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UnitedHealth Group Customer Service Representative - Remote within Costa Mesa, CA in Costa Mesa, California

Training classes start soon – apply today!

You’ve heard this all your life. Trust matters. Being trusted matters a lot. Here at OptumRx we’ve earned the trust of more than 65 million people who rely on us for the prescription drugs that improve their health and lifestyle. Now, we trust that you can take advantage of some of the best training and tools in the world to help serve our customers and their care providers. You’ll take as many as 50 to 70 calls per day from members who have questions about their prescriptions and you’ll use your personality and our tools to make each call successful. This is no small opportunity. This is where you can bring your compassion for others while building your career. 

This position is full-time (up to 40 hours/week) Sunday- Saturday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of 5:00am-10:00pm. The initial training shift will be 8:00am-5:00pm Monday-Friday. It may be necessary, given the business need, to work occasional overtime. Our office is located at 3515 Harbor Blvd., Costa Mesa, CA.

Training will be conducted virtually from your home. (temporary working from home).

What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/

There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding next steps including any pre-employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: http://uhg.hr/OurApplicationProcess

Primary Responsibilities

  • Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries

  • Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries

  • Ask appropriate questions and listen actively while documenting required information in computer systems

  • Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders

  • Make outbound calls to customers on prescription orders and payment issues

This role is equally challenging and rewarding. You’ll be called on to research complex issues pertaining to member prescription and /or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.

To learn even more about this position and hear from our other Pharmacy Customer Service Representatives, click here to watch a short video: http://uhg.hr/pharmCSRvideo

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 Equivalent work experience

  • Minimum of 2+ years of combined education, work and/or volunteer experience.

Preferred Qualifications:

  • Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)

  • Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations)

  • Customer Service experience

  • Capable to begin employment in work at home status. Systems supplied by Optum/UHG for new employees

  • Proven capabilities working in Digital platforms and systems. Web, Chat, email.

  • Adult Learning in virtual environment

Telecommuting Requirements:

  • Reside within commutable distance from Costa Mesa, CA

  • 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

Helping create positive customer experiences for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life’s best work. SM

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. SM

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.

Keywords: UnitedHealth Group, OptumRX, training class, customer service representative, customer service, CSR, Pharmacy, PBM, Pharmacy Benefit Management, inbound calls, Call Center

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