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Enrollment Eligibility Manager - National Remote

Company: UnitedHealth Group
Location: Dunedin
Posted on: May 20, 2023

Job Description:

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work. SM

The Enrollment Eligibility Manager will report directly to the Support Service manager and will provide key support for task management, employee development, maintenance and storage of functional documentation needed for the BCO department.

The Enrollment Eligibility Manager will help lead the documentation design and creation in alliance with key strategic projects to ensure BCO staff has the required documentation to produce timely and high-quality work. This will assist with setting team direction, resolving problems and providing guidance to team to oversee end-to-end business process.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm.

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

  • Directly reports to Support Service Manager and assists with leading and managing daily operations of the QDS team to provide excellent support to internal and external customers.
  • Mentors and coaches all team members.
  • Assists with identification and resolving of operational problems using defined processes, expertise and judgment.
  • Assists with the development of reports to manage inventory metrics and turnaround times surrounding the documentation of BCO SOP's, User Guides, Bulletins, etc.
  • Partner with Manager and Senior Analyst to conducts internal audits of documentation being developed and provides feedback to reduce errors and improve processes and performance.
  • Assists with the documentation process to production, using appropriate artifacts in order to describe existing, new or revised business processes.
  • Assists with the management of more complex issues.
  • Develop, demonstrate and continuously improve understanding of upstream and downstream impacts to partners of business process operations and solutions
  • Demonstrates and remain current in understanding of relevant regulations, security, healthcare, etc.
  • Chairs committee meetings as required to create and maintain integrity of documents and provides documentation to ensure process integrity.
  • Collaborate with stakeholders, peers, senior leadership and users to gain support and buy-in for proposed business process solutions
  • Establishes solid working relationships with external customers and internal areas that enables the development of viable, cost effective administrative and system processes. 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:
    • Bachelor's Degree (or higher)
    • 2+ years of experience with leadership/supervisor responsibilities in the healthcare industry
    • 1+ years of experience creating documentation such as processing instructions, user manuals and job aids
    • 1+ years of experience leading projects
    • Advanced computer proficiency with Microsoft Word (create templates and complex formatting)
    • Intermediate computer proficiency with Microsoft Visio (create swim lanes, document processes) and Microsoft Excel (create formulas, Pivot tables)
    • Ability to work our normal business hours of 8:00am to 5:00pm, Monday - Friday Preferred Qualifications:
      • 1+ years of direct experience in claims, claims auditing, and/or benefit contract negotiations within the healthcare industry
      • Medicaid and/or Medicare experience
      • Knowledge of Facets or similar platform
      • Proficiency with Microsoft Access and SQL Telecommuting Requirements:
        • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
        • Ability to keep all company sensitive documents secure (if applicable)
        • 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:
          • Excellent written and verbal communication
          • Deadline oriented and self-motivated
          • Ability/experience to lead a workgroup to solicit information pertinent to the process documentation and improvement
          • Demonstrates capability to get results in a complex, sometimes ambiguous environment
          • Strong analytic, planning and process development skills
          • Capable of managing a variety of complex issues while driving momentum of key projects and initiatives

            Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

            California, Colorado, Connecticut, Nevada, Washington or New York, Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / Washington / New York / Rhode Island residents is $67,800 - $133,100.Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

            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.

            Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

            UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, Clearwater , Enrollment Eligibility Manager - National Remote, Executive , Dunedin, Florida

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