• Call center - ventas - voz / 100% remoto • Disponibilidad para trabajar en horario rotativo - semanal: • Lunes a Domingo de 8:00 am - 11:00 pm (se programan solo 48 hrs de gestión a la semana) • Descanso: 1 vez a la semana (rotativo)

• Lead a comprehensive operational assessment across people, processes, performance management, and customer experience, independent of the current platform configuration. • Define the future-state contact center operating model, including workforce deployment, routing strategy, customer engagement, and performance management across 12-, 24-, and 36-month horizons. • Develop a prioritized optimization roadmap with clear business cases, expected outcomes, implementation priorities, and ROI metrics. • Identify operational and customer experience improvement opportunities leveraging Genesys Cloud capabilities, including: AI and self-service solutions Intelligent routing Workforce engagement management Analytics and reporting Omnichannel customer engagement • Translate business opportunities into clear operational and business requirements for technical delivery teams. • Establish KPI frameworks, governance models, and performance management processes, including ownership, reporting cadence, and operational review structures. • Partner with operations leadership, supervisors, and frontline teams to redesign workflows, remove operational friction, and embed continuous improvement practices. • Lead change management and user adoption initiatives, including communication planning, training strategy, leadership coaching, and operational enablement. • Coach contact center leadership teams on best practices in workforce management, quality assurance, coaching, operational governance, and customer experience optimization. • Serve as a trusted advisor to executive stakeholders by providing regular updates on progress, risks, priorities, and business outcomes.

Role Description Responsible for completing the financial clearance process and creating the first impression of Optum services to patients, their families, and other external customers. You will articulate information in a manner that patients, guarantors, and family members understand and will know what to expect regarding their financial responsibilities. Work with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial services. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Verify insurance eligibility and complete automated insurance eligibility verification, when applicable, and appropriately document information in Epic. - Confirm that a patient’s health insurance(s) is active and covers the patient’s medication. - Review and analyze patient visit information to determine whether authorization is needed and understand payor specific criteria to appropriately secure authorization and clear the account prior to service where possible. - Ensure that initial and all subsequent authorizations are obtained in a timely manner. - May provide mentoring to less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role. - Initiating prior authorizations for medications. Qualifications - High School Diploma/GED - 6+ months of experience with insurance and pharmacy benefit verification, pre-experience with prior authorization activities in healthcare business office/insurance operations. - 6+ months of experience using basic retail medication knowledge. - Intermediate level of proficiency with Microsoft Office products. - Must be 18 years of age OR older. Requirements - Associate degree or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study (Preferred). - Experience working with clinical staff (Preferred). - Previous experience working in outpatient and/or inpatient healthcare settings (Preferred). - Experience working in clinical documentation (Preferred). - Previous experience working with a patient’s clinical medical record (Preferred). - Retail pharmacy experience (Preferred). - EPIC experience (Preferred). - Payer portals and/or covermymeds experience (Preferred). - CphT or CMA certification (Preferred). Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). Company Description 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.

• Provides incoming call handling for hospital sites and emergency lines • Responsible for answering incoming calls, transferring calls appropriately, and administrative duties • Issues critical alerts and codes based on requests from clinical and operational departments • Answers all calls in a courteous and professional manner • Provides general information to callers concerning physician office telephone numbers, area codes and hospital listings • Utilizes LVHN’s current EMR system to provide callers information regarding patients’ room numbers, telephone numbers and discharge dates • Screens critical care and do not announce patient phone calls for LVHN • Contacts providers according to daily on call schedules and makes immediate changes as necessary • Assists in the troubleshooting, testing, maintenance, and design of internal communication systems. • Updates physician and physician office information on an as needed basis • Determines the purpose of caller and forwards the incoming calls to the appropriate staff member or voice mailbox • Alerts and directs staff to critical situations such as Codes and Alerts according to each distinct procedure