Job Description

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Like you, Optum, part of the UnitedHealth Group family of businesses is solid on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact.
We are looking for an immediate joiner who should have relevant exposure to Investigations Process with evidence gathering through fact finding and analysis.
Primary Responsibility:

• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• Undergraduate / Postgraduate can apply (Except Medical Science & Life Science graduates)

• Knowledge of (HIPAA) laws pertaining to confidentiality of protected health information

• Extremely well versed with MS Office tools (Excel, Word & PowerPoint)

• Proven ability to identify documentation and medical record form(s) and make independent decisions within the scope of one's job responsibilities

• Proven good data analytical skills combined with excellent communication skills

• Proven to be detail oriented and ability to be self-motivated to complete duties in a timely manner

• Proven ability to work in a team environment and to collaborate with a variety of professionals

• Proven attention to detail with solid organizational skills

• Proven basic analytical skills
• Ability to work occasional off-hours schedules as required

Preferred Qualification:

• Experience in healthcare domain

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.
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