You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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 10 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 & Performance.
The Prior Authorization Quality Auditor is responsible for all aspects of quality assurance within the Customer Service job family. As a Prior Authorization Quality Auditor you will be responsible for conducting audits and providing feedback to reduce errors and improve processes and performance.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 8:00 AM – 4:30 PM. It may be necessary, given the business need, to adjust daily schedule, work occasional overtime, and / or weekends. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Responsible for quality assurance by conducting audits of calls of Customer Service Representatives
- Provide feedback to team members on audit results
- Analyze information and utilize to build recommendations to reduce errors and improve process performance
- Create, maintain and track reports in relation to performance
- Serve as subject matter resource to team members, supervisors and management staff
- Ability to audit across several departments, including call, claim, eligibility, intake and system configuration. Position would require familiarity with training / mentoring, as this role would work with Service Center Advocates on performance gaps found in audits.
- Positions in this function are responsible for all aspects of quality assurance within the Customer Service job family. Conduct audits and provide feedback to reduce errors and improve processes and performance
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)
- 3+ years of Prior Authorization Call Center experience
- Must be within Optum – Shared Services
- Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook (ability to write letters in documents, ability to enter items into spreadsheets, and ability to manage calendars and send email correspondence)
- Ability to work any 8-hour shift between the hours of 8:00 AM – 4:30 PM from Monday – Friday including the flexibility to adjust daily schedule, work occasional overtime, and / or weekends based on business need
Preferred Qualifications:
- Understanding of Call Center Workflows
- Bilingual Fluency in English and Spanish
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.