Enrollment Manager – Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

 

The Enrollment Manager oversees the preparation, processing, and maintenance of new member or group enrollments while ensuring billing accuracy and resolving discrepancies. This leadership role involves supervising enrollment and billing teams, managing eligibility issues, and developing processes that enhance the member experience. Key responsibilities include staff training, compliance with corporate and regulatory standards, collaboration with internal and external partners, and driving operational improvements. The position requires strong analytical, organizational, and communication skills, with experience in healthcare enrollment and team management.

 

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

 

Primary Responsibilities:

• Supervise team members in their daily job functions to ensure files are applied timely and all turnaround times and quality standards are met and / or exceeded
• Maintain and prioritize eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes to the director and senior leaders
• Promote strong working relationships with hospitals, physicians, ancillary providers and their office staff to assure provider satisfaction
• Provide training, training tools and documentation of training to promote staff compliance with corporate and regulatory requirements
• Understand and align with the strategic vision and executional priorities; collaborate with the Operations leadership team, peers and business partners
• Lead by example, and provide support and coaching to teams of  Enrollment and Billing specialists; responsible for coordinating priorities and daily activities of the work unit
• Develop/design eligibility, enrollment, and billing operations processes that align to the member experience to ensure that service to our member/provider is the top priority
• Demonstrate understanding and effectively communicate how upstream/downstream impacts of enrollment and billing operational processes
• Proactively monitor performance; initiate and drive appropriate change in processes, tools and capabilities that increase efficiency and effectiveness while concurrently improving the member/provider experience and complying with regulatory requirements
• Support Members to answer and address all questions related to eligibility, enrollment, and money including financing their care, plan and procedure pricing and payment for care
• Influence and/or provide input to forecasting and planning activities

 

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:

• 5+ years of health care experience
• 2+ years of management and/or supervisory experience
• Experience with member-centric business implementation, including operating policies and procedures, and work process improvements
• Proficiency with Microsoft Office Suite (Outlook, Word, Excel, and PowerPoint)
• Proven excellent written and verbal communication skills and have the ability to interact with a wide variety of external customers

 

Preferred Qualifications:

• Credentialing certification
• Health care enrollment experience
• MD Staff experience
• Proven ability to solve problems and to creatively exercise initiative, logic and sound judgment in the development of strategies and contractual relationships
• Proven ability to organize and prioritize efficiently, attention to detail and timely follow up are critical

 

*All employees working remotely 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 $71,200 to $127,200 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.