitive documents where applicable.
• Must maintain a dedicated, private workspace separate from living areas.
• Access to a UnitedHealth Group-approved high-speed internet connection is required.

Essential Soft Skills:

• Ability to follow instructions and guidelines.
• Strong organizational skills to prioritize and manage your workload effectively.
• Excellent verbal and written communication abilities.
• Attention to detail.
• Proficient in data analysis and interpretation with the capacity to make informed recommendations.
• Commitment to meeting deadlines while upholding quality standards.

All remote employees must comply with UnitedHealth Group’s Telecommuter Policy.

Compensation for this position ranges from $23.70 to $46.35 per hour for full-time employment, influenced by factors such as local labor market conditions, education, experience, and certifications. UnitedHealth Group is committed to adhering to all applicable minimum wage laws. Beyond a competitive salary, we provide a rich benefits package, including incentive and recognition programs, equity stock purchase opportunities, and 401k contributions (subject to eligibility requirements). No matter your starting point with UnitedHealth Group, you will uncover extensive benefits and incentives.

At UnitedHealth Group, our mission is to empower individuals to lead healthier lives and enhance the health system for everyone. We believe that everyone—regardless of race, gender, sexual orientation, age, location, or income—deserves the opportunity to achieve their best health. We recognize the barriers many face in accessing health care, particularly among marginalized communities and those with lower incomes. We are committed to addressing these disparities and strive towards delivering equitable care and improved health outcomes globally.

OptumCare is an Equal Employment Opportunity employer and upholds the principle of non-discrimination in employment practices, ensuring that all applicants are evaluated for their qualifications without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or veteran status, or any other characteristic protected by applicable laws.

In addition, OptumCare maintains a drug-free workplace; all candidates must successfully pass a drug test prior to beginning employment.