Community Outreach Representative (Bilingual Spanish), MassHealth Eligibility Specialty - Worcester County

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.

You never thought your career could help millions of lives. Well, here you can. As a MA Community Outreach/MassHealth Eligibility Specialist, you'll utilize innovative strategies and programs to ensure access to health care coverage for the underserved and impact millions of lives. You'll use your energetic, empathetic approach to marketing and add value to our team. Through community marketing and outreach efforts, you will have direct impact on membership growth and retention. You'll use your creativity, strategic lens, and outspoken attitude to be part of an elite team to rewrite the history of UnitedHealth Group.

If you are located in MA, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Maintain detailed knowledge of State and Federal insurance programs and effectively utilize such programs to insure all eligible are enrolled in appropriate MassHealth programs
• Maintain detailed knowledge of MassHealth and attend all required MassHealth training forum meetings
• Assist in eligibility determination and completion of MassHealth applications
• Monitor, analyze and investigate pending applications and follow up as necessary
• Interview all prospects/members and authorized representatives to screen for eligibility and obtain vital information for purpose of completion and MassHealth determination
• Work with individual and/or family to obtain all required documentation for purpose of completion and MassHealth determination
• Maintain proper documentation
• Assist existing members with MassHealth Renewal process
• Support the Sales/Marketing team by facilitating MassHealth applications for purpose of enrollment
• Support existing COR team by conducting community events when needed
• Establish new relationships and maintain existing ones by leveraging the MassHealth Eligibility program
• Conduct educational presentations to community organizations
• Meeting or exceeding targeted growth, retention, and enrollment expectations
• Provide explanations and interpretations within area of expertise
• Share our mission to help people live healthier lives, throughout the communities we service

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:

• A state life/health insurance license is a requirement for this position by law. If you do not already have one, must be willing to obtain a (company-sponsored) state health/life insurance license within 60 days of hire
• Experience and comfort working with low-income individuals and families, including seniors/elders and persons with disabilities
• Basic knowledge of MassHealth/Medicare
• Proficient in MS Office (Outlook, Word, Excel, PowerPoint)
• Bilingual Spanish
• Valid driver's license and good driving history
• Access to insured and reliable transportation that will enable you to travel to client and/or patient sites within a designated area
• Ability to travel up to 75% of the time within this market area
• Ability to work core business hours, Monday - Friday and nights and weekends, when required
• Live within a commutable distance to Worcester county, Massachusetts

Preferred Qualifications:

• Active health insurance license
• Experience completing MassHealth Applications
• Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities
• Community outreach experience within healthcare
• Medicare Advantage/Dual Special Needs Plan (DSNP) experience
• Established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territory

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.