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.
Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed, These traits can take you places. Our Quality Management team is a focal point of OptumRx which drives exceptional service behaviors, processes, and practices for our clients and members. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. The Sr. Auditor is responsible for auditing member calls and non-call processes to ensure compliance to operational guidelines and adherence driving increased customer satisfaction and NPS across the OptumRx client base. Most auditors complete approximately 550 audits monthly.
Specifically, our team requires that the candidate complete quality audit reviews of calls and non-call work to ensure the operational team members are accurately servicing our members. They will listen to the call or review the process to score the operational teams on different attributes that are important to the business to ensure the member is receiving accurate and great customer service. In addition, they may need to perform other duties as assigned.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Complete quality review of call accuracy and process accuracy
- Identify defects and properly score the audit form
- Provide feedback as necessary to the operations team member and leadership
- Perform other duties as assigned
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)
- 1+ years of experience working within Microsoft Excel with the ability to filter and sort
- Background reviewing and preparing documentation needs
Preferred Qualifications
- Bachelor's Degree (or higher)
- 2+ years in the healthcare industry or related experience
- Prior authorization work experience
- Quality auditing experience
- Knowledge and/or experience with call center or customer service
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The hourly range for this role is $19.47 to $38.08 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.
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.
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