Waiver Specialist - Remote in Colorado
Company: UnitedHealth Group
Location: Grand Junction
Posted on: April 4, 2025
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Job Description:
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.
The Regional Accountable Entity (RAE) Waiver and Member Support
Specialist ("Support Specialist") for the Colorado C&S
Behavioral Health Administration and Long-Term Services and
Supports Teams. This position will work directly with members and
providers within Colorado's RAE (Medicaid) and Home and Community
Base Service (HCBS) Waiver programs to provide expert level
connection and navigation of available waiver programs in Colorado.
The Support Specialist will interface directly with Members,
Providers, Advocates and the Colorado State Medicaid Agency,
including the Office of Community Living. The Support Specialist
will support RAE Care Coordinators who need assistance in helping
Members navigate waiver application processes as well as other
complex navigation needs by the RAE teams. The Support Specialty
will work directly with the RAE Care Coordination Director and
Managers, the RAE Chief Behavioral Health Officer, the RAE Program
Officer and the Vice President of Clinical Services.
If you reside in the state of Colorado, you will enjoy the
flexibility of a remote role as you take on some tough
challenges.
Schedule: Monday through Friday between the hours of 8:00 am to
5:00 pm Mountain Standard time
Primary Responsibilities:
Develop, implement and maintain up to date policies and procedures
for navigating the end-to-end process of identification of
potential waivers and finalization of the waiver application
process
Actively participate in training and education to maintain subject
matter expertise in all HCBS waivers as well as health care
benefits available to Colorado Medicaid Members
Develop trainings for internal staff and external partners,
including Providers
Engage in both RAE and HCBS meetings with state partners
Become a known, trusted partner to Colorado's State Medicaid
Agency
Respect confidentiality and maintain confidences as described in
the UHG Employee Handbook and acknowledged through signature by all
employees. The ability to maintain confidentiality is a critical
and essential component of this position
Utilize advanced business and technical writing skills to develop a
variety of stakeholder communications and reports
Work collaboratively with other staff and various internal and
external resources to represent and respond to a variety of complex
inquiries related to HCBS waivers from Providers, Members and
community stakeholders. Use excellent interpersonal and
communication skills, professional demeanor, tact, systems
thinking, and a commitment to quality to assist in the resolution
of sensitive and complex issues primarily via the telephone and in
person
Responsible for providing technical services necessary to support
the RAE team
Support community-based care coordination teams with resources as
needed
This position may require travel. Requires independent, reliable,
flexible, and on-demand, transportation at the incumbent's expense
for travel between various locations and timely arrival and
departure from various locations. If the employee chooses to
satisfy this requirement by driving a vehicle, the employee must
meet the requirements for Colorado licensure and company
requirements for liability insurance coverage
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.)
More information can be downloaded at:
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:
Bachelor's Degree in a health care related field, communications,
business, or other related field OR at least 5+ years of experience
or the combination of education and business experience that would
enable performance of the full scope of the position
2+ years of experience or knowledge with Colorado Home and
Community-Based Services
2+ years of experience working with demonstrated ability to
administratively manage projects or programs
2+ years of experience showcasing attention to detail and
initiative to ensure data is complete, accurate, and presented in a
timely manner
2+ years of experience that results in demonstrated ability to
resolve complex issues from the community and provide exceptional
service
2+ years of experience demonstrating excellent business writing and
verbal communication skills, proficiency in Excel, PowerPoint, and
Word, and the ability to read, analyze, and interpret complex
documents
Access to a designated quiet workspace in your home (separated from
non-workspace areas) with the ability to secure Protected Health
Information (PHI)
Reside in a location that can receive a UnitedHealth Group approved
high-speed internet connection or leverage an existing high-speed
internet service
Must live in the state of Colorado
Preferred Qualifications:
Knowledge of health education, motivational strategies, and an
empathetic manner working with the underserved
Knowledge of behavioral healthcare
Knowledge of local area
Bilingual in English and Spanish
Physical & Mental Requirements:
Requires professional demeanor, excellent communication skills, and
collaborative working relationships
Ability to execute regular, reliable, and predictable performance
of the essential functions of this job through a consistent ability
to be physically and mentally present at the assigned work
location, at the prescribed time, with the prescribed tools and
with the availability necessary to successfully complete the
essential duties described herein
Ability to handle and manage stress associated with the performance
of job duties
Ability to appropriately interact with, and get along with others
including supervisors, coworkers, customers and other
stakeholders
Ability to work collaboratively with others as set forth in the job
description
Ability to accurately and timely follow directions of
supervisors
Ability to perform the essential functions of this job at the
assigned primary work location for this job, which is in one of the
RMHP office locations
Ability to perform the essential functions of the job at the
assigned primary work location for this job, which is in the
employee's home
Ability to effectively speak, understand and be understood, and
communicate in English
Ability to hear adequately on the phone, in person and in group
settings
Ability to travel primarily within the State of Colorado daily
Ability to be exposed to changing weather conditions
Ability to travel between various locations and to timely arrive
and depart from various locations
Ability to provide independent, reliable, flexible, and on-demand,
transportation at the employee's expense. If the employee chooses
to satisfy this requirement by driving a vehicle, requires ability
to meet the requirements for Colorado licensure and company
requirements for liability insurance coverage
Ability to work a flexible schedule including before and after core
business hours and occasional evenings and weekends
Ability to work in front of a computer screen and keyboard, sitting
and/or standing up to 8-10 hours per day (possibly longer if
required)
Ability to work in home settings that include varying physical,
social, and cultural environments
Ability to work in environments that may have exposure to
communicable disease while performing patient care activities
Ability to see adequately to visually evaluate and assess the
member's or potential member's physical condition and living
environment
Ability to see computer screen and work papers
Ability to access, research and interpret information from a
variety of media (e.g., computer screen, projected images, printed
material) and individuals
Ability to work in normal office environment conditions and with
various office equipment (e.g., computer, keyboard, mouse,
calculator, copier, printer, fax, scanner, telephone)
Ability to move to access various offices and a wide variety of
meeting settings
Ability to perform a variety of tasks that involve standing,
walking, sitting, stooping, kneeling, bending and twisting,
occasionally climbing stairs or using an elevator, possibly
reaching chest high and overhead for materials
*All Telecommuters will be required to adhere to UnitedHealth
Group's Telecommuter Policy.
The salary range for this role is $71,600 to $140,600 annually
based on full-time employment. Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. UnitedHealth Group complies with
all minimum wage laws as applicable. 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.
Application Deadline: This will be posted for a minimum of 2
business days or until a sufficient candidate pool has been
collected. Job posting may come down early due to volume of
applicants.
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.
#RPO #GREEN
Keywords: UnitedHealth Group, Grand Junction , Waiver Specialist - Remote in Colorado, Other , Grand Junction, Colorado
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