Eligibility Operations Lead

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Eligibility Operations Lead (2383152)

Eligibility Operations Lead (Job Number: 2383152)

This position is National Remote. You’ll enjoy the flexibility to telecommute
* from anywhere within the U.S. as you take on some tough challenges.

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.

You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, United Health Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.

We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas:
Optum - a growing part of our family of companies that make United Health Group a Fortune 5 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.

This position is full time. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm local time.

This will be on the job training. The hours of training have no defined timeline. Training will be remote.

• Supports operational execution across Eligibility Operations by coordinating work completion, tracking inventory commitments, monitoring aging items, validating status reporting, supporting facilitation of leader huddles, and following up on escalated operational risks
• Escalates operational barriers, resource constraints, and aging inventory risks to leadership for resolution
• Supports daily execution follow-through
• Supports leader in coordinating domestic and global team efforts against inventory priorities
• Troubleshoots escalated issues from internal departments that interrelate with eligibility submission and processing
• Takes ownership of issues. Thinks through issues and finds solutions. Looks at whole picture, not just individual piece of an issue. Ability to make sound decisions
• Coordinates follow-up activities related to inventory priorities, operational commitments, and leadership action items
• Follow through with error issues to resolution with frequent communication for update and resolution status
  
  Researches and responds to unique and escalated questions and issues from internal customers
• May assist in working urgent requests, or working inventory in times of backlog or increased inventory volumes to support team
• Adhere to all key audit controls and comply with all established standards associated with HIPAA, and SOX
• Serves as an execution coordinator to help ensure…