Enrollment Specialist - National Remote

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

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.

The Enrollment Specialist has primary responsibility for enrolling members in our Health Management programs: Ongoing Condition CARE, Maternity CARE and Wellness CARE. Duties include setting up a case in our documentation platform, Aerial, and documenting recruitment activities in Aerial. Most of the recruitment activity involves receiving inbound calls, taking calls via an autodialer and making manual outbound calls to members who are eligible for program participation. When members are reached, the ES will explain the benefits of enrolling in the applicable program and schedule the member for an initial assessment with a nurse or health coach in MyHealth Direct. Some of the inbound phone calls are for rescheduling appointments or other questions.

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 11:30am - 8pm CST. It may be necessary, given the business need, to work occasional overtime.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)
• Reference automated job aid tools via the computer to identify appropriate procedures when needed
• Identify appropriate resource (e.g., care management consultant, case manager, supervisor) to respond to member questions
• Receive inbound calls to enroll members & / or provide customer service
• Reference automated job aid tools via computer to research relevant rules, regulations, or procedures
• Apply knowledges / skills to activities that often vary from day to day
• Contact internal resources if necessary to clarify information
• Review and interpret call history documentation (e.g., case notes)
• Check level of benefit codes to determine eligibility for program enrollment to determine next steps
• Work with supervisor to solve more complex problems
• Determine member eligibility
• Solve routine problems on own
• Learn computer system and process changes and updates and incorporate into daily work
• Prioritize and organize own work to
• Make outbound calls to members who are eligible to participate in one of our Health Management coaching programs
• Take calls and questions from members regarding case status
• Demonstrate a moderate level of knowledge and skills in own function
• Follow protocols to task requests appropriately
• Access claims information
• Require little assistance with standard and non - standard requests

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:

• 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 11:30am - 8pm CST. It may be necessary, given the business need, to work occasional overtime.
• Ability to create, edit, save, and send documents utilizing Microsoft Word and Microsoft Excel
• High School Diploma / GED (or higher)
• 2+ years of general customer service experience analyzing and solving customer problems
• 6+ months of experience working in a call center environment
• Must have worked consistently for last 24 months for only 1 employer

Preferred Qualifications:

• Professional experience in a clerical or administrative support related role
• Experience working in a Hospital, Physician's Office, or Medical Clinical setting
• Working Knowledge of Medical Terminology to communicate with members and providers
• Experience working within the Healthcare Industry.

Telecommuting Requirements:

• 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
• Ability to keep all company sensitive documents secure (if applicable)

Careers with Optum . Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, Washington or New York, Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / Washington / New York / Rhode Island residents is $16.00 - $31.44.Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

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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