Eligibility Analyst – UK Remote

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.

As a Fortune 5 business, we’re one of the world’s leading healthcare companies. There are no limits here on the resources you’ll have or the challenges you’ll encounter.

We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of

In healthcare, evolution doesn’t just happen. It takes innovation, imagination, and a passion for solving problems in new and better ways. And innovation is taking place at a lightning-fast pace every day at Optum.

As the fastest growing part of the UnitedHealth Group family of businesses, we’re expanding our team in Ireland and creating excellent opportunities for those who want greater purpose and more impact in their work. We’ll provide the investment, support, and resources to advance your career. You’ll provide the talent, ambition, and drive.

This Eligibility Analyst role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Today, more and more employers are turning to us for innovative ideas and high levels of performance. Now, we invite you to help us welcome new members as you help to on-board new accounts. You’ll be responsible for employer contract loading and member implementation using various databases and/or source documents. Along the way, you’ll discover the training, resources and opportunities.

This is a challenging role with serious impact. It’s a fast paced, high volume environment that requires you to work independently while maintaining a strong focus on company policies and guidelines. Your accuracy will be vitally important and monitored carefully to ensure our system is correctly coded and that all plan documents are precise.

Primary Responsibilities of the Eligibility Analyst:

• Serve as primary contact to all policy administration related enquiries from brokers and clients.

• Preparing, processing, and maintaining new member enrolments & cancellations.

• Responding to member eligibility queries & verifying Enrolment status.

• Work with partners to ensure member enrolments, cancellations and modifications are processed within agreed SLA.

• Perform reconciliation of member data with Partners

• Build and maintain long term relationships with key internal & external functions.

• Identify opportunities in processes and work with the team to develop and implement solutions across UnitedHealthcare Global organisation.

• Act as a back to the Client Implementation Team to support activities during peak periods.

You will be rewarded and recognised 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 providing development for other roles you may be interested in.

Required Qualifications of the Eligibility Analyst:

• Minimum of high school education or equivalent experience

• Proficient with Excel (formulas, pivot tables, edit/create spreadsheet)

Preferred Qualifications of the Eligibility Analyst:

• Experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools

• Experience in enrolment/eligibility function

• Knowledge of the health insurance industry

Soft Skills of the Eligibility Analyst:

• Communication (written and verbal)

• Continuous process improvement skillset and mindset

• A strong eye for detail

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.

All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy.

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 marginalised 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: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © 2024 Optum Services (Ireland) Limited. All rights reserved.

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