POSITION DESCRIPTION

At OPTUM, the mission is clear: Help people live heathier lives and help make the health system work better for everyone LHI is one of 4 businesses under OPTUMSERVE. OPTUMSERVE provides 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 doing YOUR LIFE'S BEST WORK.

This 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. This position is full-time (40 hours/week) Monday - Sunday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (open 24 hours per day, 7 days per week). It may be necessary, given the business need, to work occasional overtime. Our office is located at 10210 Windhorst Road, Tampa, FL 33619.

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
• 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 Line contacts

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.

CAREERS WITH LHI. Our focus is simple. We're innovators in cost-effective health care management. And when you join our team, you'll be a partner in impacting the lives of our customers, and employees. We've joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We're located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We're supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission-driven focus. For you, that means one incredible team and a singular opportunity to do YOUR LIFE'S BEST WORK. SM PLEASE NOTE THE SIGN ON BONUS IS ONLY AVAILABLE TO EXTERNAL CANDIDATES. CANDIDATES WHO ARE CURRENTLY WORKING FOR A UNITEDHEALTH GROUP, UNITEDHEALTHCARE OR RELATED ENTITY IN A FULL TIME, PART TIME, OR PER DIEM BASIS ("INTERNAL CANDIDATES") ARE NOT ELIGIBLE TO RECEIVE A SIGN ON BONUS. 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.

REQUIRED QUALIFICATIONS:

• High School Diploma / GED (or higher)
• Customer service experience
• United States Citizenship
• Ability to obtain favorable adjudication following submission of Defense Health Agency eQuip Form SF86

PREFERRED QUALIFICATIONS:

• Ability to create, copy, edit, save and send documents utilizing Microsoft Word, Microsoft Excel, and Microsoft Outlook
• 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

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.