Our Ability Jobs

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.

If you are located in Minnetonka, MN, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

This position evaluates, conducts, analyzes, and provides guidance to the appropriate team(s) on complex H&W escalations and non-standard Level I appeal regarding enrollment/eligibility. With these escalations, this position reviews the root causes and identifies any solutions that can be put in place to reduce or eliminate errors from reoccurring. In addition, this role is responsible for health administration and operation processes.

Primary Responsibilities:

• Provide support/guidance for escalated H&W Benefits cases from Employee Center, company-wide internal and external vendors, and others within the organization. Determine root cause and identify any recommended solutions to reduce errors with Ben Admin team/Alight/UHC/Optum/EE Center. Provides consulting and interpret plan specific benefit plan details to all levels within the organization

• Analyze and provide recommendations to enhance the employee experience based on employee feedback including surveys and reporting

• Manage Survivor Navigator including reviewing survivor navigator outlines (Benefits Analyst to do) to provide to HCAs, review Survivor Navigator calls, and ongoing meetings with HCAs to receive feedback

• Manage and analyze complex Level I eligibility/enrollment appeals by reviewing, if any similar past escalations, review SPD, requirements, etc. to determine, if can allow approval. Provide decisions and guidance to Alight partners for denials on difficult issues

• Support customized activities related to Benefit plans/processes/policies (e.g., terminations, transfers, integrations)

• Provide training and education on H&W benefits-related tools/processes/issues to applicable audiences (Alight, HCA, , PBP, Employee Relations, OPS provider liaisons, etc.) including culture trainings as needed

• Partner and collaborate with Health & Wellness Administration team and external busines partners on process improvement and enrollment system testing while reviewing and recommending enhancements

• Back-up to Health & Wellness Payroll, Health Administration mailbox, Service Now Requests, and manage various legal and outside requests

• Other duties as assigned

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:

• 2+ years of benefits, payroll, customer service or HR experience

• Proficiency in MS Office with strength in Excel

• Ability to prioritize multiple projects and deadlines

• Knowledge of ERISA, COBRA, HIPAA, ACA, Section 125, and other benefit legal and regulatory requirements

Preferred Qualifications:

• Excellent customer service skills

• Demonstrated initiative, flexibility, and resourcefulness to achieve organizational goals

• High degree of professionalism and confidentiality

• Ability to maintain composure and deliver results in a fast-paced environment

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.