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The Member and Veteran Liaison is located in Phoenix, Arizona, and is experienced in working with individuals including members with special healthcare needs, veterans, families, youth, advocates and key stakeholders. The Member and Veteran Liaison and staff directly reporting to this position are involved in community events. The ideal candidate will have lived military experience, such as being a military family member, service member, or veteran.
The position serves as the point of contact within the organization and in the community on behalf of members and family members. This position works closely with other member support areas, including but not limited to Behavioral Health, Member Services, Provider Services, Care Management, and Quality Management.
This position is responsible for program planning and development, implementing, managing and coordinating services according to state contract requirements.
This is an office-based position with two days on site in the Phoenix office, three days working remotely, and travel up to 25% of the time in state based on business needs.
Primary Responsibilities
- Communicate and disseminate information to members and families to identify concerns and remove barriers that affect service delivery or member satisfaction
- Attend community events representing the health plan by offering education on Medicaid benefits and community resources to members and families
- Support Dual Special Needs (DSNP) members by outreaching to individuals to educate on ways to improve health outcomes
- Help veteran members understand their Medicaid, DSNP (Medicare), and VA benefits
- Engage with veterans' members in a one-on-one environment to mimic the environment of support that they became accustomed to in the military
- Train health plan staff on the cultural competencies of veterans and their families
- Identify veteran members and organize outreach activities to inform members and families of the benefits available and how to access those services
- Develops and submit Member and Provider educational materials as it relates to member advocacy, special needs population, and veteran members and families
- Collaborate with the organization's other member support areas, including but not limited to Long Term Care, Office of Individual and Family Affairs (OIFA), Member Services, and Provider Services
- Collaborate with the AHCCCS Human Rights Committee (HRC) Coordinator
- Represent the health plan at Independent Oversight Committee (IOC) meetings
- Carry out responsibilities in accordance with the organization's policies and regulatory requirements
- May lead functional or segment teams or projects
- Adapts departmental plans and priorities to address business and operational challenges
- Represents the department in assigned Plan committees / meetings
- Assists with program improvement projects
- Monitor of Regulator Care Todays and resolve per expected timelines
- Works closely with Business Partners to ensure regulatory compliance is met
- Assists with program improvement projects and complex conceptual analyses
- Prepare regulatory reports as required
- Complete special projects as assigned
- Demonstrate ability to focus health plan activities toward a strategic direction as well as develop tactical plan, drive performance and achieve targets
- Contributes to developing new programs specific to the state requirements
- Overall responsibility for workflow activities & activities for designated teams
- Adhere to ethical, legal / regulatory and accreditation standards to meet business goals and objectives
- Communicate with providers and members as needed
- Ensures teams meet established performance metrics and performance guarantees
- Adapts departmental plans and priorities to address business and operational challenges
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 Diploma/GED
- 2+ years of experience working for a Medicaid and/or Medicare health care regulator, provider, or insurance organization
- 2+ years of experience with outreach activities (Community Outreach) and the ability to summarize data and initiate program initiatives
- Experience in a deadline driven environment (responding to escalations, submitting reports timely)
- Military connected: Family member, Veteran, Reservist
- Able to work a Hybrid schedule including on site in the office, remotely at home, and travel within the state up to 25% of the time based on business needs
Preferred Qualifications
- 5+ years of experience with Arizona Medicaid and Medicare
- 5+ years of experience with behavioral health space
- Proven excellent verbal and written communication skills; ability to speak clearly and concisely, convey complex or technical information in a manner that others can understand and interrelate with individuals at various levels
- Proven ability to motivate and inspire other team members
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.