TPA Implementation Project Manager – National Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.   

Great sales are the result of strong purpose, conviction and pride – pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life’s best work.^SM

This position is full-time, Monday – Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given business need, to work occasionally overtime or weekends.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Manages ongoing contract relationships and service delivery to clients for one or more accounts
• Acts as outward-facing, dedicated resources for assigned accounts, typically with direct client contact (not call center) and large or complex accounts
• Build relationships with employer/group clients (not individual members) and serves as the primary point of contact for overall and day-to-day service delivery
• Represents client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs
• Generally, work is self-directed and not prescribed
• Works with less structured, more complex issues
• This function includes employees who are in dedicated on-site service roles
• Jobs in this function may work closely with sales on renewals and upselling, but incumbents do not have specific sales goal accountability or primary responsibility to close sales
• Serves as a resource for others

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:

• High School Diploma/GED (or higher)
• 2+ years of experience in a client-facing role (internal/external)
• 1+ years of experience with RxClaim to include all the following: Ability to research claims, ability to understand and communicate plan structures, ability to understand and communicate accumulator set ups
• 1+ years of experience using ServiceNow
• Intermediate level of proficiency with Microsoft Word (creating / updating documents) and Microsoft Excel (creating / updating spreadsheets, sorting, filtering and formulas)
• Ability to travel up to 10% of the time
• Ability to work peak time, November through February, with restricted PTO
• Ability to work our normal business hours from 8:00am to 5:00pm, Monday – Friday

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

• Experience in the pharmacy benefit management industry 
• Experience with implementation and/or managing pharmacy benefits

Soft Skills:

• Excellent verbal and written communication skills
• Demonstrates energy for what needs to be done and for overcoming challenges
• Demonstrates a coachable mindset
• Engages quickly, transfers and exchanges information and resources
• Gets energized by the new, different, and unique
• Self-starter that is motivated and able to work with ambiguous information
• Analytical thinking skills

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

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 $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

 

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.

 

 

#RPO #GREEN