As an Enrollment Eligibility Representative your daily responsibilities would be researching errors by comparing enrollment error reports against system information along with CMS (Center for Medicare and Medicaid Services) records Sending correspondence to members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for corrections.

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact

Evaluating active M&A targets to synthesize their business offerings, strategic value, and key drivers of revenues and profits to UnitedHealth Group Senior Executives & Board Members Building and reviewing core financial statement projections, valuation models (DCF, transaction and trading comparables, LBO) and earnings per share accretion / dilution analysis Managing the

Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Co

Responsible for conducting telephonic or face to face holistic evaluations of Member's individual dynamic needs and preferences gathering relevant data and obtaining further information from Member/family identification, evaluation, coordination, and management of member's needs, including physical health, behavioral health, social services, and long term services and sup

In close coordination with the Medical Directors and Executive Leadership Team, will oversee the plan's strategic design, implementation, and evaluation of health equity efforts Works in collaboration with National teams including Population Health, Regulatory Adherence, etc. to identify population needs and opportunities, determine priorities, and plan action Inform deci

Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues Service Providers in a multi channel environment including call, concurrent chat, as required. Quickly and appropriately triage contacts from healthcare professionals (i.e. physician offices, clinics, billing offices) Seek to understand and identify the needs of the provid

Develop and execute treasury solution strategies associated with deposit products, cash management services and payment services offered by the bank Lead a Team of Treasury Professionals responsible for the design, implementation, and ongoing support of banking solutions and systems to support cash collection, concentration and ACH, wire, paper check, payment card and vir

Partner with Optum Bank leadership, technology partners and external vendors to deliver comprehensive treasury system solutions that meet the needs of internal and external customers Collaborate and consult with key internal departments, affiliates, and business partners to improve, restructure and implement treasury services and systems Lead the implementation of banking

Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer to peer discussions Be knowledgeable in

Oversee high volume daily ACH and Virtual Card Payment (VCP) origination files Control cash transfers to minimize the risk of loss from errors, fraud, and/or inefficiency Review control total and Federal Reserve Bank settlement reconciliations to ensure completeness and accuracy of ACH and VCP file processing Monitor ACH Return and Notification of Change (NOC) Reports. En

Manage ACH staffing model to support the daily and evening ACH activities, consisting of file monitoring, job scheduling, file distribution, and endpoint settlement of ACH transactions Oversee the prioritization of daily payment processes Own the business aspects of the ACH processing application including understanding all features and functionality of the software Monit

Oversee high volume daily ACH and Virtual Card Payment (VCP) origination files Control cash transfers to minimize the risk of loss from errors, fraud, and/or inefficiency Review control total and Federal Reserve Bank settlement reconciliations to ensure completeness and accuracy of ACH and VCP file processing Monitor ACH Return and Notification of Change (NOC) Reports. En

Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues Service Providers in a multi channel environment including call, concurrent chat, as required Quickly and appropriately triage contacts from healthcare professionals (i.e., physician offices, clinics, billing offices) Seek to understand and identify the needs of the provid

Create contractor CIDs for new contractors Reactivate CIDs inactive contractors Terminate CIDs of contractors no longer needing access Maintain the accuracy of Real Estate's contractors in Contractor Express Manages the Real Estate Contractor inbox, responding to requests with the set SLA Responsible for renewals being completed in a timely manner so no access is lost Gen