Job Description

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.** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Oversee the implementation of regulatory requirements and accreditation standards. This includes utilizing a workflow management platform to organize, analyze, and track incoming information, as well as collaborating with other teams to clarify the information and communicating changes to stakeholders + Assess, research, and respond accurately and clearly to compliance inquiries by the given deadline. If a compliance issue is found, work on a remediation plan + Prepare for and act as subject matter expert (SME) in response to inquiries and audit requests. This includes becoming familiar with regulatory requirements, becoming familiar with OptumRx policies and processes, and maintaining tools to ensure alignment between them all + Oversee the creation and maintenance of policies and procedures, for example analyzing policy content for accuracy and consistency and making edits + Support Optum Licensing by providing accurate and timely responses + Assist as needed with audit-related activities by promptly prioritizing requests to locate and provide information to audit teams 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:** + 1+ years of direct experience with prior authorizations within a PBM, including experience using prior authorization management system and claims platform + Experience writing and editing with a high level of proficiency, for example, writing a detailed research paper, white paper, position paper, training documents, or other complex documents + Experience demonstrating a high level of organization skill, self-motivation, and ability to prioritize, such as managing multiple tasks or projects with various deadlines + Experience in any of the following: team lead, project lead, project management experience, or other problem solving or resolution experience + Audit, regulatory, or legal work experience + Basic proficiency in MS/Office programs including Word, Excel, and PowerPoint + Proven effective verbal, presentation, and facilitation skills, such as presenting information and Q&A to large groups, or presenting status updates and solutions to senior leaders **Preferred Qualification:** + Experience with organizational tools such as OneNote, Visio, SharePoint, Access, or MS Project *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $71,600 to $140,600 annually 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. **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._

Job Tags

Minimum wage, Full time, Work experience placement, Local area, Remote job,

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