Disclosure Compliance Specialist, Medicaid Job in San Francisco, CA

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Location: Company:

San Francisco, CA

UnitedHealth Group


Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.(sm)


Positions in this function are responsible for all activities associated with National Disclosure of Ownership and Control Interest project to process Disclosure Forms for Individual and Entity providers. Includes processing Disclosure Form per Job Aids and entering data into database and ensuring high quality standards are maintained. Reviews work to reduce errors and improve performance.


Training will be provided in an individual or a group setting for approximately eighty (80) hours to include job shadowing and on the job training/coaching. Ramp-up period is as follows: Week 1: 10 forms per day; Week 2: 15 forms per day; Week 3: 20 forms per day. At the conclusion of the ramp-up period, the Disclosure Compliance Specialist should be able to independently process 20 Individual or Entity Disclosure Forms (including Roster Addendum and Templates) per day with an accuracy rate of 95% or greater.


Hours: Monday – Friday; 8 hours per day; 7:30AM – 4:00PM; 8:00AM-4:30PM; 8:30AM-5:00PM


You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:


The processing of Disclosure Forms involves the following:

Understanding the purpose of the Disclosure Form as it relates to the state-Medicaid health plans
Understanding the Provider types, i.e. group entity models, and criteria to process the Disclosure Form
Ability to meet a production goal of processing twenty (20) Disclosure Forms/ Records per day with a quality score of 95% or greater
Ability to comprehend and follow workflows as outlined on the Job Aids
Ability to work in multiple databases, i.e. National Disclosure Database, P-LINX, NMDB, SharePoint, to search for and enter required information
Making outbound calls and creating and sending emails and faxes to providers to collect additional information required to meet the criteria for a “Complete/Clean” Disclosure Form
Ability to document activity notes in the National Disclosure Database and Tracking Grids as outlined in the Job Aid
Communicating with providers and or their office staff in a professional manner
Incorporating the UHG Cultural Values into daily work of: Integrity, Compassion, Relationships, Innovation and Performance


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:

High School Diploma/GED (or higher) OR 2+ year experience in manage care, provider relations, credentialing, healthcare insurance
1+ years of experience in manage care, provider relations, credentialing, or healthcare insurance
Intermediate level of proficiency in Microsoft Word, Outlook, and Adobe


To protect the health and safety of our workforce, patients, and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.


Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)


*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy



Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $16.00 to $26.88. The salary range for Connecticut / Nevada residents is $16.83 to $29.66. 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.




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.