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 Special Needs Research Advisor - Minneapolis, MN, Kingston, NY, or Green Bay, WI - MINNEAPOLIS, Minnesota, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Customer service & support
Insurance
 
Travel: Minimal 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 734505 / Latpro-3575997 
Date posted: Oct-17-2017
State, Zip: Minnesota, 55421

Description

Position 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. We dedicate an elite team of Advisors to serve our United Healthcare Families of Children with Special Needs because we recognize that the health care system needs to be tailored to work for every individual and family to best serve their specific needs. When you join us as an Advisor, you'll have the opportunity to deliver an extraordinary experience to families who need an ally; someone in their corner that is empowered to fast track resolving issues and serves as an ongoing resource to provide guidance and community resources during key transition times in each family's journey. Some issues you will help families resolve include complex benefit, claims and billing issues, prior authorizations, appeals and more.   You will serve these families behind the scenes, and you will also have the opportunity to help shape what this elite team does and will evolve to do in order to truly deliver an exceptional experience to these families. You will make an impactful and meaningful difference for many individuals and families. This is where you can bring your compassion for others while doing your life's best work. Primary Responsibilities: Provide holistic family support to families of children with special needs, owning end-to-end resolution of benefit issues Make decisions independently and solve problems creatively without requiring established procedures, using sound judgment and critical thinking, while consistently following through on commitments and framing realistic expectations for consumers. Plans, prioritizes, organizes and completes work to meet established objectives. Mentors and coaches colleagues, and acts as a resource for others. Anticipates member needs and proactively seeks out external and internal resources where appropriate to add unexpected value for the member. Ability to determine appropriate referrals to other programs/services as needed without technology guidance. Provide services such as: End to end resolution of coordination of benefits, and medical & pharmacy claims, billing/appeals/prior authorization/etc. issues; striving to remove the burden from the consumer. Hands off outcomes of issues to the Family Advisor to communicate with the member. Support in researching and identifying healthcare providers that meet and align with consumer needs. Intervene with care providers (healthcare provider offices) on behalf of the consumer to assist with appointment scheduling or connections with internal specialists for assistance when needed. Assist consumers in navigating myuhc.com and other UnitedHealth Group resources and encourage and educate them to become self-sufficient Proactively identifies areas of improvement for the broader member experience and escalates the issue and proposed solution for the benefit of the entire team. Ongoing education for conditions that fall under the special needs umbrella is required. Will be on the job and provided by UHG. Provide other services in the future yet to be defined. For example: decision support services. To succeed as a Special Needs Service Advocate, ideal candidates will possess: Be passionate about helping individuals and families of children with special needs. Strong empathy, compassion and listening skills Aptitude to be proactive, resourceful and relentless with solving issues and providing support; can think outside the box Have critical thinking and problem solving skills Be a self-starter and thrives in ambiguity without established processes. Adaptable and driven to improve process. Have strong communication skills with an ability to understand many different special needs conditions, the impact on the family and then tailor approaches to a variety of unique individuals. Able to manage complex situations as well as prioritize actions, excellent writing skills. Have strong organizational skills in an effort to prioritize tasks effectively and efficiently Work well on a team Must be willing to stay abreast of current special needs services trends for proper delivery of services The ability to be laser-focused on putting consumers' needs at the center of decisions Aptitude to translate complex benefit terminology and processes into common language consumers can understand and act upon Flexibility to continuously evolve the role and try new things Agility in order to excel in a very fast-paced work environment with constant learning and change


Requirements

Required Qualifications:

High School Diploma / GED or higher
1+ years of experience helping, resolving, or advocating on behalf of consumers or customers
Experience using computer and Windows PC applications (Microsoft Excel, Word and Outlook), including: strong keyboard; navigation skills; adeptness in learning new computer programs; the ability to type and talk at the same time and toggle between multiple screens
Ability to work Monday - Friday for 8 hour shifts between the hours of 7:00AM - 8:00PM CST
Preferred Qualifications:

Bachelor's Degree (or higher) in a Social Science field 
Experience providing care for children with special needs
Claims processing experience 
Experience within a service delivery capacity (examples include, but are not limited to: social services, caregivers, hospitality, social work, sales, non-profit agencies)
1+ years of experience working in healthcare
Bilingual with English and Spanish Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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, Green Bay, Minneapolis, Kingston, Healthcare, Advisor, SPECIALNEEDS

 

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