Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Job Summary
The Associate Enrollment & Eligibility Representative (Medicare and Retirement, US Health care) is responsible for accurately processing and maintaining member enrollment and eligibility information. The role supports member access to healthcare services by ensuring enrollment transactions are completed timely and in compliance with regulatory and business requirements.
Key Responsibilities
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Process new member enrollments and eligibility transactions.
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Update and maintain member records in internal systems.
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Verify member eligibility and enrollment status.
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Process changes, corrections, and member data updates.
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Respond to standard inquiries related to enrollment and eligibility.
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Support inventory and workflow management activities.
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Ensure compliance with CMS, regulatory, and business requirements.
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Maintain quality, accuracy, and turnaround-time standards
Required Qualifications
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Graduate in any discipline.
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Basic computer and typing skills.
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Good verbal and written communication skills.
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Ability to learn and navigate multiple applications and systems.
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Strong attention to detail and accuracy.
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Willingness to work in a night-shift and office-based environment.
Preferred Skills
- Good Communication skills - both verbal and written
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MS Office knowledge.
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Analytical and problem-solving skills.
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Time management and organizational skills.
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Ability to work effectively in a team environment.
Key Competencies
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Attention to Detail
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Quality Focus
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Customer/Member Centricity
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Teamwork & Collaboration
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Accountability
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Adaptability
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Learning Agility
Career Growth
This role provides opportunities to:
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Learn healthcare and insurance operations.
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Develop analytical and operational skills.
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Gain expertise in Enrollment & Eligibility processes.
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Progress to SME, Senior Associate, Team Lead, and Operations Management roles.
Attraction Points for Candidates
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Entry point into the healthcare industry.
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Structured training and development.
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Exposure to regulatory and healthcare operations.
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Opportunity to build a long-term career within Enrollment, Eligibility, Billing, Quality, and Operations leadership functions.
Preferred Qualifications:
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Experience in Enrollment, Eligibility, Healthcare Operations, or related processes
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Freshers or candidates with up to 6 months of experience in an office, administrative, clerical, customer service, or similar environment
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Proven comfortable using computers as primary work tools
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Proven ability to manage multiple tasks while maintaining accuracy and productivity
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.
