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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
This role will help support a team that performs reviews of contracts and underwriting documents to ensure accurate information is distributed to various teams to setup or update a client. During reviews, if any variances are identified, you will work closely with other teams to research and ensure corrections are completed. Attention to detail, great time management, excellent communication, organizational, and problem-solving skills are necessary to excel in this role.
Primary Responsibilities:
- Review complex contracts against Underwriting documents and ensure 100% accuracy in the comparison within the established timeframes.
- Analyze, collect, review, and validate supporting documentation for reviews completed and save for Sarbanes-Oxley Audit requirements
- Share and submit case status, resolution times, and other relevant information to leadership
- Triage requests and determine the next steps to complete the reviews
- Determine where to send any/all potential variances identified within the review
- Document complete and concise notes within the Service Now system
- Ensure accurate data entry based on research
- Ensure all required documentation is attached to the case file
- Identify and obtain additional information needed to make an appropriate determination
- Generate effective emails to the business partners to obtain decisions when appropriate
- Prioritize work based on due date and run applicable work list reports to monitor workload
- Plan, prioritize, organize, and complete work to meet established and required timeframes
- Solve moderately complex problems independently
- Meet quality and productivity expectations
- Ad hoc assignments as needed
*** ENGLISH PROFICIENT ASSESSMENT WILL BE REQUIRED AFTER APPLICATION ***
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 experience in a production environment
- Experience in an office setting environment using the computer as the primary instruments to perform job duties
- Experience with Microsoft Tools: Microsoft Word (creating memos, writing), Microsoft Outlook (setting calendar appointments, email) and Microsoft Excel (creating spreadsheets, filtering, navigating reports)
- Demonstrated high attention to detail including ability to manage multiple, competing priorities simultaneously
- Spanish and English oral and written communication skills
- Ability to work independently and possess solid analytical skills
- Ability to work 40 hours / week during standard business operating hours Monday - Saturday from 8am - 8pm AST (It may be necessary, given the business need, to work occasional overtime on weekends and holidays)
Preferred Qualifications:
- Audit experience
- Familiar with healthcare industry terminology
- Familiar with Contract interpretation
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Skills Required
- 1+ years of experience in a production environment
- Experience working in an office environment using a computer as the primary work instrument
- Experience with Microsoft Word, Microsoft Outlook, and Microsoft Excel
- High attention to detail and ability to manage multiple competing priorities
- Spanish and English oral and written communication skills
- Ability to work independently and demonstrate solid analytical skills
- Availability to work 40 hours per week during standard business hours Monday through Saturday, 8 a.m. to 8 p.m. AST, including occasional overtime
- Audit experience
- Familiarity with healthcare industry terminology
- Familiarity with contract interpretation
Optum Compensation & Benefits Highlights
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Leave & Time Off Breadth — PTO is generally described as decent or good, and many note it as a strong part of the package. Actual ability to take time off can depend on workload and team coverage.
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Retirement Support — Offerings include a 401(k) with employer match and access to an employee stock purchase plan, which are highlighted as meaningful components of total rewards. These programs are consistently referenced among core benefits.
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Parental & Family Support — Parental and caregiver leave, along with adoption assistance, are publicly highlighted and viewed as notable elements of the package. Availability can be role-specific, but these supports contribute to overall breadth where offered.
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.