Enrollment & Eligibility Manager

UnitedHealth Group•Tampa, FL

11h•$72,800 - $130,000•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. 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. The Enrollment & 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. 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 8am - 5pm local time zone. It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training. The hours of training will be aligned with your schedule.

Requirements

High School Diploma / GED or equivalent work experience
Must be 18 years of age or older
3+ years of billing and/or eligibility experience
3+ years of Management or Supervisory experience to include experience with managing direct reports
Proficiency with computer and Windows PC applications
Intermediate level experience using Microsoft Excel & PowerPoint
Ability to work 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 8am - 5pm local time zone. It may be necessary, given the business need, to work occasional overtime

Nice To Haves

Experience with EPIC OR EZCap
Experience with Eligibility Manager
Experience with FACETS
Interpersonal skills
Ability for oral and written communication skills
Must have the ability to handle multiple issues and prioritize appropriately while working swiftly & efficiently without compromising quality customer service
Organizational skills with the ability to prioritize caseload based on business and customer need as well as respond appropriately and effectively in difficult situations
Knowledge of Human Resources policies and procedures

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
Monitoring eligibility reconciliation based on received capitation and monthly variance reports
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
Managing team productivity, time cards, and attendance reporting
Handle risk identification and perform root-cause analysis
Conduct monthly reporting for team and departmental status updates/briefings
Monitoring inventory & capacity reports and workload volumes for identification of needs for capacity planning and/or cross-coverage within the department
Inter-departmental collaboration with other core operations teams