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.
Primary Responsibilities:
- Be able to meet standard performance targets like Quality, TAT, NPS, etc.
- Eager to take on more responsibilities and should be able to execute the adhoc tasks
- Ensure compliance with internal policies and procedures, external regulations and information security standards
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
- B. Tech degree
- Maintains expert level knowledge of Eligibility process and provide inputs to Leadership on any process gaps that exist
- Understanding of Healthcare terminologies/concepts
- Proficiency with Microsoft Word and Excel
- Proven ability to clearly communicate and resolve customer/broker queries either through email/call.
- Proven good interpretation of SOP guidelines
- Proven work independently with minimum supervision and adhere to all process guidelines
- Proven ability to communicate process failures and propose remediation, as well as developing remediation plans in all variety of mediums (verbal, writing, PowerPoint)
- Proven excellent communication skills in both verbal & written
- Proven ability to work in permanent night shift and extended shift as per business need
- Proven attention to detail - should be quality focused
- Proven good Team player and ability to work with minimal supervision
- Proven solid computer skills, including working knowledge of MS applications and keyboarding skills
- Proven flexible and adapt basis business need
Preferred Qualification:
- Bachelor's degree (B. Com/BA) or equivalent experience is
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.
#NJP
Skills Required
- B. Tech degree
- Expert-level knowledge of eligibility processes
- Understanding of healthcare terminology and concepts
- Proficiency with Microsoft Word and Excel
- Ability to resolve customer or broker queries by email and phone
- Ability to interpret and follow SOP guidelines
- Ability to work independently with minimal supervision
- Ability to communicate process failures and develop remediation plans
- Excellent verbal and written communication skills
- Availability for permanent night shifts and extended shifts as needed
- Strong attention to detail and quality focus
- Teamwork skills
- Solid computer skills, including Microsoft applications and keyboarding
- Flexibility based on business needs
- Bachelor’s degree in B.Com, BA, or equivalent experience
Optum Compensation & Benefits Highlights
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Parental & Family Support — Paid parental leave (six weeks), paid caregiver leave (up to two weeks), Bright Horizons back-up care, and adoption assistance up to $10,000 are prominently included. Feedback suggests these family supports meaningfully aid work-life balance and are often highlighted as strengths.
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Retirement Support — A 401(k) with company match is available to all employees, including part-time staff, alongside other financial protections like disability and life insurance. Feedback suggests broad access and matching make retirement support a core pillar of the package.
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Equity Value & Accessibility — An Employee Stock Purchase Plan offers discounted company stock, with some roles also eligible for sign-on or performance bonuses. Feedback suggests the ESPP is a standout financial perk that helps employees build ownership over time.
Optum Insights
What We Do
Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.
