At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
If you live near New York, NY, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.
Primary Responsibilities
- Manages ongoing contract relationships and service delivery to clients for one or more accounts
- Acts as outward-facing, dedicated resources for assigned accounts, typically with direct client contact (not call center) and large or complex accounts
- Build relationships with employer / group clients (not individual members) and serves as the primary point of contact for overall and day - to - day service delivery
- Represents client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs
- Function includes employees who are dedicated on - site service roles
- Works closely with sales on renewals and upselling, but incumbents do not have specific sales goal accountability or primary responsibility to close sales
- Manage customer-specific provider networks, including ongoing roster maintenance and administration of fee schedules to ensure accuracy and alignment with client agreements
- Coordinate large, complex claims projects, leading root cause analysis and driving end-to-end resolution strategies to address client issues and improve service outcomes
- Manage customer financial reporting, including the preparation and delivery of monthly standard reports as well as ad hoc analyses to support client needs and decision-making
- Prepare client-facing deliverables, including financial reports, executive summaries, renewal materials, and presentations to support account strategy and decision-making
- Manage customer-specific provider networks, including ongoing roster maintenance and administration of fee schedules to ensure accuracy and alignment with client agreements.
- Coordinate large, complex claims projects, leading root cause analysis and driving end-to-end resolution strategies to address client issues and improve service outcomes.
- Manage customer financial reporting, including the preparation and delivery of monthly standard reports as well as ad hoc analyses to support client needs and decision-making.
- Prepare client-facing deliverables, including financial reports, executive summaries, renewal materials, and presentations to support account strategy and decision-making.
- Coordinate cross-functional activities by working with internal partners (e.g., clinical, network, pharmacy, underwriting, operations) to support client initiatives and resolve issues
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications
- Currently hold a NY state health insurance license OR willing and able to obtain within 6+ months of hire
- 3+ years of Direct Client Facing experience in health care lines of business (for example Medicare, Medicaid, and Commercial Lines of Business)
- Intermediate level of proficiency with Microsoft Word (sending and receiving information and creating documents)
- Intermediate level of proficiency with Microsoft Excel (creating spreadsheets)
- Ability to work from Monday to Friday between 8:00am - 5:00pm and overtime as needed
- Ability to work onsite in NYC 3 days per week
- Access to reliable transportation and valid US driver's license
Preferred Qualifications
- 1+ years of PBM experience
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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