UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

Position in this function conducts Eligibility Verification audits on in-force groups to ensure the group continues to meet the definition of a small employer as defined by their benefit contract. Audits performed verify both group and member level eligibility, participation, and consider factors including group and individual risk, common ownership, PEO, and business segment.

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

Primary Responsibilities:

• Conduct eligibility verification audits and reconcile tax documents for group and member level eligibility
• Communicate regularly to build and maintain solid relationships with RAE, inside sales, financial underwriters, customer service, and agents regarding case status and audit related issues
• Communicate decisions/analysis in a concise professional manner that non-auditing personnel will understand
• Interpret Group Policies, COCs, legislative and compliance regulations
• Maintain reporting and tracking database for assigned groups
• Ability to meet TAT and productivity goals set by management
• Maintain current knowledge and understanding of HIPAA and PHI regulations
• Takes initiative to identify and resolve issues
  

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:

• 1+ years equivalent work experience in insurance or healthcare and/or auditing, underwriting, enrollment or degree in a related field of study
• Intermediate level of proficiency with Microsoft Office applications
• Knowledge of Insurance Industry and Products

Preferred Qualifcations:

• Associates Degree or bachelor’s degree in Math, Finance, Business, or related degree
• Knowledge of Tax Documents in an audit setting
• Knowledge of Small Business or Insurance requirements
• Maintains current knowledge and understanding of HIPAA, ACA, PHI, and PII regulations
• Solid verbal and written communication and customer service skills
• Ability to prioritize, organize, and utilize good time management skills in a fast-paced environment
• Ability to work both independently and in a team
• Exhibits excellent attention to detail
• Understands how the risk management function supports the company’s goals, mission statement, and strategic objectives, and recognizes how other departments interrelate
• Solid analytical, problem solving and critical decision-making skills
• Ability to meet TAT and productivity goals set by management
• Ability to learn platforms/systems as required
  

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $45,100 to $80,200. The salary range for Connecticut / Nevada residents is $49,800 to $88,200. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.