Job Description

You\xe2\x80\x99ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

At UnitedHealthcare, we\xe2\x80\x99re 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\xe2\x80\x99s best work.SM

The Senior Enrollment Quality Analyst conducts the necessary research and coordination to ensure all Enrollments, Disenrollment\'s, Plan Changes and Reconciliation activities are accurately processed. You will conduct audits and provide feedback to reduce errors, improve processes, performance and ensure quality and consistency. There will be interaction via telephone and written correspondence with the Compliance team(s) to ensure the Enrollment Department meets and exceeds all regulatory standards. Additionally, this position will work closely with Compliance regarding coordination to HIPAA, Model Audit Rule (MAR), Healthcare Effectiveness Data and Information Set (HEDIS), and any other CMS or compliance related activities.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am \xe2\x80\x93 5:00pm in their local time zone. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer weeks of on-the-job training. The hours during training will be 8:00am to 5:00pm, Monday - Friday. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group\xe2\x80\x99s Telecommuter Policy.

Primary Responsibilities:

• Takes responsibility for and drives issue resolution, escalating when appropriate and communicating effectively within 04-48 hours
• Perform deep dive analysis to identify root cause failures and develop remediation action plans for escalated member issues
• Collaborate with business partners to resolve issues impacting members
• Act as the point of contact for escalated member issues, providing end to end member service, including incident identification and understanding, and following up with remediating action plans
• Collaborate with internal and external business partners to identify innovative solutions for resolving escalated member issues and to decrease the overall number of escalated member issues in each market
• Engage in predictive analytics to prevent system and other Enrollment and Billing related issues from impacting members
• Ensure end to end member service satisfaction for a variety of service issues across all lines of business at UHG
• Develop and implement effective / strategic business solutions through research and analysis of data and business processes to prevent defects from recurring
• Support short and long term operational / strategic business activities - by developing, enhancing and maintaining operational information and models
• Conduct and manage outcomes of various studies that include analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning
• Create, control and improve end - to - end business processes
• Lead process design and support project implementation teams in process improvement activities
• Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools
• Create quality assessments, provide analysis and audits for developing plans and programs to support continuous quality improvement using applicable tools\\
• Ability to multitask and use time management skills via daily assignments and/or multiple projects simultaneously
• Work cross - functionally across the organization
• Perform other duties as assigned
• Mentor other team members as needed.
• Schedule and host meetings and working sessions as needed to support issue resolution.

You\xe2\x80\x99ll 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:

• High School Diploma / GED OR equivalent experience
• 2+ years of billing, enrollment, or collections experience
• Proficiency with computer and Windows PC applications

Ability to work our normal business hours of 8:00am \xe2\x80\x93 5:00pm in their local time zone, Monday - Friday including the flexibility to work occasional overtime or weekends based on business need * Must be 18 years of age or older

Preferred Qualifications:

• 1+ years of experience resolving issues using root causing and problem-solving skills
• 1+ years of experience in business / finance analysis collecting, analyzing, and presenting data and recommendations to management
• 1+ years of specific experience documenting processes and practices, using project methodology artifacts, while effectively prioritizing multiple tasks, priorities, projects, and deadlines
• 1+ years of project management that demonstrates problem solving, organizational, analytical and communication skills
• Knowledge of Medicare and Retirement
• Microsoft Access (Create & Edit), SharePoint (Create & Edit) and Visio (Create & Edit) experience

Telecommuting Requirements:
Ability to keep all company sensitive documents secure (if applicable) * Required to have a dedicated work area established that is separated from other living areas and provides information privacy

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / Rhode Island residents is $27.07 - $53.08 per hour. 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\xe2\x80\x99ll 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\xe2\x80\x93of every race, gender, sexuality, age, location, and income\xe2\x80\x93deserves 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 \xe2\x80\x94 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.

#RPO #GREEN

UnitedHealth Group