Leads a team of up to 20 associates reviewing healthcare claims. Responsibilities include managing productivity and quality standards, tracking daily production, resolving operational issues, conducting evaluations, staffing to meet goals, developing improvement plans, facilitating training, analyzing error trends, and reducing defects. The role also requires effective team leadership, coaching, performance management, project management, and communication within a US healthcare environment.
Requisition Number: 2397225
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.
Primary Responsibilities:
Required Qualifications:
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.
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.
Primary Responsibilities:
- Handles a team of up to 15-20 Associates
- Work with team members to ensure project goals are met in an efficient and effective manner
- Achievement of individual productivity and quality standards
- Record productivity using Daily Production Report
- Communicate to Management any issue(s) that would impede the accurate and timely review of claims
- Work with Management to ensure that these issues are resolved
- Conduct monthly Analyst Evaluations
- Ensure review daily, production efforts meet desired goals
- Aggressively resolve production problems, manage staffing ratios to meet goal
- Manage Analyst to meet daily/weekly production standards
- Develop plan for improvement for Analysts who do not meet standards
- Manage plans for improvement to ensure Analysts meet future standards
- Building and maintaining an effective team environment
- Identifying training needs for the team and facilitating training
- Routinely analyze quality results to report error trends
- Identify root causes of errors and opportunities for defect reduction
- Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements
Required Qualifications:
- Medical degree - BHMS/BAMS/BUMS/BPT/MPT/B.Sc. Nursing
- 2+ years of relevant experience in US healthcare
- Proven effective communication skills both verbal and written to individuals
- Proven ability to do careful listening, tact and candor, two-way communication, and master a high impact communication style
- Proven ability to be a Self-starter who can manage multiple priorities with minimum direction solutions
- Proven ability to Effectively organize and lead a team of people, in cooperative processes to achieve shared outcomes
- Proven effective numeracy and analytical skills
- Proven Performance Management
- Proven Project Management
- Proven Coaching and mentoring
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.
Optum New Delhi, Delhi, IND Office
New Delhi, India, India
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