Member Advocate - Telecommute in Sugar Land, TX

Company: UnitedHealth Group
Location: Sugar Land
Posted on: March 20, 2020

Job Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Member Advocates  are responsible for first - level response and resolution of escalated issues with external and internal customers. This role will be a full - time telecommuter position. Must be able to effectively prioritize duties appropriately and possess a high level of organizational and time management skills. Must possess talents that include dealing with difficult people and situations with little or no supervision. Must be flexible and be able to adapt to change quickly and effectively. Primary Responsibilities: Manages overall delivery of benefits and services by providing support and guidance to existing and potential customers to ensure continued membership P rovides expertise and customer service support to members, customers, and / or providers I dentifies and resolves operational problems using defined processes, expertise and judgment I nvestigates claim and / or customer service issues as identified and communicate resolution to customers Positions in this function are responsible for first-level response and resolution of escalated issues with external and internal customers Responsible for the overall delivery of benefits and services by providing support and guidance to existing and potential customers to ensure continued membership Analyzes and investigates Provides explanations and interpretations within area of expertise 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 higher) 2+ years of Client Account Management experience 3+ years of experience with persons receiving Texas Medicaid benefits and services Experience with Microsoft Word (ability to create / save / edit documents), Microsoft Excel (ability to create / save / edit presentations) and Microsoft Outlook (ability to send emails and calendar management) Must be knowledgeable of community resources, local organizations, and services that assist the Aging, Blind, and Disabled population that we serve Ability to travel up to 25% of the time Ability to work a split shift on a rotating schedule to provide support to UHC Customer Service agents; UHC Call Center hours are 8:00 am – 8:00 pm, Monday to Friday Preferred Qualifications : Associate’s Degree (or higher) 1+ year of Project Management experience B ilingual in Spanish and English UNET, COSMOS, FACETS or NICE claims platforms experience Microsoft PowerPoint experience (ability to produce and display a Microsoft PowerPoint presentation) Soft Skills: Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in respectful, timely manners, consistently meeting commitments) Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests and identify the current and future needs of the member Proficient problem solving approach to quickly assess current state and formulate recommendations Proficient in translating healthcare-related jargon and complex processes into simple, step - by - step instructions customers can understand and act upon Flexibility to customize approach to meet all types of member communication styles and personalities Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrating personal resilience Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV / AIDS and High - risk Pregnancy. Our holistic, outcomes - based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your life’s best work.SM 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. Keywords: UHG, United Healthcare, TX, Sugar Land, Medicaid, Medicare

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