Enrollment Specialist

Enrollment Specialist

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 Specialist has primary responsibility for enrolling members in our Health Management programs : Complex CARE support. 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 auto dialer, 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 10 : 30am - 7pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 4 - 6 weeks of paid training. The hours during training will be 8 : 00 am to 4 : 30 pm, Monday - Friday CST. Training will be conducted virtually from your home. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

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

Required Qualifications :

Preferred Qualifications :

Telecommuting Requirements :

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). The hourly pay for this role will range from $17.74 to $31.63 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.