Administrative Coordinator, Clinical

About the Company

Optum is a global healthcare organization focused on improving health outcomes through technology-enabled services. Its work spans care delivery, pharmacy benefits, analytics, and healthcare technology, with an emphasis on making care more effective, affordable, and accessible. The company operates with a strong culture of collaboration, inclusion, and ongoing improvement, and it offers employees opportunities to learn, grow, and build meaningful careers. Optum is part of UnitedHealth Group and carries a strong reputation for innovation and community impact.

Role Overview

The National Remote Clinical Support Team Member provides remote administrative and clinical support that helps healthcare operations run smoothly. In this full-time role, you will work with members, providers, and internal clinical teams to coordinate care, manage referrals, respond to inquiries, and support review processes. The position calls for strong communication, speed, accuracy, and comfort handling a large volume of member and provider interactions in a healthcare setting. It is a work-from-home opportunity for candidates who can meet remote-work expectations and deliver dependable service.

Qualifications

• High school diploma, GED, or an equivalent combination of education and work experience.
• Candidates must be at least 18 years old.
• At least 2 years of customer service experience.
• At least 2 years of experience in the healthcare sector and working with health insurance.
• Working knowledge of MS Word, Excel, and Outlook.
• Availability to work 40 hours per week, Monday through Friday, with schedule flexibility during business hours of 8:00 am to 5:00 pm Pacific.

Responsibilities

• Handle member intake work and ensure requests are processed accurately and on time.
• Partner with hospitals, clinics, facilities, and clinical teams to coordinate services for members and providers.
• Manage incoming and outgoing referrals, prior authorizations, and supporting documents.
• Assist clinical staff by organizing documents and helping route cases for Clinical Coverage Review.
• Respond to questions and resolve concerns from members and healthcare providers in an efficient manner.
• Support care coordination tasks such as appointment scheduling and arranging ancillary services.
• Maintain strong productivity and attention to detail while working in a high-volume service environment.
• Help create a positive member experience through clear, professional, and informative communication.
• Follow company standards, including confidentiality requirements and data security practices.

Benefits

• Medical coverage options with comprehensive health insurance support.
• Retirement savings support, including 401(k) contributions.
• Incentive and recognition initiatives.
• Opportunity to participate in equity stock purchase plans.
• Paid time off and holidays.
• Training and career development opportunities.
• Flexible remote work arrangement.

Equal Opportunity

UnitedHealth Group is committed to fair hiring and an inclusive workplace. All qualified applicants are considered without regard to race, national origin, religion, age, sex, sexual orientation, gender identity, disability, veteran status, or any other protected characteristic. The organization values respect, equity, and diversity across its workforce.