Enrollment Eligibility Specialist - San Juan, PR

Enrollment Eligibility Specialist - San Juan, PR at UnitedHealth Group

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Enrollment Eligibility Specialist - San Juan, PR

Requisition number: 2362356 Job category: Enroll & Empl Contract Install Primary location: San Juan, San Juan Date posted: 05/13/2026 Overtime status: Non-exempt Travel: No

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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.

You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it"s a dream that definitely can come true. Already one of the world"s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.

Primary Responsibilities:

• Takes ownership of issues. Thinks through issues and finds solutions. Looks at whole picture, not only individual piece of an issue. Ability to make sound decisions
• Process and troubleshoot duplicate member records
• Proactively working assigned tasks - taking ownership; taking action, letting team and leadership know if a roadblock is encountered
• Understand how to run duplicate patient report to identify issues or potential issues
• Verify and research information in response to task inquiry. Follow through with error issues to resolution with frequent communication for update and resolution status
• Proactively responding to team inquiries as assigned
• Runs reports and uses data to update IRIS system when needed
• Makes manual changes in IRIS to accommodate client needs
• Daily review of assigned tasks to ensure information updated accurately and timely
• Ability to be proactive
• Ability to solve problems, follow defined processes, make decisions, and apply them to problem results
• Demonstrated ability to be a team member, work well within a team setting
• Ability to work a full day on New Year"s day (no exceptions)

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:

• 1 + year of experience in Healthcare industry or Professional Office experience
• Demonstrated verbal and written communication skill
• Solid computer skills, including working knowledge of MS Windows and solid mouse and keyboarding skills
• Experience with Microsoft Office (Word, Excel & Outlook) experience
• Demonstrated ability to write professional emails
• Available to work 40 hours per week within the operating hours of the site with the ability to work occasional overtime including weekends, nights and holidays (New Year"s day specifically) as business needs require

Preferred Requirements:

• IRIS experience
• Excel experience
• Navigator experience
• Prior healthcare experience

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.

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Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well.

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Benefits for today and to help you plan for the future, including your retirement.

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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.

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.

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Fraudulent Activity Notice

We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.

The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. These counterfeit-check cashing schemes exist and use a variety of deceptions to get people to cash these fraudulent checks.

UnitedHealth Group will never request you to pay a vendor or pay a fee of any sort to explore employment opportunities with our company.

If you wish to verify the legitimacy of any email alleging or claiming to have been sent by or on behalf of UnitedHealth Group Executives or Recruiters, please call 1-800-561-0861 between 7 a.m. and 7 p.m. CT, Monday - Friday, for assistance.

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Our Commitment to Communities

At UnitedHealth Group, we are committed to giving back to the communities where we live and work, across the nation and around the world. Through charitable contributions and volunteering, our people are deeply and personally involved in building healthier communities.

Learn how we are giving back to our communities