Senior SCA Clinical Administrative Coordinator - National Remote

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.

The Clinical Support Coordinator (CSC) is responsible for assuring the quality of clinical service is maintained through evaluation of Compensation and Pension (C&P) document requests and approving Veterans Benefits Administration (VBA) order requests.

Based on contract guidelines, the CSC determines the appropriate Disability Benefit Questionnaires (DBQ) to assign to specified health conditions identified during order request review.

Accurate review of the Veteran’s claims file and correctly labeling relevant evidence ensures pertinent information is identified during claims file bookmarking, alerting Providers and allowing timely and accurate completion of the DBQs by the examiner.

The CSC is responsible for timely work, positively affecting the life-cycle of the order. The CSC will collaborate with subject matter experts (SME), CSCII, Leads, and Supervisors to ensure completion of work aligns with established production and quality standards.

This position is full-time, Sunday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 06 : 00am 06 : 00pm CST.

It may be necessary, given the business need, to work occasional overtime.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

• Conduct accurate and timely review of records
• Evaluate and interpret order requests
• Quality set-up of order request to aid Provider in exam review
• Claims file review and identification of relevant evidence
• Quality claims file bookmarking to aid Provider in exam review
• Request clarification for errors and / or requests not meeting contractual requirements
• Identify trends of new or changing order items
• Participates in projects and team meetings
• Perform detailed work with a high degree of accuracy
• Maintains confidentiality of sensitive information
• Conduct task completion via automated workflow

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
• Must be 18 years of age OR older
• Working knowledge of technical writing
• Ability to interpret medical documentation
• Working knowledge of windows base data base
• Ability to identify lab results and ancillary services
• Knowledge of healthcare documentation to include medical, behavioral, and psychological terminology
• Experience using a computer and Microsoft Office - Microsoft Word to create, copy, edit, send, and save documents
• Experience using a computer and Microsoft Office - Microsoft Excel to create, copy, edit, send, and save documents
• Experience using a computer and Microsoft Office - Microsoft Outlook to create, copy, edit, send, and save items
• Ability to work any of our 8-hour shift schedules during our normal business hours of 06 : 00am 06 : 00pm CST, Sunday - Saturday.

It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications :

• Ability to type 40+ words per minute
• Experience navigating Microsoft Teams
• Knowledge and understanding of CPT and ICD coding
• Experience with traumatic brain injuries, neuropsychological testing, occupational health or behavioral health

Telecommuting Requirements :

• Ability to keep all 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 UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Soft Skills :

• Demonstrated leadership experience
• Excellent verbal and written communication skills along with the ability to work with a diverse group of people / disciplines at all levels of the organization
• Strong organizational and time management skills, as well as detail oriented work with a high level of accuracy and ability to work independently
• Proven ability to prioritize projects, meet critical deadlines and multi-task while working in a fast paced environment
• Must be able to implement problem solving skills to facilitate timely completion of required responsibilities for a wide range of cases and duties
• Demonstrates proficient knowledge in basic departmental tasks, office procedures and terminologies
• Ability to anticipate potential problems
• Demonstrates a coachable mindset
• Ability to avoid distractions and remain focused
• Ability to assess and implement appropriate decision strategy
• Ability to explore solutions collaboratively
• Ability to navigate ambiguous situations
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only : The hourly range for this is $19.

47 - $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 k 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.