Community Outreach Eligibility Specialist – Field Based – Suffolk County, MA
About The Position
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on 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. You never thought your career could help millions of lives. Well, here you can. As a Community Outreach Eligibility Specialist, you'll utilize innovative strategies and programs to ensure access to health care coverage for the underserved and impact millions of lives. You'll use your energetic, empathetic approach to marketing and add value to our team. Through community marketing and outreach efforts, you will have direct impact on membership growth and retention. You'll use your creativity, strategic lens and outspoken attitude to be part of an elite team to rewrite the history of UnitedHealth Group. If you are located in Suffolk County, MA, you will have the flexibility to work remotely as you take on some tough challenges.
Requirements
- Ability to obtain Health/Accident Insurance License within first 60 days of employment
- Basic level of knowledge of MassHealth/Medicare
- Ability to work flexible hours as needed
- Ability to travel up to 75%25 of the time (local domestic travel within the community)
- Reside within Suffolk County, MA
- Access to reliable transportation and valid US driver’s license that will enable you to travel to client and/or patient sites within a designated area
Nice To Haves
- Experience completing MassHealth Applications
- Community Outreach experience within healthcare
- Basic level of knowledge of Senior Care Options and One Care
- Bilingual in English/Spanish
Responsibilities
- Maintain detailed knowledge of State and Federal insurance programs and effectively utilize such programs to ensure all eligible are enrolled in appropriate MassHealth programs
- Maintain detailed knowledge of MassHealth and attend all required MassHealth training forum meetings
- Assist in eligibility determination and completion of MassHealth applications
- Monitor, analyze and investigate pending applications and follow up as necessary
- Interview all prospects/members and authorized representatives to screen for eligibility and obtain vital information for the purpose of completing and submitting MassHealth applications
- Work with individuals and/or family to obtain all required documentation for the completion of MassHealth application
- Maintain proper documentation of all consumer interactions
- Assist existing members with MassHealth Renewal process
- Support the Sales/Marketing team by facilitating MassHealth applications for purpose of enrollment
- Support existing COR team by conducting community events when needed
- Establish and maintain internal and external relationships by leveraging the MassHealth Eligibility program
- Conduct educational presentations to community organizations
- Meeting or exceeding targeted growth, retention, and enrollment expectations
- Provide explanations and interpretations within area of expertise
- Share our mission to help people live healthier lives, throughout the communities we service
Benefits
- In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
