Senior Enrollment Quality Analyst - National Remote

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 to start Caring. Connecting. Growing together.

Positions in this function are responsible for end-to-end business process activities - creating, controlling and improving business processes. Lead support design and project implementation teams in process improvement activities. Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools. This position is also responsible for supporting quality analysts with questions and appeals from our Operational business partners. Developing plans and programs to support continuous quality improvement using applicable tools.

Flexible, friendly, fast on your feet, that's a great start. Accurate, accountable, self-directed, these traits can take you places. Our benefit quality programs are the focal point of handling information about services patients receive and the way those services are coded within TOPS. It's complex, detailed work. It's fast-paced challenge. A job calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment.

This position is full-time (40-hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 4-6 weeks of on-the-job training (Combination of classroom and on-the-job training). The hours during training will be an 8-hour shift between 8:00am to 5:00pm, Monday - Friday.

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

Primary Responsibilities:

• Responsible for all aspects of quality assurance
• Provide support by reviewing appeals which may include feedback on root cause and or any identified defects within the process
• Analyze and identify trends to build recommendations and provide feedback to reduce rework and defects to improve benefit installation processes and performance
• Create, maintain and track work in relation to performance
• Conduct focus reviews and provide feedback to reduce defects and improve processes and performance as needed
• Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
• Support external audits as required
• Back up Team Members when on PTO
• Flexible schedule available as - 4/10s, 5/8 based on business needs schedule may need to be modified during Q4

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:

• High School Diploma / GED OR equivalent years of work experience
• Must be 18 years of age OR older
• 2+ years complex TOPS benefit installation and/or benefit installation experience
• 4+ years of customer service experience analyzing and solving customer problems
• 2+ years of enrollment experience
• Experience working in the healthcare industry
• Intermediate Microsoft Excel skills (create spreadsheets, v-lookups, pivot tables)
• Proficiency with computer and Windows PC applications
• Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends

Preferred Qualifications:

• Experience with Axis
• Benefit Installation Audit experience preferred
• Understanding of benefits and how they apply to claims processing and/or member written materials

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

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $19.47 - $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

#RPO

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