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.
The Associate Enrollment & Eligibility Representative is responsible for accurate and timely processing and maintaining member enrollment, billing and eligibility information. The role supports member access to healthcare services by ensuring enrollment transactions are completed in accordance with regulatory and business requirements.
Primary Responsibilities:
- Process new member enrollments and eligibility transactions
- Update and maintain member records in internal systems
- Verify member eligibility and enrollment status
- Process enrollment changes, corrections, and member data updates
- Respond to standard inquiries related to enrollment and eligibility
- Support inventory and workflow management activities
- Maintain required quality, accuracy, and turnaround-time standards
- Ensure compliance with CMS, regulatory, and business requirements
- Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements
Required Qualifications:
- Graduate in any discipline
- CAT Score: 3.0
- Typing Speed: 30 WPM with 99% accuracy
- Basic computer skills
- Proven excellent verbal and written communication skills
- Proven ability to learn and navigate multiple applications and systems
- Demonstrated solid attention to detail and accuracy
- Demonstrated ability to work effectively in a team environment
- Flexible and willing to work from the office
- Flexible and willing to work night shifts
Preferred Qualifications:
- MS Office knowledge
- Basic understanding of AI tools
- Demonstrated analytical and problem-solving skills
- Demonstrated time management and organizational skills
- Proven excellent written and verbal communication
- Proven ability to work effectively within a team
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.
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Skills Required
- Graduate in any discipline
- CAT Score of 3.0
- Typing speed of 30 WPM with 99% accuracy
- Basic computer skills
- Excellent verbal and written communication skills
- Ability to learn and navigate multiple applications and systems
- Strong attention to detail and accuracy
- Ability to work effectively in a team environment
- Willingness to work from the office
- Willingness to work night shifts
- Microsoft Office knowledge
- Basic understanding of AI tools
- Analytical and problem-solving skills
- Time management and organizational skills
- Excellent written and verbal communication skills
- Ability to work effectively within a team
Optum Compensation & Benefits Highlights
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Leave & Time Off Breadth — Paid time off is often regarded as generous, with meaningful accrual and flexibility to use it. While practices can vary by team, the overall time-off offering stands out as a relative strength.
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Retirement Support — A 401(k) plan with employer matching is available and generally well-regarded for supporting long-term savings. It remains valuable, though candidates should verify the current match formula.
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Parental & Family Support — Programs such as parental leave, family medical leave, and adoption assistance are included as notable elements of the total rewards package. These resources can meaningfully support work-life balance when applicable to the role and location.
Optum Insights
What We Do
Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.
