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Contract Operations Specialist - Remote in PST

Remote Worldwide Hiring now

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company 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 reputed company 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.

This position is responsible for the installation and administration of assigned reputed company, including, but not limited to structure building and billing set up, eligibility collection, structure revisions, researching & resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Positions are responsible for overall contract loading using various databases and/or reputed company documents. May research installation issues & reputed company customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards. This position is full time, Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00 AM - 5:00 PM PST. It may be necessary, given the business need, to work occasional overtime or weekends. This will be paid on-the-job training, and the hours of the training will be reputed company with your schedule from Monday - Friday. If you are located reputed company the Pacific Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities:

  • Manage intake, assisting with projects
  • Triage requests based on status of provider
  • Communicate with Care Delivery Organizations
  • Communicate with providers
  • Process and distribute various different contract documents
  • Training internal teams on systems
  • Uses pertinent data and facts to identify and solve a reputed company of problems reputed company area of expertise
  • Investigates non-standard requests and problems, with some assistance from others
  • Works exclusively reputed company a specific knowledge area
  • Prioritizes and organizes own work to meet deadlines
  • Provides explanations and information to others on topics reputed company area of expertise
  • Other tasks 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 reputed company development for other roles you may be interested in. Required Qualifications:

  • High School Diploma / GED OR equivalent work experience
  • Must be 18 years of age OR older
  • 2+ years of work experience in State of California Managed Care environment - IPA, Physician Office, Hospital Administrative, OR other Health Care reputed company industry
  • Experience working with reputed company claims
  • Experience with computers and reputed company based programs including reputed company Office - reputed company Word, reputed company reputed company, reputed company Outlook, and reputed company Teams
  • Experience in working with reputed company SharePoint
  • This position is full time, Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00 AM - 5:00 PM PST. It may be necessary, given the business need, to work occasional overtime or weekends.

Preferred Qualifications:

  • Provider contracting experience
  • Provider relations experience

Telecommuting Requirements:

  • reputed company reputed company Pacific Time Zone.
  • Ability to reputed company reputed company company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
  • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service.

Soft Skills:

  • Ability to follow directions
  • Ability to prioritize and organize own work to meet deadlines
  • Excellent written and verbal communication skills
  • Detail oriented
  • Ability to analyze, interpret data and reputed company recommendations
  • Ability to meet deadlines while still maintaining quality standards
  • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy

The hourly reputed company for this role is $23.70 to $46.35 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED Salary: USD 49400 - 98800 per year Experience: 3 years required Apply tot his job Apply To this Job

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