Enrollment and Eligibility Supervisor TRICARE - Phoenix, AZ - Full-time / Part-time

Position
Description:

Positions
in this function are responsible for preparing, processing and maintaining new
member enrollments. Positions may load new member data into the enrollment
database & update the database with changes. Positions may also respond to
member eligibility questions & verify enrollment status. Positions may work
with various types of member correspondence. Positions may also be responsible
for reconciling eligibility & fee discrepancies, analyzing transactional
data & submitting retroactive eligibility changes. Positions may also be
responsible for inventory control of member transactions.

When
you work in Operations at UnitedHealth Group, you can help improve the
efficiency and usability of a system that's going to change the face of health
care.

If
it sounds too good to be true, consider this: Through our family of businesses
and a lot of inspired individuals, we're building a high-performance structure
that works better for more people in more ways.

Primary
Responsibilities:

• Loading
  new member data into the enrollment database & update the database
  with changes
• Responding
  to member eligibility questions & verify enrollment status
• Working
  with various types of member correspondence
• Reconciling
  eligibility & fee discrepancies, analyzing transactional data & submitting
  retroactive eligibility changes
• Inventory
  control of member transactions
• Ability
  to plan and forecast future inventory
• Work
  is frequently completed without established procedures
• Works
  independently
• Directly
  manage a team of 20+ direct reports
• Provide
  coaching and feedback to team regarding performance metrics
• Clearly
  communicate changes to policies and procedures to team in a timely manner
• Support
  and assist with planning and implementation of various Billing &
  Enrollment projects
• Oversee
  End to End processing of fee bearing programs and Billing & Enrollment
  reports
• Ability
  to drive and support change
• Act
  as a resource for others
• Coordinates,
  supervises and is accountable for the daily activities of business
  support, technical or production team or unit.
• Impact
  of work is most often at the team level.

Requirements:

• High
  School Diploma/GED
• 2+
  years team lead/supervisory experience
• 3+
  years experience in a production driven, matrix environment
• Beginner proficiency with Excel, PowerPoint and SharePoint
• Intermediate proficiency with MS Word and Outlook
• United
  States Citizenship
• Ability to obtain favorable adjudication following submission of
  Department of Defense eQuip Form SF86
  

Assets:

• Associate
  and/or Bachelors degree
• Military
  Experience
• Previous
  TRICARE experience

As a requirement of UnitedHealth Group's contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense eQuip Form SF86, (the National Agency Check Legal and Credit or “NACLC”). Successful completion of the NACLC process is a requirement for continued employment in this role. NACLC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense. Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received. Failure to obtain final NACLC approval will result in termination from this role.

As
a potential government contractor, this position requires U.S. citizenship and
proof of favorable adjudication following submission of Department of Defense
form SF85P.

UnitedHealthcare
Military & Veterans is part of the family of companies that make
UnitedHealth Group one of the leaders across the US health care system.



We serve those who serve our nation, providing quality health care services to
millions of military beneficiaries across the (list region post award).



Our commitment to helping people live healthier lives, and to continue the
honor, satisfaction, and quality of the TRICARE military health benefit program
is greater than ever. Our efforts complement the Military Health System to
demonstrate the best blend of public and private health care solutions.



It's not just business as usual. It is one of our proudest endeavors.



If you're ready to help make health care work better for those who serve our
nation. If you are smart, creative, and committed. If you want to make a
difference. Consider being part of the elite team at UnitedHealth care Military
& Veterans.



This is an opportunity to share in something special; a chance for all of us to
serve, to excel, and to know that we've made a difference for those families
who have made our nation stronger.

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.