Requisition number: 2385290
Job category: Medical & Clinical Operations
This position follows Office-Based schedule with 2 in-office days per week. Our office is located at Mission Valley/San Diego, CA
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make 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.
Optum Behavioral Solutions, in partnership with the County of San Diego, is seeking a dedicated and detail-oriented Clinical Administrative Coordinator (CAC) to join our Utilization Management team. This role is essential in supporting day-to-day administrative operations and ensuring seamless coordination between providers, internal departments, and external stakeholders.
As a CAC, you will play a key role in delivering exceptional customer service, managing provider communications, and maintaining accurate documentation. You'll collaborate closely with clinical and administrative teams to support the delivery of high-quality behavioral health services.
This position begins with in-office training and offers the opportunity to transition to an Office-Based schedule-up to three days per week remote-based on business needs (subject to change).
This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:30 am - 6:00 pm PST. Initial onboarding and training will follow a temporary schedule of 8:30 am - 5:00 pm. Per business need there may be the need to be on-site up to 5 days per week. It may be necessary, given the business need, to work occasional overtime.
We offer 4 - 8 weeks of paid training. The hours during training will be 8:30 am - 5:00 pm PST, Monday - Friday. Training will be conducted onsite.
Primary Responsibilities:
Process and track a wide range of authorization requests, ensuring accuracy and adherence to established turnaround times
Distribute clinical documentation and work products to licensed clinicians for timely review and decision-making
Serve as a backup resource for other Clinical Administrative Coordinator functions, providing flexible support based on team needs and availability
Sort and manage incoming communications, including e-faxes, physical mail, and scanned documents, ensuring they are routed appropriately and processed efficiently
Purge outdated documents and maintain organized, compliant records in accordance with retention policies
Perform facsimile, photocopying, and general administrative support tasks as directed by team leaders, supervisors, or managers
Accurately direct visitors and incoming calls to the appropriate departments or staff members, and take clear, detailed messages when necessary
Actively pursue professional development through Optum's Common Language of Leadership framework to continuously enhance your skills and performance
Crosstrain in Clinical Administrative Coordination and Utilization Management processes to support a collaborative and agile team environment
Adapt to process updates and implement changes promptly to maintain compliance, efficiency, and service quality
Perform other duties as assigned by Clinical Managers or Clinical Administrative Manager, contributing to a high-performing, mission-driven team
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
1+ years of experience in customer service OR healthcare administration
1+ years of data entry experience in a clerical OR administrative role
Proficiency in Microsoft Word, Microsoft Excel, Microsoft Adobe, and general PC navigation
Experience handling confidential patient information
Ability to obtain and maintain access to San Diego County's EHR systems and Designated Databases
Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work an 8-hour shift schedule during our normal business hours of 9:30 am - 6:00 pm PST. Initial onboarding and training will follow a temporary schedule of 8:30 am - 5:00 pm. Per business need there may be the need to be on-site up to 5 days per week. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
Experience in a healthcare setting (hospital, clinic, insurance)
Familiarity with ICD-10, CPT codes, Medicare / Medicaid
Call center experience
Working knowledge of medical terminology
Telecommuting Requirements:
Reside within commutable distance to the office at Mission Valley/San Diego, CA
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:
Typing speed of 50+ WPM with high accuracy
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $18 - $32 hourly based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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