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. As a Clinical Administrative Coordinator, you will act in a liaison role with Medicaid members to ensure appropriate care is accessed by disseminating information about options in Medicaid enrollment. You will work directly with members telephonically and in person to support member's awareness of enrollment options and application for chosen Medicaid plan. This position requires collaboration with Care Managers, peers, family, etc. in supporting manager to access plan most helpful to member's recovery. Primary Responsibilities:Create a positive experience with the memberSupport the believe that recovery is possible with support of strong community resourcesAssist members who are dealing with the most complex and difficult issues, including homelessness, trauma, physical health issues, etc. Work with the clinical team, peers, community providers, etc. to find and outreach members telephonically and / or in personEffectively communicate plan information to consumers, and possibly with family / supporters to make informed decision about choosing NYS Health and Recovery Plan (HARP) or Mainstream Medicaid PlanAssist member to negotiate conversion process with insurance broker (Maximus) to facilitate successful experienceRespond to concerns and questions from members and families
Required Qualifications:Bachelor's Degree (or higher)Understanding of serious mental illness / substance use issuesExperience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)Access to reliable transportation that will enable you to travel to member, as neededAbility to travel 25% of the time in a designated areaPreferred Qualifications:Bilingual in English and Spanish Experience working with NY MedicaidSoft Skills: Ability to manage personal data within internal and external platforms and data sheetsAbility to communicate benefits and eligibilityStrong telephonic and face-to-face communication skills and ability to work well with othersCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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: Medicaid, UHC, community education, New York, bilingual
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.