Bilingual English and Spanish - Senior Service Account Manager
- Knowledge to Manage a portfolio of Texas Medicaid and CHIP members
- Investigate and manage escalated service issues through root cause analysis and communicate outcomes (telephonically or written) to internal partners and external clients. Including coordination with customer vendors.
- Coach and mentor, share best practices; training as needed, Lead process improvement special projects, document new processes and/or project summaries.
- Drive process improvement based on trend analysis
- Drive excellence in service within organization and across organizations by providing feedback on Operations on service opportunities
- Drive process improvement with Account Management and audit remediation team
- Document and track all inventory accurately within the tracking database
- Lead and oversee projects, initiate follow up and status checks, maintain efficiency and provide good communication
- Lead and oversee community events and key partner collaborations
- Participates, coordinates, and/or represents the Dental Plan at community-based organization events, clinic days, State health department meetings, and other outreach events focused on quality improvement, member dental education, and disparity programs as assigned
- Report on individual member's quality of care concerns or trends of concern to the Dental Plan A&G representative as needed
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 2+ years of Community Outreach Events (set-up, communicating with organizers, working with vendors) experience
- Bilingual fluency in English and Spanish
- Experience with Microsoft Word (create, edit, format documents) and Microsoft Excel (create, edit, sort / filter spreadsheets, and pivot tables)
- Must reside within El Paso, TX
- Ability and willingness to travel up to 75% of the time (Domestic) within the El Paso, TX area
- Ability to work any 8-hour shift between the hours of 8:00 AM - 5:00 PM from Monday - Friday. It may be necessary, given the business need, to work weekends (possibility of events)
- 2+ years of client account management experience
- 1+ years of claims processing experience
- Enterprise systems knowledge, UNET, COSMOS, FACETS, OR NICE claims platforms experience
- Experience with Microsoft PowerPoint (create, edit, format presentations)
- Project management experience
- Knowledge of Medicaid and CHIP members
- Reside within El Paso, TX
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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