Medicare Compliance Coordinator – Remote in Colorado

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.

The Medicare Compliance Coordinator serves as a key member of the Medicare Program Management team in Colorado.  Responsibilities include collecting, reviewing and entering data; research; corresponding with Medicare enrollees; and completing required reports. Responsible for supporting key functions related to Medicare program monitoring and regulatory compliance.

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

Primary Responsibilities:

• Develop and maintain a general knowledge of CMS requirements
• Work collaboratively to improve the Medicare enrollee’s experience
• Understand and strictly adhere to department operating procedures
• Ensure accuracy and consistency in data entry within the Essette system, as well as MPM tracking tools
• Actively participate in department meetings and workgroups
• Meet all compliance deadlines and self-manage workload using MPM tracking tools 
• Interface with key internal as necessary to complete assigned tasks
• Creates the Individualized Care Plan (ICP) using the results of the Health Risk Assessment (HRA) outreaches
• Prepares final ICPs for mailing to Medicare DSNP enrollees
• Assists with outreach to Medicare DSNP enrollees to collect Health Risk Assessment (HRA) responses as needed
• Accurately documents all work for compliance and tracking
• All other duties assigned by business

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.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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 (or higher) or 4+ years of medical call center, care coordination, case management, or community health worker experience
• 2+ years of health assessment experience 
• Intermediate level of computer skills (Microsoft Word, Excel, Outlook, and Internet) with the ability to navigate a Windows environment
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information and live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Reside in the State of Colorado 

Preferred Qualifications: 

• 1+ year of experience in regulatory guidance as it pertains to the Medicare DSNP Health Risk Assessment (HRA) and Individualized Care Plan (ICP) processes

Soft Skills:

• Ability to be a positive representative of the Company both internally and externally
• Team player demonstrating enthusiasm and commitment to company vision and mission
• Ability to always work with respect and cooperation with fellow employees and clients
• Excellent organizational skills, data entry skills, and attention to details
• Ability to meet multiple deadlines with little direction
• Ability to multi-task
• Ability to communicate effectively, both verbal and written
• Ability to understand regulatory guidance as it pertains to the Medicare DSNP Health Risk Assessment (HRA) and Individualized Care Plan (ICP) processes

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

    

The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 

    

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.

    

    

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.

    

   

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