If you are located within Eastern Time Zone , you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

Energize your career with one of Healthcare’s fastest growing companies.

You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

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

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

Primary Responsibilities:

• Ensuring quick response and follow-up to client inquiries, including returning phone calls and emails within 2 hours and attempted resolution of all issues in less than 24 hours. Follows-up with client within 24 hours after issue resolution.
• Manage EGWP eligibility and enrollment
• Load report review oversight of client reporting
• Participate in culture training
• Assist Communications Specialist with research to support response to written requests from Plan Members with 5 business days
• Manage and load administrative overrides in accordance with clients benefit and policy
• Identify, track and report global issues to Account Management and assist with root cause analysis and issue resolution process
• Assisting in client training for remote system access and reporting.
• Assist Account Manager with monitoring tactical, day to day management of assigned State client
• Participates and assists with coordination of client sponsored events. Cultivating in-group growth through these relationships.
• Understanding and executing the client contract according to the terms and conditions
• Staying abreast of industry trends and developments
• Supporting client open enrollment process by helping preparing communication materials and attending open enrollment meetings.
• Following all policies and procedures related to job responsibilities and participating in the development and maintenance of policies and procedures
• Assisting in the client specific implementation
• Providing regular feedback to management team regarding client requirement status and business development opportunities.
• Other duties as assigned

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:

• Associate's degree (or higher) OR equivalent experience.
• 2+ years’ Pharmacy Benefit Management (PBM), or Client-account management in healthcare, managed care, or pharmaceutical industry (CLIENT FACING EXPERIENCE TO CONDUCT/FACILITATE MEETINGS VIA PHONE, EMAIL, VIDEO, IN-PERSON)
• Experience and knowledge with Employee Group Waiver plans or Medicare Part D requirements
• Experience and knowledge with Part D vs Part B prescription drug coverage.
• Knowledge of CMS guidelines and regulations
• 2+ years of experience with pharmacy claims analysis
• Basic proficiency using MS Office applications (Teams, Excel, Word, Outlook, and PowerPoint)
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Telecommuting Requirements:

• Reside within Eastern Time Zone
• 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

Soft Skills:

• Excellent organizational skills
• Ability to handle multiple tasks
• Communication and interpersonal skills

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work. SM

Connecticut Residents Only: The salary range for Connecticut residents is $28.85 - $51.30. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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