Job Information

UnitedHealth Group Account Manager Client Service - San Francisco, CA in San Francisco, California

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.(sm)

Primary Responsibilities:

  • Serve as the operational manager for administrative services for assigned clients

  • Serve the products that contributes to the continued growth, profitability and retention of business

  • Manage the overall delivery of benefits and services for assigned clients

  • Responsible for and ownership of all customer service results

  • Leader of the account services across UHC National Accounts on assigned book of business. Provide superior customer service to internal and external customer / partners by meeting and exceeding expectations

  • Lead Account Management Team (AMT) calls and initiatives to implement and service the most efficient process possible

  • Investigate, analyze, and develop creative solutions to client specific problems related to system, claims, networks, providers, eligibility, ID cards, billing banking, and portal through active cross - functional team participation

  • Coordinate all activities for timely implementation of products and services onto United Healthcare systems

  • Effectively manage customer accounts (which may include Rx, Medical, MHSA, Financial Accounts (HRS, HSA, etc.)

  • In conjunction with the Strategic Client Executive (SCE) and the Underwriter, provides effective benefit consultation for plan revisions, managed care strategies, product development, policy and procedure changes, legislative changes (including Health Care Reform) and claim cost control

  • Ensure timely and accurate delivery of client communications (i.e. correspondence and fulfillment materials, ID cards, etc.)

  • Participates and facilitates external client meetings along with the SCE to discuss issue log, open projects and initiatives

  • Triage and apply critical thinking skills to troubleshoot client issues providing timely resolution and determining root cause

  • Comprehensive working knowledge of specialty company offerings and their integration with core products

  • Manages and meets internal metrics and clients goals, measure and report on the quality of service that the business delivers to its clients

  • Model UHG’s principles of integrity and compliance, and adhere to our business principles

Required Qualifications:

  • Bachelor’s degree (or higher) in a formal education or High School Diploma / GED (or higher) with 2+ years of equivalent experience in claims processing, and medical benefits background

  • Knowledge of internal process and resources (claims, eligibility, accounting, contract, underwriting)

  • Experience in customer service.

  • Strong personal computer skills including word processing, database management, and spreadsheet applications.

  • Strong personal computer skills including word processing, database management, and spreadsheet applications.

  • Experience in project management.

  • Experience in negotiation skills for project times lines.

  • Ability to travel up to 20 - 25% of the time.

Preferred Requirements:

  • Knowledge of health industry, products and services, and the managed care environment

  • Administrative experience with extensive exposure to benefit administration

Soft Skills:

  • Strong verbal and written communication skills

  • Strong organizational and project management skills

  • Strong presentation skills

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 health care. 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.SM

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: Account Manager, Client Services, UnitedHealth Group, San Francisco, CA