Bilingual in English and Spanish M&R Stars Member Navigator - Boston, MA - Full-time / Part-time

Position Description:


UnitedHealth Group is working to create the Healthcare system of tomorrow and you can help. Already Fortune 17, we are totally focused on innovation and change.  We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
 
Through our family of businesses and a lot of inspired individuals, we're building a high-performance Healthcare system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed.  Join with us and start doing your life’s best work.
 
As a Member Navigator, you will act in a liaison role with United Healthcare Medicare & Retirement members to ensure appropriate care is accessed as well as to provide home and social assessments and member education.
 
Primary Responsibilities:

Locate members who need guidance, by phone and in person
Create a positive experience and relationship with the member
Help break down barriers and solve problems for the member to eventually lead to the member seeing their doctor to get recommended tests and health care checkup screenings.
Keep member actively engaged with their primary physician
Support the member to ensure pick-up of their Rx or sign them up for mail delivery of their prescriptions
Proactively engage the member to manage their care
Provide member education
Support transitions of care
Help to keep members compliant with their care plans
Partner with care team (community, providers, internal staff)
Knowledge and continued learning of community cultures and values
May conduct Health Risk Assessments via phone or in person, if needed

Required Qualifications:

High School Diploma/GED
1+ years of outbound patient/member outreach experience, both telephonic and field-based/in-person
3+ years of experience working within the community Health setting in a Healthcare role
Experience and familiarity with the community organizations/resources available within the community or counties specified
Experience with both telephonic and in-person, proactive patient outreach
Knowledge of culture and values in the local community
Previous experience working with Microsoft Office and be able to utilize its applications in a Professional setting
Must reside in Boston, MA
Comfortable with 25% to 40% of travel
Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
Bilingual in English and Spanish Preferred Qualifications:

Bachelor's Degree (or higher) in Social Work, LPN (Licensed Practical Nurse) licensure, CNA/HHA
Experience working in Managed Care
Knowledge of Medicaid & Medicare populations in your local areaCareers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.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: Insurance, Boston, MA, customer services, customer services representative, claims, appeals, call center, phone support, dispute resolution, healthcare, UnitedHealth Group