Electronic Visit Verification (EVV) Liaison – Remote in New Mexico

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 position is full – time (40 hours / week) Monday – Friday. Employees are required to have flexibility to work any of our 8 – hour shift schedules during our normal business hours of 8am to 5pm. It may be necessary, given the business need, to work occasional overtime. This position is a remote – based position.

You’ll enjoy the flexibility to work remotely * as you take on some tough challenges.

Primary Responsibilities:

• Meet with vendors regularly to review performance metrics and contractual compliance
• Maintain standards of service delivery verification through the use of state mandated EVV system
• Partner with state regulated Electronic Visit Verification (EVV) vendor to perform and partner with state vendor to lead monthly EVV provider trainings
• Create positive lasting relationships with key points of contact across EVV system stakeholders
• Troubleshoot any problems, concerns or difficulties that providers are experiencing with EVV system compile clear directions for problem resolution or route to appropriate point of contact for resolution
• Act as health plan EVV subject matter expert
• Partner with UHC EVV implementation team to ensure successful information transfer of authorization data, provider data, and member data to state mandated EVV system as well as ensure proper EVV claims adjudication
• Partner and collaborate with internal care team, providers, and community resources/partners
• Demonstrate solid interpersonal and communication skills
• Compose routine correspondence and reports implementing measures to ensure vendor reporting is timely accurate and complete
• Plan, organize, and prioritize work in a time-sensitive role
• Assist health plan in project management tasks including but not limited to supporting Vendor Manager with subcontractors/vendors through reporting, enforcing corrective action plan (CAPs), routine business communications, contract reviews, and Joint Operating Committee (JOC) preparation
• Monitor and own EVV vendor contract status from the initial exploratory phase to internal approval, implementation, go-live, and through steady state

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 2+ years in project/program management experience
• 2+ years in managing or working with health care claims
• Proficiency with MS Office, including Word, Excel, and Outlook
• Proven excellent customer service skills
• Proven solid writing skills and effective communication, including delivering presentations
• Ability to travel up to 10% of the time

Preferred Qualifications:

• PMP Certification or Six Sigma Certification
• Experience as EVV specialist
• Background in Managed Care
• Knowledge of Medicaid population
• Residence in NM

• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

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.