This position is Remote in El Paso, TX. You will have the flexibility to work remotely* as you take on some tough challenges.
Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do.?Or, the opposite, not being able to get the answers.?At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives.?If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast - growing environment.
At UnitedHealthcare , we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Senior Service Account Manager will play a key role in cooperation and coordination with THSteps outreach to ensure prompt delivery of services to members who miss dental checkups. Senior Service Account Manager will provide dental guidance for current and potential members within the Dental Health Plan. Senior Service Account Manager will focus on supporting members' dental health needs to promote appropriate utilization of services and improved quality of care. Senior Service Account Manager will coordinate dental benefit and available community resources. Senior Service Account Manager will also work closely with HHSC, outreach programs, and THSteps regional program staff and agents to ensure prompt delivery of services to Farmworker Children and other migrant populations, and to coordinate with Head Start and other migrant farm worker organizations.
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 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime and weekends (possibility of events). Our office is located at 2063 Town East, Dallas / Fort Worth, TX.
Primary Responsibilities:
Knowledge to Manage a portfolio of Texas Medicaid and CHIP members
Investigate and manage escalated service issues through root cause analysis and communicate outcomes (telephonically or written) to internal partners and external clients. Including coordination with customer vendors.
Coach and mentor, share best practices; training as needed, Lead process improvement special projects, document new processes and/or project summaries.
Drive process improvement based on trend analysis
Drive excellence in service within organization and across organizations by providing feedback on Operations on service opportunities
Drive process improvement with Account Management and audit remediation team
Document and track all inventory accurately within the tracking database
Lead and oversee projects, initiate follow up and status checks, maintain efficiency and provide good communication
Lead and oversee community events and key partner collaborations
Participates, coordinates, and/or represents the Dental Plan at community-based organization events, clinic days, State health department meetings, and other outreach events focused on quality improvement, member dental education, and disparity programs as assigned
Report on individual member's quality of care concerns or trends of concern to the Dental Plan A&G representative as needed
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:
High School Diploma / GED OR equivalent work experience
Must be 18 years of age OR older
2+ years of Community Outreach Events (set-up, communicating with organizers, working with vendors) experience
Bilingual fluency in English and Spanish
Experience with Microsoft Word (create, edit, format documents) and Microsoft Excel (create, edit, sort / filter spreadsheets, and pivot tables)
Must reside within El Paso, TX
Ability and willingness to travel up to 75% of the time (Domestic) within the El Paso, TX area
Ability to work any 8-hour shift between the hours of 8:00 AM - 5:00 PM from Monday - Friday. It may be necessary, given the business need, to work weekends (possibility of events)
Preferred Qualifications:
2+ years of client account management experience
1+ years of claims processing experience
Enterprise systems knowledge, UNET, COSMOS, FACETS, OR NICE claims platforms experience
Experience with Microsoft PowerPoint (create, edit, format presentations)
Project management experience
Knowledge of Medicaid and CHIP members
Telecommuting Requirements:
Reside within El Paso, TX
Ability to keep all company sensitive documents secure (if applicable)
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
*All employees working remotely 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 salary for this role will range from $58,800 - $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
RPO #RED
