Support clinical operations, manage critical workflows, and help members navigate their care from anywhere in the U.S.
About UnitedHealth Group / Optum
Optum connects millions of members with the care, pharmacy benefits, and resources they need to live healthier lives. As part of Optum Health Risk Operations, this role ensures smooth transitions for members moving through the care continuum. You’ll support clinical teams, manage referrals and prior authorizations, draft determination letters, and serve as a key liaison between members, providers, and internal teams.
Schedule
- Full-time, 40 hours per week
- Monday through Friday, 10:00am – 7:00pm CST
- Occasional overtime as needed
- 12 weeks of paid training (schedule discussed on Day One)
- Remote within the U.S., must follow Telecommuter Policy
Responsibilities
- Draft NOA and NOE letters for government and commercial clients
- Make outbound calls to clients to initiate letter retrieval
- Follow regulatory, client, and accreditation requirements
- Select correct letter templates based on case details
- Provide administrative support across clinical workflows
- Maintain productivity, schedule adherence, and quality benchmarks
- Serve as a liaison for facilities, providers, and internal teams
- Manage referrals, prior authorizations, and written determinations
- Perform other duties assigned by leadership
Requirements
- High School Diploma, GED or equivalent experience
- Must be 18 or older
- 1+ year of office or customer service experience
- Proficiency with Microsoft Outlook, Word, and Excel
- Ability to learn new computer systems
- Flexibility to work outside standard hours when needed
- Able to work the required 10am–7pm CST schedule, plus Saturdays if needed
Preferred Qualifications
- Experience in an office or call center environment
- Experience in a medical setting (hospital, clinic, doctor’s office)
- Knowledge of medical terminology, ICD-10/CPT codes, Medicare/Medicaid
- Clerical or administrative support experience
- Bilingual English/Spanish fluency
- Healthcare experience
Telecommuting Requirements
- Secure, private workspace
- Ability to maintain confidentiality of all sensitive documents
- Reliable high-speed internet approved by UHG
Benefits
- Hourly rate: $17.74 – $31.63 based on experience and location
- Full medical, dental, and vision packages
- 401(k) with company contributions
- Stock purchase options
- Incentive and recognition programs
- Career development and internal mobility opportunities
Join a team that keeps the healthcare system moving and ensures members receive timely, accurate, and compassionate support.
Happy Hunting,
~Two Chicks…