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Optum Chart Review Jobs (NOW HIRING)

UnitedHealth Group

Pharmacy Care Coordinator

Norwood, MA · On-site

$21.25 - $27.75/hr

REMOTE IN MA Optum is a global organization that delivers care, aided by technology to help ... Gathers all necessary information from chart review and identifies correct forms needed to submit ...

UnitedHealth Group

Pharmacy Care Coordinator

Norwood, MA · Remote

$21.25 - $27.75/hr

REMOTE IN MA Optum is a global organization that delivers care, aided by technology to help ... Gathers all necessary information from chart review and identifies correct forms needed to submit ...

Msmc

Senior Clinical Appeals Reviewer

Miami Beach, FL · On-site

Has appropriate command of clinical concepts and is competent performing clinical chart reviews ... Doc Review, MoreCare, OneContent, InterQual, Availity, Optum, other payor portals, etc. * Is ...

Optum

LVN Intake Nurse WellMed at Stone Oak

San Antonio, TX

$24.75 - $33.50/hr

Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients ... Reviews the patient record, chart, reports (including laboratory and x-ray), and other pertinent ...

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How much do optum chart review jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for optum chart review in the United States is $25.55, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $33.41 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Optum Chart Reviewer, and why are they important?

To thrive as an Optum Chart Reviewer, you need a strong background in medical coding, healthcare documentation review, and knowledge of clinical terminology, often supported by a relevant certification such as CPC or CRC. Familiarity with electronic health record (EHR) systems, chart abstraction tools, and compliance software is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for this role. These abilities ensure accurate data extraction, risk adjustment, and regulatory compliance, which are critical for optimizing patient care and supporting organizational goals.

What is an Optum Chart Review?

An Optum Chart Review is a process where medical records are examined by professionals working on behalf of Optum, a healthcare services and innovation company. The goal is to ensure that patient records are accurate, complete, and compliant with healthcare regulations. This review supports quality improvement, risk adjustment, and proper coding for insurance and billing purposes. Optum Chart Reviewers typically work with electronic health records (EHRs) and may collaborate with healthcare providers to clarify documentation.

What are some common challenges faced by professionals working in Optum Chart Review, and how can they be managed?

Professionals in Optum Chart Review often encounter challenges such as managing large volumes of medical records, ensuring the accuracy and completeness of data abstraction, and adhering to tight deadlines. Balancing productivity with quality is essential, as inaccuracies can impact patient care and organizational compliance. To manage these challenges, it’s important to stay organized, regularly communicate with team members or supervisors for clarification, and actively participate in ongoing training to keep up with the latest coding guidelines and regulatory requirements.

What is the difference between Optum Chart Review vs Medical Records Reviewer?

AspectOptum Chart ReviewMedical Records Reviewer
CredentialsTypically requires healthcare-related certifications, such as RHIT, RHIA, or medical coding credentialsOften requires similar certifications, focusing on medical coding or health information management
Work EnvironmentRemote or office-based, working with healthcare data and patient recordsPrimarily office-based, reviewing and organizing medical records for accuracy and completeness
Employer & IndustryMajor healthcare companies like Optum, insurance providers, and healthcare organizationsHospitals, clinics, insurance companies, and health information management firms

Optum Chart Review and Medical Records Reviewer roles share similar credentials and work environments, focusing on healthcare data management. While both involve reviewing medical information, Optum Chart Review often emphasizes insurance claims and utilization review, whereas Medical Records Review centers on record accuracy and completeness. Understanding these differences helps job seekers identify the best fit for their skills and career goals.

More about Optum Chart Review jobs
What cities are hiring for Optum Chart Review jobs? Cities with the most Optum Chart Review job openings:
What states have the most Optum Chart Review jobs? States with the most job openings for Optum Chart Review jobs include:
What job categories do people searching Optum Chart Review jobs look for? The top searched job categories for Optum Chart Review jobs are:
Optum Chart Review jobs near you
Infographic showing various Optum Chart Review job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 33% In-person, and 67% Remote job distribution, with an average salary of $53,145 per year, or $25.6 per hour.
Senior Retail Medication Prior Authorization Coordinator

Senior Retail Medication Prior Authorization Coordinator

UnitedHealth Group

Everett, WA • On-site

$20.75 - $27/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

UnitedHealth Group rating

7.5

Company rating: 7.5 out of 10

Based on 140 frontline employees who took The Breakroom Quiz

221st of 869 rated healthcare providers

Job description

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.
Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.
The Senior Retail Medication Prior Authorization Coordinator is responsible for reviewing and processing request for prior authorization of medication in accordance with insurance provider guidelines. This role requires a solid understanding of healthcare insurance policies, pharmacy benefit management, and medical terminology.
Schedule: Monday-Friday, 8am-5pm PST
Location: Onsite for training at 7600 Evergreen Way, Everett WA for about 1-3-month training period and then will become fully remote.
Candidates must reside near Everett, WA or must be willing and able to commute to the Everett office at their own expense for training
If you reside near Everett, WA, you will enjoy the flexibility to telecommute* as you take on some tough challenges
Primary Responsibilities:
  • Acquire and maintain a working knowledge of health plan formulary and authorization requirements
  • Utilize internal systems to facilitate faster turnaround time on a complete authorization
  • Gather necessary information from chart review to submit prior auth request to insurance providers
  • Act as a liaison between providers, pharmacy, health plans and patients to support a timely medication authorization process
  • Communicate with providers, pharmacy, and patients to provide updates on the status of their prior auth request
  • Document in the patient electronic health record all medication authorization work provided following standard work guidelines
  • Provide and document in Epic medication authorization denials and health plan recommendation and or alternatives when provided
  • Ensure compliance with all relevant laws, regulations, and policies related to medication prior authorizations
  • Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
  • 1+ years of Pharmacy Technician or a Medical Assistant experience OR 1+ years of experience in a pharmacy setting
  • 1+ years of experience with basic computer software and keyboarding
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
  • Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  • Reside within a commutable distance to Everett and surrounding communities in Washington

Preferred Qualifications:
  • Current certification from WA State Department of Health as a Certified Medical Assistant or WA State Pharmacy Technician License
  • Knowledge of EMR (EPIC)
  • Proficiency with keyboarding, documentation, and processing prior authorizations

Soft Skills:
  • Ability to work independently and maintain good judgment and accountability
  • Demonstrated ability to work well with health care providers
  • Strong organizational and time management skills
  • Ability to multi-task and prioritize tasks to meet all deadlines
  • Ability to work well under pressure in a fast-paced environment
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

*All Telecommuters 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 hourly pay for this role will range from $20.38 to $36.44 per hour 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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