About The Company
Optum is a global organization dedicated to improving health outcomes by leveraging technology to deliver high-quality care. We assist millions of people in living healthier lives by connecting them with essential care services, pharmacy benefits, data, and resources. Our culture is built on inclusion, collaboration, and continuous career development, offering talented professionals an environment where they can thrive.
As part of UnitedHealth Group, we are committed to innovation and excellence, striving to make a meaningful impact on the communities we serve by advancing health optimization on a global scale.
About The Role
This full-time remote position offers flexibility to work from various locations including District of Columbia, Washington D.C., Maryland, and Virginia. You will be a vital member of our clinical support team, responsible for ensuring customer satisfaction through informative, productive, and positive interactions with members and providers.
Your role involves live outreach to educate members about program benefits and services, managing member cases, and supporting care coordination efforts. The position requires availability during normal business hours from 8:00 am to 5:00 pm EST, with occasional overtime as needed. Training is provided virtually over three weeks.
Qualifications
High School Diploma, GED, or equivalent work experience
Valid driver's license
Minimum age of 18 years
At least 1 year of customer service experience analyzing and resolving customer issues
Minimum 1 year experience in a telephonic customer service role, such as a call center
Proficiency in Microsoft Word and Excel, including document and spreadsheet management
Ability to travel up to 25% domestically
Ability to work full-time with flexibility during business hours and occasional overtime
Preferred: Call center experience
Preferred: Knowledge of ICD-9 and CPT codes
Preferred: Clerical or administrative support background
Preferred: Experience in a metric-driven work environment
Preferred: Experience with Medicare and/or Medicaid services
Preferred: Experience within the healthcare industry and health insurance
Telecommuting requirements: Residence within specified geographic areas, secure workspace, and high-speed internet connection
Strong independent work capability and time management skills
Ability to multitask, including typing and navigating multiple screens simultaneously
Responsibilities
Manage member intake and admission/discharge information post-notification
Collaborate with hospitals, clinics, facilities, and clinical teams to handle service requests from members and providers
Oversee the referral process including intake, notification, census roles, and prior authorizations
Provide appropriate triage and care coordination notifications for non-clinical assessment and interventions
Address and resolve inquiries from members and providers in a high-volume customer service environment
Maintain efficiency, productivity, and thoroughness in all member interactions over the phone
Participate in performance recognition programs and pursue development opportunities within the organization
Adhere to UnitedHealth Group’s Telecommuter Policy and maintain confidentiality of sensitive information
Benefits
Comprehensive benefits package including health, dental, and vision coverage
Incentive and recognition programs
Equity stock purchase plan
401(k) retirement savings plan with company contributions
Three weeks of paid virtual training
Opportunities for career growth and development
Flexible remote work arrangement
Equal Opportunity
UnitedHealth Group is an Equal Employment Opportunity employer. We provide equal consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other characteristic protected by applicable local, state, or federal laws, rules, or regulations. We are committed to creating an inclusive environment that values diversity and promotes equity.
UnitedHealth Group is a drug-free workplace, and candidates must pass a drug test prior to employment.