Associate Care Consultant – Nationwide Remote

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 Associate Care Consultant will be responsible for managing the book of business of clients using the UMR external advocacy partnership that purchase medical management products (utilization management, some case management or other UMR programs).  In this role you will serve as a SME, research and respond to client claims issues and escalations.

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 the business need, to work occasional overtime or weekends.

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

Primary Responsibilities:

• Maintain a large book of business of customers who have purchased one or more care management products and serves as a subject matter expert for all Care Management related products and services and has overall ownership and accountability for the implementation and execution of Care management programs
• Support the UMR External Advocacy Vendor partnership
• Engages in the implementation process for new customers
• Research any and all issues that a customer may have regarding prior authorizations, denials, and appeals. Along with assisting in making appropriate referrals to case management and maternity management
• Educates and assists customers and account management on UMR care management products
• Participation in  meetings, identifying Care Management needs in existing clients, renewal  planning and increasing customer participation/engagement
• Presents Care Management related reporting, offering analytical support and strategic direction based on population, client targets, plan performance, and trend analysis, as needed
• Build and sustain positive relationships with internal and external partners through direct and indirect communication
• Communicate information in a clear, well-organized, and professional manner

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) 
• 3+ years of experience in healthcare insurance preferably in utilization management
• 2+ years of experience working directly with customers and/or providers in a health care setting
• Intermediate level of proficiency in Microsoft Word (create / edit docs), Microsoft Excel (create / edit spreadsheets), and Microsoft Outlook (email / calendar)
• Ability to work an 8-hour shift between 8:00am – 5:00pm including the flexibility to work occasional overtime per business need

Preferred Qualifications:

• Experience in utilization management
• Currently employed at UMR or solid knowledge of UMR

Soft Skills:

• Demonstrated knowledge and work expertise with managed care, and group health delivery systems
• Ability to learn internal technology tools/systems
• Problem solving skills
• Ability to navigate a complex organization to accomplish customer satisfaction 
• Solid team player
• Excellent oral and written communication skills
• Demonstrate ability to be a self-starter
• Ability to prioritize and complete assigned tasks with limited direction and supervision
• Solid communication skills (written and verbal)

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

For more information on our Internal Job Posting Policy, click here.

    

The salary range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

    

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.

   

    

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