Manager - Enrollment and Eligibility

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement.

The Electronic Files/Eligibility Manager will be responsible to oversee day to day activities related to enrollment and eligibility operations in order to accomplish the business and their team's objectives. Our Manager's and their teams have a serious responsibility to make every contact informative, productive, positive, and memorable.

Primary Responsibilities:

• Supervise Eligibility Supervisor's and Representatives in their daily job functions to ensure files are applied timely and all turnaround times and quality standards are met and/or exceeded
• Meet and exceed department quality audits and provide coaching to their supervisor's and team members
• Maintain and prioritize eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes to the director and senior leaders
• Ensure all standards set by the company, including Attendance, Dress code, etc. are adhered to
• Handle all escalations courteously, politely and professionally
• Act as back-up support for other Managers as needed for meetings and other departmental responsibilities
• Advise management in long-range planning for areas of specialization
• Perform other duties as assigned
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• Graduate
• 5+ years of Management or Supervisory experience
• 4+ years of billing and/or eligibility experience
• Intermediate level experience using Microsoft Excel 
• Proficiency with computer and Windows PC applications
• Ability to travel up to 25% of the time

Preferred Qualifications:

• Undergraduate degree or higher
• Knowledge of Human Resources policies and procedures
• Proficiency with MS Word, and PowerPoint
• Proven excellent interpersonal skills
• Demonstrate ability for solid oral and written communication skills
• Demonstrated ability to handle multiple issues and prioritize appropriately while working swiftly & efficiently without compromising quality customer service
• Demonstrated solid organizational skills with the ability to prioritize caseload based on business and customer need as well as respond appropriately and effectively in difficult situations

Physical Requirements and Work Environment:

• Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, and long periods working at a computer
• Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
• Must be able to work a 5 day week, 8 hour shift, any time between office hours of operation

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.