Bilingual English and Spanish Sanitas Experience Specialist | Phoenix, Arizona
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Sanita Experience Specialist
This position is Onsite. Our office is located at:
- Maricopa County Primary Clinics - Maryvale Clinic, 4524 N Maryvale Pkwy, Ste 120, Phoenix, AZ 85031
- Tempe Clinic -1845 E Broadway Rd, Ste 116-119, Tempe, AZ 85281
When it comes to moving forward and having the will to win, we call it great career potential Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast-growing environment.
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Sanitas Experience Specialist serves as UnitedHealthcare's onsite representative within designated Sanitas clinics, delivering a high-touch member and provider experience while strengthening the operational partnership between UnitedHealthcare and Sanitas. This role provides in-person support to members, assists providers and clinic staff with operational questions and issue resolution, and proactively identifies opportunities to improve end-to-end experiences and operational performance.
As an embedded member of the IFP Operations Strategy & Delivery (OSD) organization, the Sanitas Experience Specialist acts as a liaison between members, providers, clinic leadership, brokers, and UnitedHealthcare operational teams. This role combines member advocacy, provider support, operational problem solving, and relationship management to create a seamless healthcare experience.
In this role you will work onsite at the clinics below. It may also be needed to travel. The additional clinics are within a 30 mile radius and you can anticipate needing to do so between 2-4 times per month:
- Maricopa County Primary Clinics - Maryvale Clinic, 4524 N Maryvale Pkwy, Ste 120, Phoenix, AZ 85031
- Tempe Clinic -1845 E Broadway Rd, Ste 116-119, Tempe, AZ 85281
This position is full time. Employees are required to work during our normal business hours of 8:00 am - 5:00 pm.
Primary Responsibilities:
- Serve as the onsite UnitedHealthcare representative within assigned Sanitas clinics.
- Assist members with eligibility, benefits, claims, billing, provider access, referrals, authorizations, and other plan-related questions.
- Resolve member issues whenever possible at the point of care.
- Coordinate with internal UnitedHealthcare teams to manage and resolve member escalations.
- Educate members on available health plan resources, digital tools, and support services.
- Support community outreach, enrollment events, and broker activities as needed.
- Partner with clinic staff and providers to resolve operational issues affecting patient care and administrative processes.
- Assist with eligibility verification, claims questions, referral processes, prior authorizations, credentialing inquiries, and provider service concerns.
- Coordinate with UnitedHealthcare functional teams to facilitate timely issue resolution.
- Build strong relationships with clinic leadership and staff to enhance the UHC-Sanitas partnership.
- Identify recurring member and provider pain points and escalate systemic issues for root cause analysis.
- Serve as a local operational expert for assigned markets and clinics.
- Track and communicate emerging trends, risks, barriers, and opportunities impacting member and provider experiences.
- Participate in process improvement initiatives designed to enhance operational effectiveness and reduce friction points.
- Support new market expansions, operational readiness activities, and implementation efforts as needed.
- Maintain strong relationships with Sanitas leadership, clinic teams, brokers, and internal UHC stakeholders.
- Represent UnitedHealthcare professionally and consistently in all interactions.
- Help promote collaboration and alignment between UnitedHealthcare and Sanitas teams.
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 equiv