Enrollee Services and Operations Analyst, UHC Community Plan of DC and MD

At UnitedHealthcare, 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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

We are excited to recruit for someone to join our team who is member-focused, detail-oriented and can proactively solve problems. 

The Enrollee Services & Operations Analyst of the Maryland and District of Columbia Health Plans has accountability for managing and coordinating functions that serve our members/enrollees, such as customer service, materials, appeals & grievances, clinical management and reporting & audits. This team member will also be responsible for supporting key projects and improvement plans for the health plans’ business operations. 

This position follows a hybrid schedule with four in-office days per week at our DC Office near the DC Convention Center / Mt. Vernon Square. 

Primary Responsibilities:

• DC and Maryland Enrollee (Member) Services: Coordinating member-related operational functions and initiatives to meet member needs and resolve issues. This includes project management of functions such as mailboxes, clinical operations & initiatives, materials review and approvals, appeals & grievances and State Fair Hearings preparation & attendance, as well as interacting directly with members through phone calls, in-person meetings or events and more
• DC Operations Management: Supporting the DC Operations leader in driving key projects, improvement plans or change initiatives tied to health plan priorities and/or business operations. This also includes supporting operational improvements, planning and issue resolution, as well as calendar management and scheduling support
• DC and Maryland Reporting and Adherence: Developing, monitoring and assessing reporting and other State/District-required deliverables, including clinical data management, requirements, and escalating to leadership and working on issues as needed

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:

• 2+ years of experience in project or program management 
• 1+ years of experience in member/customer service or in a customer-facing role 
• 1+ years of experience in managing, developing and/or coordinating reports or records 
• Intermediate level of proficiency with MS Excel 
• Intermediate level of proficiency with MS PowerPoint and Word 
• Resides in the District of Columbia 

Preferred Qualifications:

• Demonstrated ability to have attention to detail 
• Demonstrated ability to communicate (verbally and written) effectively with different levels of leadership 
• Demonstrated ability to proactively problem-solve and navigate in a fast-paced, changing environment 

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 $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.