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Coordinator of Benefits

3 months ago

Overland Park, United States UnitedHealth Group Full time

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.

We are seeking a highly motivated and experienced individual to join our team as a DSNP (Dual Special Needs Plan) Coordinator for Kansas Medicaid. This role will be responsible for assisting with the operational integration between Medicare and Medicaid programs, as well as serving as the primary point of contact for providers encountering issues with the DSNP program. The DSNP Coordinator will play a crucial role in ensuring effective coordination and collaboration between various stakeholders, including Medicare and Medicaid agencies, healthcare providers, and internal teams.

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

Primary Responsibilities:

  • Act as a subject matter expert on DSNP program requirements, policies, and procedures for Kansas Medicaid
  • Collaborate with Medicare and Medicaid agencies to ensure seamless operational integration between the two programs
  • Serve as the primary point of contact for healthcare providers encountering issues or challenges related to DSNP
  • Investigate and resolve provider concerns, complaints, and escalations related to DSNP, ensuring prompt and satisfactory resolutions
  • Develop and maintain solid working relationships with healthcare providers, fostering open communication and trust
  • Provide guidance and training to healthcare providers on DSNP program requirements, billing processes, and documentation standards
  • Stay current on changes to Medicare and Medicaid regulations, policies, and guidelines. Communicate relevant updates to internal teams and providers
  • Analyze data and metrics related to KS DSNP program performance, identifying areas for improvement and proposing solutions
  • Collaborate with cross-functional teams to implement process improvements and enhance the overall efficiency and effectiveness of DSNP operations
  • Participate in meetings, workgroups, and committees related to DSNP program management and quality improvement initiatives
  • Prepare senior leadership reports and presentations on DSNP program performance, challenges, and recommendations

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:

  • 2+ years of experience in the healthcare industry
  • 1 + years of experience working with Medicare and Medicaid programs
  • 1+ years of experience with healthcare provider operations, billing systems and documentation standards
  • Demonstrated excellent communication and interpersonal skills, with the ability to effectively communicate complex information to diverse audiences
  • Proficient in data analysis and reporting, with experience using relevant software and tools
  • Ability to work independently and collaboratively in a fast-paced, dynamic environment
  • Proven problem-solving and conflict resolution abilities, with a focus on providing exceptional customer service to providers
  • Proven solid organizational skills, with the ability to prioritize and manage multiple tasks and projects simultaneously

Preferred Qualifications:

  • Supervisory experience
  • Proven in-depth knowledge of DSNP program requirements, regulations, and operational processes

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $58,300 to $114,300 annually. 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.