Membership Eligibility Data Management Supervisor - National Remote

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.

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 Membership Eligibility Data Management Supervisor will be responsible for daily inventory oversight, eligibility analyst management, timecard approval, process support, and any other day to day operational functions as needed.

This position is full-time (40 hours/week), Monday - Friday. 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 PST. It may be necessary, given the business need, to work occasional overtime and weekends.

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

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

Primary Responsibilities:

• Manage the Membership Eligibility team and oversight of processes including membership add/change/delete, claim pends for eligibility validation, full member and provider validation, internal and external inquiries, group structure
• Research member eligibility issues & escalations and respond to business partners with resolution
• Ensure adherence to quality measures and timeliness
• Provide direct supervision of all work performed to ensure timeliness and accuracy of assignments
• Coordinate, supervise, and be accountable for the daily activities of business support, technical, production team, and/or unit support
• Communicate performance metrics to the team and leaders across the department
• Facilitate team meetings, 1:1's, focus groups & ad-hoc meetings to provide updates as necessary to keep the team informed
• Conduct root cause analysis and coach team members on the findings and resolution
• Develop action plans from employee survey results, 1:1's and focus group feedback to improve employee satisfaction
• Partner with workforce management to manage OT and staffing plans to proactively plan for receipts and seasonal work changes
• Identify process improvement opportunities to increase efficiency and effectiveness

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 work experience
• Must be 18 years of age OR older
• 2+ years of team lead OR 1+ years of supervisory experience
• 2+ years of service experience analyzing and solving customer problems
• Proficiency with Microsoft Office Suite (Microsoft Excel, Microsoft PowerPoint and Microsoft Word)
• Ability to work Monday - Friday, in any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm PST, including the flexibility to work occasional overtime and weekends, based on the business need

Preferred Qualifications:

• Membership eligibility experience
• Project management experience
• Documentation and process flow experience
• Intermediate Microsoft Access 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

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

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. 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.

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