MAP Enrollment Coordinator

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on 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 seeking a highly motivated and detail-oriented Associate Business Analyst / Dual Enrollment Coordinator to support our Medicare Advantage Plus Plan (MAP). This role is responsible for coordinating and processing MAP referrals, ensuring regulatory compliance, maintaining accurate documentation, and serving as a key liaison between internal departments and external partners.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Willingness to work EST hours is required.

Schedule: 8:30-5pm EST Monday - Friday

Primary Responsibilities:

•  Serves as a key point of contact, representing the organization and ensuring accurate data collection and a positive customer experience
• Process and manage referred MAP enrollment requests
• Review referrals for completeness, eligibility, and accuracy
• Monitor and maintain compliance with Department of Health (DOH) regulations and program requirements
• Stay informed of policy and regulatory updates and communicate impacts to stakeholders
• Serve as the primary point of contact for escalated referral and assessment scheduling issues
• Collaborate with internal teams
• Maintain accurate records and documentation in ICUE and other clinical documentation systems
• Track referrals and maintain audit-ready reports in SharePoint and other tracking tools
• Create and update member programs and assessment documentation as required
• Monitor and report referral trends, issues, and opportunities for process improvement
• Support cross-functional initiatives, projects, and program implementations
• Assist with Dual Enrollment activities and member support functions
• Perform additional duties and special projects as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualification:

• New York accident and health insurance license 
• 1+ years of Medicaid managed care experience 
• Intermediate level proficiency with Microsoft Office Suite, including Excel, Word, PowerPoint, and SharePoint

Preferred Qualification:

• Experience working with Medicare, Medicaid, MAP, MLTC, or Managed Care programs
• Associates degree in Business Administration, Healthcare Administration, Public Health, or related field, or equivalent work experience
• Knowledge of Medicaid eligibility
• Bilingual (Spanish, Mandarin, Cantonese) 

Key Competencies:

• Business Analysis
• Regulatory Compliance
• Process Improvement
• Data Tracking and Reporting
• Stakeholder Collaboration
• Problem Resolution
• Training and Coaching
• Project Support
• Member Advocacy
• Attention to Detail
• Strong analytical and problem-solving skills
• Excellent written and verbal communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Strong attention to detail and organizational skills

*All Telecommuters 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 hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

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.

#RPO #GREEN