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Member/Enrollee Services Analyst - Hybrid 2-3 days in Washington, DC office

UnitedHealth Group
401(k)
United States, D.C., Washington
Jan 17, 2025

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

We are excited to recruit for someone to join our team who is member-focused, detail-oriented and can proactively solve problems.

The Member/Enrollee Services Analyst of the Maryland and District of Columbia Health Plans has accountability for managing and coordinating functions that impact our members/enrollees, such as customer service, materials, appeals & grievances, clinical management and reporting & audits.

If you are located in or near the District of Columbia, you will have the flexibility to work in a hybrid model (2-3 days a week) as you take on some tough challenges.

Primary Responsibilities:



  • Member/Enrollee Services: Providing end-to-end coordination through mailboxes and calls to meet member/enrollee needs and resolve issues through proactive problem solving
  • Member-related Operations: Project managing and coordinating member-related operational functions such as materials review and approvals, appeals & grievances, State Fair Hearings preparation, new business initiatives, etc. This will require ability to coordinate with different stakeholder groups in the enterprise to drive progress on workstreams and resolve issues
  • Member-related Reporting and Adherence: Developing, monitoring and assessing reporting and other State/District-required deliverables, including clinical data management, requirements, and escalating to leadership and working on issues 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:



  • 1+ years of experience in project or program management
  • 1+ years of experience in member/customer service or in a customer-facing role
  • 1+ years of experience in managing, developing and/or coordinating reports or records
  • Intermediate level of proficiency with MS Excel
  • Intermediate level of proficiency with MS PowerPoint and Word
  • Resides in the District of Columbia or in commuting distance


Preferred Qualifications:



  • Demonstrated ability to have attention to detail
  • Demonstrated ability to communicate (verbally and written) effectively with different levels of leadership
  • Demonstrated ability to proactively problem-solve and navigate in a fast-paced, changing environment



*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $49,300 to $96,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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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