UnitedHealth Group Special Needs Family Advisor - Kingston, NY in Kingston, New York

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 .

We dedicate an elite team of Advisors to serve our United Healthcare Families of Children with Special Needs because we recognize that the health care system needs to be tailored to work for every individual and family to best serve their specific needs. When you join us as an Advisor, you’ll have the opportunity to deliver an extraordinary experience to families who need an ally; someone in their corner that is empowered to fast track resolving issues and serves as an ongoing resource to provide guidance and community resources during key transition times in each family’s journey. Some issues you will help families resolve include complex benefit, claims and billing issues, prior authorizations, appeals and more.

What makes your clinical career greater with UnitedHealth Group ? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

Primary Responsibilities:

  • Provide holistic family support to families of children with special needs, owning end - to - end resolution of benefit issues

  • Serves as an ongoing, single point of contact for members, primarily via the phone channel (may also will use email, chat, text), delivering compassionate support to consumers, creating a memorable, positive consumer experience. Must create and build ongoing relationships with others (to include both consumers and teammates)

  • Make decisions independently and solve problems creatively without requiring established procedures, using sound judgment and critical thinking, while consistently following through on commitments and framing realistic expectations for consumers

  • Plans, prioritizes, organizes and completes work to meet established objectives

  • Mentors and coaches colleagues, and acts as a resource for others

  • Anticipates member needs and proactively seeks out external and internal resources where appropriate to add unexpected value for the member.

  • Ability to determine appropriate referrals to other programs / services as needed without technology guidance

  • Proactively identifies areas of improvement for the broader member experience and escalates the issue and proposed solution for the benefit of the entire team

  • Ongoing education for conditions that fall under the special needs umbrella is required; Will be on the job and provided by UHG

  • Provide other services in the future yet to be defined. For example: decision support services

  • Contributing to the community of the team, being vocal with what you have learned.

Provide services such as:

  • End to end resolution of coordination of benefits, and medical & pharmacy claims, billing/appeals / prior authorization / etc. issues; striving to remove the burden from the consumer

  • Help members with medical, behavioral and pharmacy needs as well as connect them with resources in and out of our company

  • Support in researching and identifying healthcare providers that meet and align with consumer needs

  • Educate and coach consumers on clinical, wellness and community resources they can use to help increase their family’s quality of life

  • Educate consumers on their benefit package and quarterback interactions to additional benefit experts or resources; Expected to do much more legwork on the member’s behalf and not transfer

  • Intervene with care providers (healthcare provider offices) on behalf of the consumer to assist with appointment scheduling or connections with internal specialists for assistance when needed

  • Assist consumers in navigating myuhc.com and other UnitedHealth Group resources and encourage and educate them to become self - sufficient

  • Provide resources and guidance to help members navigate key transition times in their dependents’ life, when benefits and resources typically change

Required Qualifications:

  • High School Diploma / GED (or higher)

  • 1+ years of experience helping, resolving, or advocating on behalf of consumers or customers

  • Experience using computer and Windows PC applications (Microsoft Excel, Word and Outlook) to create, copy, edit, save and send documents

  • Ability to work an 8-hour shift between the hours of 7:00 am - 7:00 pm Monday through Friday

Preferred Qualifications:

  • Bachelor's Degree (or higher) in a Social Science field

  • 1+ years of experience working in healthcare

  • Experience providing care for children with special needs

  • Claims processing experience

  • Experience within a Service Delivery capacity (examples include, but are not limited to: Social Services, Caregivers, Hospitality, Social Work, Sales, Non - Profit Agencies)

  • Bilingual with English and Spanish

Soft Skills:

  • Strong keyboard experience

  • Navigation skills

  • Adeptness in learning new computer programs

  • Ability to type and talk at the same time and toggle between multiple screens

Careers with UnitedHealthcare . Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work .

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/ A ffirmative 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: UHG, Kingston, NY, Healthcare, Health Advisor, SPECIALNEEDS