14 days old

Director IT Claims Systems - Telecommute - 926764

Chicago, IL 60602 Work Remotely
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  • Job Code
    926764

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm)

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

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Primary Responsibilities:

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  • Manage business alignment and scaling actions related to existing Claim and Utilization and Care management systems
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  • Establish effective working relationships with executives and key business partners to collaboratively develop product strategies and creative solutions to business challenges
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  • Understand the business strategy, translating business strategy to an IT program and project agenda and driving execution against the agenda
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  • Determine technology capabilities to enable the defined strategies
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  • Develop IT strategies to meet the business requirements by creating/enhancing Strategic Plans (roadmaps)
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  • Present to CIO and other senior level executives
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  • Technology investment prioritization from ideation to budgeted line item
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  • Define programs, investment plans, business cases and projects
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  • Apply technology best practices to drive change agenda
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  • Ensure effective and efficient alignment of technology to support business strategy
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  • Ensure delivery of technology solutions on schedule and within quality goals
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  • Providing leadership and accountability for the performance of managers and/or senior level professional staff
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  • Managing of a team of business solutions architects focused on product enablement
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  • Developing (and adhering to) annual budgets and staffing plans
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  • Software engineering is the application of engineering to the design, development, implementation, testing and maintenance of software in a systematic method. The roles in this function will cover all primary development activity across all technology functions that ensure we deliver code with high quality for our applications, products and services and to understand customer needs and to develop product roadmaps
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  • These roles include, but are not limited to analysis, design, coding, engineering, testing, debugging, standards, methods, tools analysis, documentation, research and development, maintenance, new development, operations and delivery. With every role in the company, each position has a requirement for building quality into every output
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  • This also includes evaluating new tools, new techniques, strategies; Automation of common tasks; build of common utilities to drive organizational efficiency with a passion around technology and solutions and influence of thought and leadership on future capabilities and opportunities to apply technology in new and innovative ways
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  • Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff
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  • Work most often impacts a large business unit, or multiple markets/sites
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  • Reports to the VP of IT Delegated Platforms
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  • Partners with application, infrastructure, and information architecture leaders to develop a cohesive, rational, scalable, and adaptable future state architecture based on business strategy
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  • Partners with senior leadership to support the growth of claims platform membership
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  • Manages claims platform development and operations support teams
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  • Serves as a consultant to departments in the process of strategic planning
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The pace is fast and youll need to be comfortable managing multiple priorities. You may be required to work in multiple locations, so scheduling flexibility is essential. You must also be able to respond calmly and effectively in emergency situations.

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Youll 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.

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Required Qualifications:

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  • Bachelors degree in Computer Science, Information Systems or related field (four years of additional experience as stated in the minimum qualifications will be accepted in lieu of a degree)
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  • 10+ years of experience in system analysis and development of technical requirements and specifications 5+ years of experience with Utilization Management or Case Management systems.
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  • 5+ years of experience in managing an Information Technology group.
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  • 5+ years of people management experience
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  • 5+ years of claims management systems experience
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  • Experience managing vendors.
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  • Experience working within the Software Development Life Cycle (SDLC)
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  • Strong understanding of the life cycle of medical claims
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • Experience with EDIFECS or other EDI Applications
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Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

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Colorado Residents Only: The salary/hourly range for Colorado residents is $110,200 to $211,700. 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, youll find a far-reaching choice of benefits and incentives

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

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"Job Keywords: Director IT Claims Systems, Claims Life Cycle, SDLC, EDIFECS, Chicago, IL, Illinois, San Antonio, TX, Texas, Eden Prairie, MN, Minnesota, Las Vegas, NV, Nevada, Dallas, TX, Texas, United States, Work At Home, Remote, Work From Home, Telecommute, Telecommuter, Telecommuting

Posted: 2021-06-10 Expires: 2021-07-10

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Director IT Claims Systems - Telecommute - 926764

UnitedHealth Group
Chicago, IL 60602

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