About UHG

Careers at UnitedHealth Group


We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Business Operations



Approximate Salary:

Not Specified

Position Type:

Full Time

Sales Operations Specialist, HEDIS Operations / VO Sales Operations - US Telecommute

UHG - Hartford, Connecticut

Posted: 11/15/2018

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.
Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.

Within UnitedHealthcare the seasonality of HEDIS Data Collection in the early part of the year and Small Business sales cycle during the latter part of the year requires additional staff to process peak work volumes.

The Sales Operations Specialist, HEDIS Operations / VO Sales Operations is an innovative UHC role combining two distinct roles requiring employees to flex between positions throughout the year. The employee will report to the HEDIS Operations Department for 5 months and to the Virtual Operations team for 7 months of the year.

Different role and responsibilities apply during each assigned position as outlined below. Different metrics, recognition opportunities and policies / procedures will apply to each role. While in the specific roles, employee will have clear goals and performance expectations as outlined below

Primary Responsibilities:
  • Responsible for the daily support of the sales function to produce quotes and submit sold cases
  • Works with business partners such as Underwriting, Rating, and Case Installation
  • Works closely with Sales Executive and Brokers to collect information needed to produce a quote or submit a complete sold group
  • Responsible for meeting production and quality standards / metrics
  • Uses various systems to document the steps of the quote or sold case through completion of customer request
  • Conducts claims research, determining correct service location or verifying member history
  • Perform provider outreach, verifying and confirming provider demographics and medical record requests, both by telephone and in writing
  • Requests medical records and performs follow up of requests within HEDIS database tool
  • Maintains HIPAA standards and confidentiality of protected health information
  • Will be cross-trained in various functions in order to assist with other functions as directed by HEDIS / VO Supervisor

Required Qualifications:
  • High School Diploma / GED (or higher)
  • Willingness and ability to telecommute and have a compliant home office environment
  • Willingness to accommodate peak and non - peak season schedules
  • Proficiency within Microsoft Excel (ability to filter and sort through spreadsheets)

Preferred Qualifications:
  • Bachelor's Degree (or higher)
  • Experience working with 51+ quotes
  • Previous HEDIS experience
  • Experience in claims, medical record review, medical billing, or medical office
  • Clinical and / or Health Education experience
  • Previous experience working with Sales Operations teams in small businesses (1-100 employees)
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life’s best work.
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.
Keywords: UnitedHealth Group, Sales Operations Specialist, HEDIS, Telecommute, Operations, Healthcare

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