Member Advocate and Veteran Liaison - Phoenix, AZ
Job description
If you are located within commutable distance of Phoenix, AZ, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.
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 and start doing your life’s best work. SM
This position is full - time. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM.
Our office is located at 1 E WASHINGTON ST, PHOENIX, AZ. Employees will be required to work 2 days onsite and 3 days from home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Communicate and disseminate information to members and families to identify concerns and remove barriers that affect service delivery or member satisfaction
- Attend community events representing the health plan by offering education on Medicaid benefits and community resources to members and families
- Support Dual Special Needs (DSNP) members by outreaching to individuals to educate on ways to improve health outcomes
- Help veteran members understand their Medicaid, DSNP (Medicare), and VA benefits
- Engage with veterans’ members in a one - on - one environment to mimic the environment of support that they became accustomed to in the military
- Train staff on the cultural competencies of veterans and their families
- Identify veteran members and organize outreach activities to inform members and families of the benefits available and how to access those services
- Develops and submit Member and Provider educational materials as it relates to member advocacy, special needs population, and veteran members and families
- Collaborate with the organization’s other member support areas, including but not limited to Long Term Care, Office of Individual and Family Affairs (OIFA), Member Services, and Provider Services
- Collaborate with the AHCCCS Human Rights Committee (HRC) Coordinator
- Represent the health plan at Independent Oversight Committee (IOC) meetings
- Set team direction, resolve problems and provides guidance to members of own team
- Carry out responsibilities in accordance with the organization's policies and regulatory requirements
- May lead functional or segment teams or projects
- Adapts departmental plans and priorities to address business and operational challenges
- Represents the department in assigned Plan committees / meetings
- Assists with program improvement projects
- Monitor of Regulator Care Todays and resolve per expected timelines
- Works closely with Business Partners to ensure regulatory compliance is met
- Assists with program improvement projects and complex conceptual analyses
- Prepare regulatory reports as required
- Complete special projects as assigned
- Demonstrate ability to focus health plan activities toward a strategic direction as well as develop tactical plan, drive performance and achieve targets
- Contributes to developing new programs specific to the state requirements
- Overall responsibility for workflow activities & activities for designated teams
- Adhere to ethical, legal / regulatory and accreditation standards to meet business goals and objectives
- Communicate with providers and members as needed
- Ensures teams meet established performance metrics and performance guarantees
- Adapts departmental plans and priorities to address business and operational challenges
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:
- High School Diploma / GED (or higher) OR equivalent experience
- 3+ years of Behavioral Health experience
- 3+ years of team lead, supervisory, and / OR management experience
- 3+ years of experience with outreach activities (Community Outreach), including the ability summarize data and initiate program initiatives
- Experience with using Microsoft Office Suite, including Microsoft Word, Microsoft Excel, Microsoft PowerPoint, and Microsoft Outlook
- Ability to travel within the state based on business need
- Ability to work any shift between the hours of 8:00 AM - 5:00 PM
Preferred Qualifications:
- Associate’s Degree (or higher)
Telecommuting Requirements:
- Reside within commutable distance of Phoenix, AZ
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
- Experience in a deadline driven environment (submitting reports timely)
Careers 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 healthcare here. We serve the healthcare 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 Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your life’s best work. SM
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.
#RPO #RED
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