Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.Within UnitedHealthcare the seasonality of HEDIS Data Collection in the early part of the year and Small Business sales cycle during the latter part of the year requires additional staff to process peak work volumes. The Sales Operations Specialist, HEDIS Operations / VO Sales Operations is an innovative UHC role combining two distinct roles requiring employees to flex between positions throughout the year. The employee will report to the HEDIS Operations Department for 5 months and to the Virtual Operations team for 7 months of the year. Different role and responsibilities apply during each assigned position as outlined below. Different metrics, recognition opportunities and policies / procedures will apply to each role. While in the specific roles, employee will have clear goals and performance expectations as outlined belowPrimary Responsibilities: Responsible for the daily support of the sales function to produce quotes and submit sold cases Works with business partners such as Underwriting, Rating, and Case InstallationWorks closely with Sales Executive and Brokers to collect information needed to produce a quote or submit a complete sold group Responsible for meeting production and quality standards / metricsUses various systems to document the steps of the quote or sold case through completion of customer request Conducts claims research, determining correct service location or verifying member historyPerform provider outreach, verifying and confirming provider demographics and medical record requests, both by telephone and in writingRequests medical records and performs follow up of requests within HEDIS database toolMaintains HIPAA standards and confidentiality of protected health information Will be cross-trained in various functions in order to assist with other functions as directed by HEDIS / VO Supervisor
Required Qualifications:High School Diploma / GED Previous experience working with Sales Operations teams in small businesses (1-100 employees)Willingness and ability to telecommute and have a compliant home office environmentWillingness to accommodate peak and non-peak season schedules Preferred Qualifications:Bachelor's Degree (or higher)Experience working with 51+ quotes Previous HEDIS experience Experience in claims, medical record review, medical billing, or medical officeClinical and /or Health Education experienceCareers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. 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. Keywords: UnitedHealth Group, Sales Operations Specialist, HEDIS, Telecommute, Operations, Healthcare
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.