Clinical Administrative Coordinator - North Carolina

Taleo; Greensboro (NC); Remote; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid time off

8 paid holidays

Medical plan with HSA/Health Saving

Dental, Vision, Life & AD&D

Short-term & Long-Term Disability

401(k) Savings Plan

Employee Stock Purchase Plan

Education reimbursement

Employee discounts

Employee Assistance Program

Referral Bonus Program

Voluntary benefits

Job summary

UnitedHealthcare is seeking a Clinical Administrative Coordinator in North Carolina to support the Transition of Care team within the NC Managed Medicaid program. You will coordinate notifications and document activities to ensure smooth member transitions, with a Monday–Friday 8:00 am–5:00 pm schedule and the option to telecommute from anywhere in NC.

The role requires 1+ year of customer service and health-system experience, plus proficiency in Microsoft Office and PHI handling.

Qualifications

• 1+ years of customer service experience.
• 1+ years of experience working in electronic health systems.
• Proficiency with Microsoft Office (Excel, Word, PowerPoint).

Responsibilities

• Manage communications via phone, email, and fax.
• Route member/provider inquiries to appropriate teams.
• Document member activities and referrals in the case management platform.
• Coordinate disenrollment notifications and admin tasks for transitions.
• Produce care management and TOC reports using plan systems.
• Maintain trackers and SharePoint sites.

Skills

Customer service

Electronic health systems

Microsoft Office

PHI security

Communication skills

Education

High School Diploma/GED

Tools

Excel

Word

PowerPoint

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Clinical Administrative Coordinator – North Carolina (2381286)

Clinical Administrative Coordinator – North Carolina - 2381286

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 to start Caring. Connecting. Growing together.

This Clinical Administrative Coordinator (CAC) position supports the Transition of Care (TOC) team within UHC's North Carolina Managed Medicaid program. Transition of Care helps members continue receiving needed healthcare services when they experience a change in Medicaid coverage or move between health plans. This is accomplished through coordination and communication among health plans, providers, care management teams, and members. The CAC plays a key role in processing notifications and completing daily tasks that support a smooth transition and continuity of care for members.

Schedule:Monday through Friday 8:00 am to 5:00 pm

You’ll enjoy the flexibility to telecommute* from anywhere in North Carolina as you take on some tough challenges.

Primary Responsibilities:

• Manage and triage incoming and outgoing health plan communications, including the Case Management phone line, shared email inbox, and fax line
• Respond to members and provider inquiries by routing requests to the appropriate department or team member for resolution
• Accurately document member activities, referrals and interactions in the Community Care case management platform
• Coordinate daily disenrollment notifications and perform administrative activities that support members transitioning into and out of the health plan
• Generate, manage and distribute care management and Transition of Care reports using plan systems and reporting tools
• Manage member intake activities and maintain departmental trackers, databases, and SharePoint sites
• Perform additional duties and special projects assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
• 1+ years of customer service experience
• 1+ years of experience working in electronic health systems
• Intermediate level of proficiency with Microsoft Office – Excel, Word, PowerPoint, etc. (ability to create, edit, sort, and send correspondences, spreadsheets, and presentations)
• Live in a location that can receive an approved high-speed internet connection or leverage an existing high-speed internet
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

Preferred Qualifications:

• Previous experience as an administrative care manager/coordinator in a managed health care environment
• Experience working independently, managing multiple and often competing demands
• Experience working with multi-disciplinary clinical teams
• Experience with collecting and analyzing data and writing reports
• Experience with Medicaid members
• Experience working with diverse populations
• 2+ years of experience working with local and community-based social service organizations

Soft Skills:

• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1‑866‑566‑8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive recognition 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.