Clinical Operations Lead — Care, Referrals & Admin

UnitedHealth Group; Henderson (NV); On-site; Confidential; Full time

Job summary

UnitedHealth Group in Henderson, NV is seeking a customer service-focused professional to support clinical operations. The role requires responding to member/provider inquiries, coordinating referrals and authorizations, and collaborating with hospitals and clinics to ensure timely service delivery.

Schedule is Monday–Friday, 8am–5pm MST with potential evening hours; located at 1655 E. Cactus Ave, Henderson, NV, with travel to nearby locations as needed.

Qualifications

• 2+ years of experience in a customer service environment, analyzing and solving complex customer problems.
• 1+ years of customer service experience in the healthcare industry.
• 1+ years of experience interacting with providers on a regular basis in a provider relations and/or customer service role.

Responsibilities

• Act as a Subject Matter Expert for other team members.
• Manage the intake of members or the admission/discharge information post notification.
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services.
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles.
• Resolve inquiries from members and/or providers.
• Coordinate moves with facilities (painters, repairs, etc.).
• Manage device inventory.
• Collaborate with marketing team and other departments.
• Assist with reporting.
• Be the go-to resource for information as a subject matter expert.

Skills

Customer service

Problem solving

Healthcare industry experience

Provider relations

Tools

Microsoft Office

Job description

UnitedHealth Group in Henderson, NV is seeking a customer service-focused professional to support clinical operations. The role requires responding to member/provider inquiries, coordinating referrals and authorizations, and collaborating with hospitals and clinics to ensure timely service delivery.

Schedule is Monday–Friday, 8am–5pm MST with potential evening hours; located at 1655 E. Cactus Ave, Henderson, NV, with travel to nearby locations as needed.