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Business Operations Specialist - New York, NY
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | New York, NY New York, New York |
About this job
Position Description:
We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.SM
We are currently seeking a Business Operations Specialist for New York office. You will be supporting NY MLTC (Managed Long Term Care).
We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.SM
We are currently seeking a Business Operations Specialist for New York office. You will be supporting NY MLTC (Managed Long Term Care).
Primary Responsibilities:
- Provide administrative support to the enrollment/entitlement team related to referral, eligibility and enrollment processing
- Perform data entry, tracking and trending of information/communication related to entitlements/enrollment/disenrollment/transfer of members
- Assist clinical and clinical support teams in management of service authorization processing, assessment tracking and scheduling and associated communications
- Support vendor management activities, including telephone communication, database management, document tracking and associated analysis
- Responsible for managing incoming calls, supporting teams with requests for services/information/education from providers/members, processing and tracking assigned documentation, maintaining databases, providing notifications/reports as assigned,
- Serve as technical support to other departments and vendors regarding department processes, timeframes and expectations, as assigned.
- Conduct appropriate research and articulate business value driving a proposed project/initiative.
- Assess current business processes and recommends opportunities for improvement.
- Maintains effective communication with assigned business partners on a given project/initiative (includes any assigned reporting needs/activity).
- In-depth knowledge of operational processes and business rules
- Understanding of healthcare industry and regulations (to extract and analyze data)
- Proven ability to prioritize and work well under tight deadlines while managing multiple tasks
- Ability to work as a member of a larger overall team composed of members with differing backgrounds and skills
- Understanding of Group Enrollment policies, procedures and systems.
- Manage reports and dashboards for management for use in understanding Special Populations programs performance, developing action plans, and executing strategic initiatives
- Analyze data on an on-going basis with a focus on Continuous Process Improvement
- Other duties as assigned
Core Competencies:
- Strong writing and documentation skills
- Organizational skills
- Creativity
- Knowledge of Medicaid Long Term Care services/plans in NYS
- Good customer service skills
- Knowledge of Microsoft Office products.
Requirements
Required Qualifications:
- High School Diploma/GED.
- 2+ years of Business Operations experience.
- 2+ years experience in an Office environment using the telephone and computer as the primary instruments to perform the job duties.
- Managed Care experience.
- Associate's or Bachelor's Degree.
- Knowledge of Medicaid and Medicare.
- Knowledge of Medical Terminology.
- Bilingual (English and Spanish)
- Bilingual (English and Russian)
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.