Job Description

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.

If you want to achieve more in your mission of health care, you must be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work. (sm)

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive, and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact. The Clinical Administration Coordinator must reside within a commutable distance to Milwaukee, Wisconsin.

The Clinical Administrative Coordinator will work in a customer service environment. You'll need to be efficient, productive, and thoroughly deal with our members over the phone. Positions in this function include those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles. *Employees in jobs labeled with 'SCA' must support a government Service Contract Act (SCA) agreement.

The work schedule is Monday through Friday from 8:00AM to 4:30 PM. No nights, weekends, or holidays.

If you reside near Milwaukee, WI, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Office-Based in Milwaukee, WI 1-2 days per week. The remaining days will be telecommute.

Primary Responsibilities:

• Extensive work experience with Medicaid community
• Maintain 100% adherence to State contract, CMS requirements, and Product & Program Requirement
• 100% adherence to submission timelines of scheduled department reports, assigned metrics and state deliverables
• Monitor the timely receipt and accuracy of State assessments received from Service Coordinators while demonstrating compliance to ensure that all internal and State deadlines are met
• Act as an advocate for our membership and establish effective working relationships with our providers to service our members, ensuring all federal, state and company regulations, policies, and expectations are followed
• Proactively seek the root cause of member and provider issues and promptly communicate with all appropriate business segments of identified issues and potential solution
• Providing essential administrative support to Service Coordinators as a member of the Service Coordination team through spirit of collaboration to ensure efficiency in all administrative areas
• Manage administrative intake of members
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
• Process incoming referrals, and prior authorizations, including intake and notifications
• Moderate work experience within own function
• Some work is completed without established procedures
• Basic tasks are completed without review by others
• Supervision/guidance is required for higher level tasks.

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
• 1+ years of customer service experience
• 1+ years of administrative work experience
• 1+ years of experience within the healthcare industry
• Intermediate level of computer proficiency to include MS Word, Excel, and Outlook and multiple web applications

Preferred Qualifications:

• Experience working in a hospital, physician's office or medical clinic setting

Soft Skills:

• Excellent time management, organizational, and prioritization skills
• Able to take initiative and work independently in a fast-paced environment
• Strong interpersonal skills
• Positive and can-do attitude
• Strong communication skills and excellent critical thinking skills
• Strong team player skills and ability

*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 hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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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