Position Description:At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyoneLHI is one of 4 businesses under OptumServe. OptumServeprovides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans. By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system.LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on-location services, patient-specific in-clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doingyour life's best work.
position requires ACHA Level II Background checks (fingerprinting) by the State
of Florida for all Clinicians that have face-to-face contact with members and
will require renewal every five years.
Please Note:In order to be considered for this position, you must be able to obtain an SF86 Position of Trust which is only available to U.S. Citizens. Our Facilities Security Officer will initiate this process post-offer acceptance. Failure to obtain this will result in termination from this role. Primary Responsibilities:Support the continuum of care for TRICARE Beneficiaries by
scheduling a variety of medical services in accordance with customer
availability, Military Treatment Facility (MTF) capabilities and contract
guidelines. Respond to a variety of inquiries and resolves issues with
regard to TRICARE eligibility in a timely manner while maintaining sensitivity
toward military culture. Conduct customer contacts related to beneficiary support,
referral follow-up, education and resource inquiries primarily for the Spanish
speaking community. Identify potential emergent concerns and follow contract
specific protocol connect beneficiaries to the TRICARE NAL clinical team. Maintain constant awareness of service level and queue
status in order to meet contractual requirements. Support the continuum of care related to Global Nurse Advice
Required Qualifications: High School Diploma / GED (or higher) Bilingual with English and Spanish (must be proficient) Customer service experienceAbility to create, copy, edit, save and send documents utilizing Microsoft Word, Microsoft Excel, and Microsoft Outlook A private designated work space and high speed internetComfortable working one or more of the
following shifts with weekends and holidays possible = 1st shift
comfortable working an 8 hour shift between hours of 5:00am-6:30pm. 2nd
shift comfortable working an 8 hour shift between hours of
12:00pm-10:00pm. 3rd shift comfortable working an 8 hour shift between
hours of 6:00pm-9:30am United States Citizenship Ability to obtain favorable adjudication following submission of Defense Health Agency eQuip Form SF86Preferred Qualifications: Experience working in the Healthcare Industry Experience working with Medicaid or Medicare Experience working in a call center environment Prior military or TRICARE Beneficiary experience Careers with Optum. Here's the idea. We built an entire organization
around one giant objective; make the health system work better for everyone. So
when it comes to how we use the world's large accumulation of health-related
information, or guide health and lifestyle choices or manage pharmacy benefits
for millions, our first goal is to leap beyond the status quo and uncover new
ways to serve. Optum, part of the UnitedHealth Group family of businesses,
brings together some of the greatest minds and most advanced ideas on where
health care has to go in order to reach its fullest potential. For you, that
means working on high performance teams against sophisticated challenges that
matter. Optum, incredible ideas in one incredible company and a singular
opportunity to do your life's best work.
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
UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment.
Keywords: UHG, Miami, Healthcare, Customer Service, Bilingual, Spanish
See job description.