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 Client Services Consultant provides a single point of contact for the member's needs, offering a one-call resolution when appropriate, thereby reducing the need for transfers and hand-offs. These highly trained professionals, knowledgeable in the specifics of the customers health plan offerings, benefits, and culture will understand the needs of the member. They offer personalized suggestions and connections to members, helping them receive the right level of service at the right time.
If you are located within a commutable distance to our Las Vegas, NV office, you will have the flexibility to work a hybrid schedule as you take on some tough challenges.
Primary Responsibilities:
- Serve as an on-site resource to Las Vegas clients and their employees/members in the identification and the resolution of a variety of issues or concerns to include eligibility, access, eligible services, plan interpretation, medical management, disease management & case management services as well as service delivery, claims questions, etc
- Responsible for excellent service by responding to the largest most complex service issues and inquiries, solving non-routine problems, and ensuring client satisfaction with products and services in an onsite role capacity. Based at client properties located in the greater Las Vegas, NV service area. Serves as an expert providing daily on-site guidance and expertise to client's employees. Coordinates with the client's benefits team, reporting manager, as well as assigned UMR account management team to ensure needs are met and potential problems are averted
- Collaboration with the UMR account management team to include attending meetings and/or scheduled calls, taking notes and keeping them informed of client activities, events, trends and account status
- Answer benefit questions and ensure clients/members understands their UMR administered benefit plan
- Provide information on clinical resources available across client's population
- Assist in scheduling provider appointments
- Educate on preferred healthcare providers to optimize steerage
- Educate on client's specific resources and point solutions
- Works to resolve any claim issue, including contacting providers if necessary
- Increase engagement with programs through "teachable moments"
- Fosters a personal relationship with client/member to build trust and confidence
- Increases health literacy of members by continuous education
- Supports online and mobile technology by teaching how and when to use
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
- 2+ years of experience working with claims and eligibility systems within the healthcare insurance industry
- Intermediate level of proficiency utilizing MS Office (Microsoft Word, Excel, Outlook)
- Able to travel locally approximately 25% of the time (within the Las Vegas, NV area)
- Ability to work evenings and weekends, as needed
- Ability to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasionally overtime or weekends
- Must be 18 years of age or older
- Access to reliable transportation & valid US driver's license
Preferred Qualifications:
- Bilingual fluency in English and Spanish
- Intermediate level of proficiency utilizing Microsoft PowerPoint
*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 $23.89 to $42.69 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.
#RPO #Yellow
#BI-Hybrid
Skills Required
- High School Diploma/GED
- 2+ years of experience in healthcare insurance claims and eligibility systems
- Intermediate level of proficiency in MS Office
- Able to travel locally approximately 25% of the time
- Access to reliable transportation and valid US driver's license
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.