UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
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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.
We are seeking a highly motivated and detail-oriented Associate Business Analyst / Dual Enrollment Coordinator to support our Medicare Advantage Plus Plan (MAP). This role is responsible for coordinating and processing MAP referrals, ensuring regulatory compliance, maintaining accurate documentation, and serving as a key liaison between internal departments and external partners.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Willingness to work EST hours is required.
Schedule: 8:30-5pm EST Monday - Friday
Primary Responsibilities:
Serves as a key point of contact, representing the organization and ensuring accurate data collection and a positive customer experience
Process and manage referred MAP enrollment requests
Review referrals for completeness, eligibility, and accuracy
Monitor and maintain compliance with Department of Health (DOH) regulations and program requirements
Stay informed of policy and regulatory updates and communicate impacts to stakeholders
Serve as the primary point of contact for escalated referral and assessment scheduling issues
Collaborate with internal teams
Maintain accurate records and documentation in ICUE and other clinical documentation systems
Track referrals and maintain audit-ready reports in SharePoint and other tracking tools
Create and update member programs and assessment documentation as required
Monitor and report referral trends, issues, and opportunities for process improvement
Support cross-functional initiatives, projects, and program implementations
Assist with Dual Enrollment activities and member support functions
Perform additional duties and special projects as assigned
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualification:
New York accident and health insurance license
1+ years of Medicaid managed care experience
Intermediate level proficiency with Microsoft Office Suite, including Excel, Word, PowerPoint, and SharePoint
Preferred Qualification:
Experience working with Medicare, Medicaid, MAP, MLTC, or Managed Care programs
Associates degree in Business Administration, Healthcare Administration, Public Health, or related field, or equivalent work experience
Knowledge of Medicaid eligibility
Bilingual (Spanish, Mandarin, Cantonese)
Key Competencies:
Business Analysis
Regulatory Compliance
Process Improvement
Data Tracking and Reporting
Stakeholder Collaboration
Problem Resolution
Training and Coaching
Project Support
Member Advocacy
Attention to Detail
Strong analytical and problem-solving skills
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment
Strong attention to detail and organizational skills
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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