Clinical Administrative Coordinator

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

The Clinical Administrative Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, delivering excellent customer service. Supports the teams in meeting state compliance goals.

This is for a full-time (40 hours/week) Telecommute position in the United States.  The schedule is Monday through Friday, an 8-hour shift between the hours of 8:00 am to 4:30 pm EST.  It may be necessary, given the business need, to work occasional overtime.

If you reside in the state of Massachusetts, New Hampshire, or Rhode Island, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.

10%25 of expected travel within Massachusetts.

Primary Responsibilities:

• Provide exceptional customer service
• Manage administrative intake and data entry for clinical team of membership
• Work with providers and / or the clinical team to manage request for long term and respite services
• Manage notifications, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
• Receive care coordination notification cases for non - clinical assessment / intervention and provide appropriate triage
• Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
• Process and distribute custom reports to providers and clinical staff
• Multitasking with multiple platforms and applications
• Inbound / outbound phone calls to providers other internal departments to assist with notifications, documentation

What are the reasons to consider working for UnitedHealth Group?  Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
• 1+ years of experience using the telephone and computer as primary instruments in workplace setting
• 1+ years of healthcare administration experience
• Intermediate level of proficiency using a computer and Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort, filter, and work within tables), and Microsoft Outlook (email and calendar management)
• Ability to work Monday – Friday, 8:00 am - 4:30 pm
• Reside within Massachusetts, Rhode Island, New Hampshire
• Willing and able to travel 10%25 within Massachusetts

Preferred Qualifications:

• 1+ years of experience working with health care insurance AND/OR medical claims, medical research or medical terminology
• 1+ years of clerical OR 1+ years of administrative support background
• 1+ years of experience working with Medicare and/or Medicaid Services
• Associate or Bachelor’s degree
• Experience with medical terminology or medical research experience
• Claims and/or healthcare insurance experience

Soft Skills: 

• Ability to work independently and as a team, and maintain good judgment and accountability 
• Demonstrated ability to work well with health care providers 
• Strong organizational and time management skills 
• Ability to multi-task and prioritize tasks to meet all deadlines 
• Ability to work well under pressure in a fast-paced environment 
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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