Manager, Enrollment / Eligibility - Duluth, MN

Company: UnitedHealth Group
Location: Duluth
Posted on: March 27, 2020

Job 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 . SM As the Manager, Enrollment / Eligibiity you are responsible for Medicaid operations and business leading and developing a team of Subject Matter Experts, Processors. You will also be responsible for managing staffing levels based on forecasting and trends over previous year, team and department performance, day to day operations, and ensuring compliance and adherence to all regulations and policies. You will also make key business decisions for process and system improvements; develop resolutions for any defects through root cause analysis and thorough remediation planning, and attending key business and compliance meetings. Additionally, partnering with various cross functional teams to ensure growth needs at a state level are meeting as well as expansion efforts are accordingly met too. Primary Responsibilities: Managing Supervisors   and responsible for indirect staff count of 40 to 60 employees Attending business related calls and making key business decisions Metric performance (Quality, Turn around times, Production, etc) making sure that we are compliant at all times, attending compliance meetings and staff is meeting expectations, staff is meeting quality Driving cost savings and efficiencies process improvements Staff planning and forecasting vs. trends over previous years and day to day staff planning Issue resolution, remediation planning, root cause analysis, understanding the process and what causes the defect and how do you prevent the defect moving forward. Team building (vital signs, communications, activities), attending meetings Ability to coach and manage performance related plans 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 Dipoma / GED (or higher) 2+ years of supervisory experience Ability to create, copy, edit, save and send documents, spreadsheets, presentations utilizing Microsoft Word, Microsoft Excel, and Microsoft Outlook Preferred Qualifications: 1+ years   of experience with Medicaid Business Preferably available onsite in the Duluth location Knowledge of CSP Facets Has experience working with Medicaid and state level regulations Billing, Enrollment, Reconciliation & Finance External audit exposure (Compliance Requirements) Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing. Keywords: Medicare, Medicaid, Enrollment, Management, Leadership, Duluth

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