Bilingual English and Spanish Sanitas Experience Specialist,

About the role

The Sanitas Experience Specialist serves as UnitedHealthcare's onsite representative within designated Sanitas clinics, delivering a high‑touch member and provider experience while strengthening the operational partnership between UnitedHealthcare and Sanitas. This role provides in‑person support to members, assists providers and clinic staff with operational questions and issue resolution, and proactively identifies opportunities to improve end‑to‑end experiences and operational performance. As an embedded member of the IFP Operations Strategy & Delivery (OSD) organization, the specialist acts as a liaison between members, providers, clinic leadership, brokers, and UnitedHealthcare operational teams — combining member advocacy, provider support, operational problem solving, and relationship management to create a seamless healthcare experience.

Work is performed onsite at Fort Bend Primary Clinic, Sugar Land Clinic, 2515 Cordes Dr., Sugar Land, TX 77479. Local travel to additional clinics within a 30‑mile radius is required 2–4 times per month. This is a full‑time, onsite position with normal business hours of 8:00 am – 5:00 pm.

Responsibilities

Member Experience & Advocacy

• Serve as the onsite UnitedHealthcare representative within assigned Sanitas clinics.
• Assist members with eligibility, benefits, claims, billing, provider access, referrals, authorizations, and other plan‑related questions.
• Resolve member issues whenever possible at the point of care.
• Coordinate with internal UnitedHealthcare teams to manage and resolve member escalations.
• Educate members on available health plan resources, digital tools, and support services.
• Support community outreach, enrollment events, and broker activities as needed.

Provider & Clinic Support

• Partner with clinic staff and providers to resolve operational issues affecting patient care and administrative processes.
• Assist with eligibility verification, claims questions, referral processes, prior authorizations, credentialing inquiries, and provider service concerns.
• Coordinate with UnitedHealthcare functional teams to facilitate timely issue resolution.
• Build strong relationships with clinic leadership and staff to enhance the UHC‑Sanitas partnership.

Operational Excellence

• Identify recurring member and provider pain points and escalate systemic issues for root cause analysis.
• Serve as a local operational expert for assigned markets and clinics.
• Track and communicate emerging trends, risks, barriers, and opportunities impacting member and provider experiences.
• Participate in process improvement initiatives designed to enhance operational effectiveness and reduce friction points.
• Support new market expansions, operational readiness activities, and implementation efforts as needed.

Relationship Management

• Maintain strong relationships with Sanitas leadership, clinic teams, brokers, and internal UHC stakeholders.
• Represent UnitedHealthcare professionally and consistently in all interactions.
• Help promote collaboration and alignment between UnitedHealthcare and Sanitas teams.

Requirements

• High School Diploma / GED or equivalent work experience.
• Must be 18 years of age or older.
• 2+ years of healthcare, health plan operations, member service, provider service, clinic operations, or related experience.
• Experience working directly with customers, members, patients, providers, or external partners.
• Knowledge of healthcare benefits, eligibility, claims, referrals, or authorization processes.
• Problem‑solving and issue resolution skills.
• Ability to work independently with minimal supervision.
• Must be able to work at the location specified in the job description.
• Bilingual fluency in English and Spanish.
• Ability to work full time during normal business hours (8:00 am – 5:00 pm).

Preferred qualifications

• Experience supporting Individual & Family Plans, Medicare, Medicaid, or commercial health plans.
• Experience working in physician offices, clinics, provider operations, or care delivery settings.
• Experience managing escalated customer or provider issues.
• Knowledge of UnitedHealthcare operational processes and systems.
• Project, implementation, or process improvement experience.

Skills

• Relationship Building
• Member Focus
• Provider Partnership
• Communication
• Problem Solving
• Accountability
• Operational Excellence
• Adaptability
• Collaboration

Work environment

Primarily onsite within designated Sanitas clinics. Frequent interaction with members, providers, and clinic leadership. Local travel between clinic locations and community events may be required. Occasional participation in business meetings outside assigned clinic locations.

Pay

The salary for this role will range from $60,200 – $107,400 annually based on full‑time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.

Benefits

In addition to salary, UnitedHealth Group offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits subject to eligibility requirements).

Schedule

Full‑time, onsite. Normal business hours are 8:00 am – 5:00 pm.