Bilingual English and Spanish Sanitas Experience Specialist

This position is Onsite. Our office is located at Fort Bend Primary Clinic, Sugar Land Clinic 2515 Cordes Dr., Sugar Land, TX 77479

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 United Health 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 United Healthcare, 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

The Sanitas Experience Specialist serves as United Healthcare's onsite representative within designated Sanitas clinics, delivering a high-touch member and provider experience while strengthening the operational partnership between United Healthcare and Sanitas. This role provides in-person support to members, assist providers and clinic staff with operational questions and issue resolution, and proactively identifies opportunities to improve end-to-end experiences and operational performance.

As an embedded member of the IFP Operations Strategy & Delivery (OSD) organization, the Sanitas Experience Specialist acts as a liaison between members, providers, clinic leadership, brokers, and United Healthcare operational teams. This role combines member advocacy, provider support, operational problem solving, and relationship management to create a seamless healthcare experience

In this role you will work onsite at the clinics below. It may also be needed to travel. The additional clinics are within a 30 mile radius and you can anticipate needing to do so between 2-4 times per month

Fort Bend Primary Clinic, Sugar Land Clinic, 2515 Cordes Dr, Sugar Land, TX 77479

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

• Serve as the onsite United Healthcare representative within assigned Sanitas clinics.
• Assist members with eligibility, benefits, claims, billing, provider access, referrals, authorizations, and other plan-related questions.
• Resolve member issues whenever possible at the point of care.
• Coordinate with internal United Healthcare teams to manage and resolve member escalations.
• Educate members on available health plan resources, digital tools, and support services.
• Support community outreach, enrollment events, and broker activities as needed.

• Partner with clinic staff and providers to resolve operational issues affecting patient care and administrative processes.
• Assist with eligibility verification, claims questions, referral processes, prior authorizations, credentialing inquiries, and provider service concerns.
• Coordinate with United Healthcare functional teams to facilitate timely issue resolution.
• Build strong relationships with clinic leadership and staff to enhance the UHC-Sanitas partnership.

• Identify recurring member and provider pain points and elevate systemic issues for root cause analysis.
• Serve as a local operational expert for assigned markets and clinics.
• Track and communicate emerging trends, risks, barriers, and opportunities impacting member and provider…