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.

You never thought your career could help millions of lives. Well, here you can. As a Community Outreach Eligibility Specialist, you’ll utilize innovative strategies and programs to ensure access to health care coverage for the underserved and impact millions of lives. You’ll use your energetic, empathetic approach to marketing and add value to our team. Through community marketing and outreach efforts, you will have direct impact on membership growth and retention. You’ll use your creativity, strategic lens and outspoken attitude to be part of an elite team to rewrite the history of UnitedHealth Group.

If you are located in Suffolk County, MA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Maintain detailed knowledge of State and Federal insurance programs and effectively utilize such programs to ensure all eligible are enrolled in appropriate MassHealth programs
• Maintain detailed knowledge of MassHealth and attend all required MassHealth training forum meetings
• Assist in eligibility determination and completion of MassHealth applications
• Monitor, analyze and investigate pending applications and follow up as necessary
• Interview all prospects/members and authorized representatives to screen for eligibility and obtain vital information for the purpose of completing and submitting MassHealth applications
• Work with individuals and/or family to obtain all required documentation for the completion of MassHealth application
• Maintain proper documentation of all consumer interactions
• Assist existing members with MassHealth Renewal process
• Support the Sales/Marketing team by facilitating MassHealth applications for purpose of enrollment
• Support existing COR team by conducting community events when needed
• Establish and maintain internal and external relationships by leveraging the MassHealth Eligibility program
• Conduct educational presentations to community organizations
• Meeting or exceeding targeted growth, retention, and enrollment expectations
• Provide explanations and interpretations within area of expertise
• Share our mission to help people live healthier lives, throughout the communities we service

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 Qualifications:

• Ability to obtain Health/Accident Insurance License within first 60 days of employment
• Basic level of knowledge of MassHealth/Medicare
• Ability to work flexible hours as needed
• Ability to travel up to 75% of the time (local domestic travel within the community)
• Reside within Suffolk County, MA
• Access to reliable transportation and valid US driver’s license that will enable you to travel to client and/or patient sites within a designated area

Preferred Qualifications:

• Experience completing MassHealth Applications
• Community Outreach experience within healthcare
• Basic level of knowledge of Senior Care Options and One Care
• Bilingual in English/Spanish

*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 $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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