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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Coordinating the execution of audits performed by our clients and regulatory/government agencies
• Working with internal business partners and government auditors
• Determine the appropriate scope, timing and logistics of the audits
• Prepare audit requests for documentation or data universes as required
• Developing a consistent audit process to ensure all outside audits are effectively managed
• Analyzing the root cause of issues and aiding in development of appropriate action plans
• Providing updated statuses on audits assigned
• Creating audit documentation
• Develop and give basic presentations
• Assisting in or leading various special projects as directed by the Manager of Government Programs Audit Support

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 (or higher)
• 2 years of claims processing experience
• 2 years of experience with Microsoft Excel (creating, updating spreadsheets, formulas, and pivot tables)
• 1 years of experience with Claims Processing and/or Medicare Part D Operations
• Ability to travel as required (less than 5%)

Preferred Qualifications:

• 1 years of experience with Medicare Part D Regulatory Guidance
• 1 years of experience with knowledge of Prescription Drug Event (PDE)
• Experience managing multiple projects and competing deadlines

Soft Skills:

• Ability to communicate clearly and professionally in both oral and written communication 

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii or Washington Residents Only:The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washingtonresidents is $23.22 to $45.43 per hour.Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable.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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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.

#rpo #green