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UnitedHealth Group Provider Service Representative - Las Vegas, NV and US Telecommute in Las Vegas, Nevada

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 and Performance.

Primary Responsibilities:

  • Assist in end - to - end provider claims and help enhance call quality

  • Assist in the design and implementation of programs that build / nurture positive relationships between the health plan, providers and practice managers

  • Act as a technical resource to others

  • Support development and management of provider networks

  • Help implement training and development of external providers through education programs

  • Identify gaps in network composition and services to assist network contracting and development teams

  • Extensive work experience within own function

  • Work is frequently completed without established procedures

  • Work independently

  • May act as a resource for others

  • May coordinate others' activities

Required Qualifications:

  • High School Diploma / GED (or higher)

  • Must be available to work a scheduled 8 hour shift between 8:00am and 5:00pm, Monday through Friday with the possibility of overtime depending on business needs. Overtime could be before, after, or on a different day than regularly scheduled shift

  • 1+ years of experience in a Pharmacy or PBM environment

  • 2+ years of experience using Rx Claims System

  • 1+ years of experience creating, sorting, and reading data in Microsoft Access databases

  • 2+ years of experience opening, creating, saving, and sending emails and folders within Microsoft Outlook

Preferred Qualifications:

  • 2+ years of experience in a Pharmacy or PBM Environment

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life’s best work .

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.

Keywords: Microsoft Office, Claims RX, Customer Service, Research, Claims, Optum, OptumRx, UnitedHealthcare, UnitedHealthcare Group

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