6 days old

Operations Manager - US Remote - 910540

Minneapolis, MN 55415 Work Remotely
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  • Job Code
    910540

Energize your career with one of Healthcares fastest growing companies.

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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, its a dream that definitely can come true. Already one of the worlds 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.

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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 10leader.

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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 & Performance.

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You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doingyour life's best work.SM

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Its a big step forward when you realize that youve earned the trust to lead a team. Now, lets determine just how big that step can be. Take on this managerial role withinOptumand youll be part of a team supporting our commercial clients. As a manager within the Fraud, Waste and Error (FWAE) team you will be responsible for leading front - line clinical and non - clinical investigators to ensure our CPI clients productivity and quality contract Service Level Agreements are met.

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Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Training will be conducted virtually from your home.

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

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Primary Responsibilities:

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  • Provide leadership to clinical and non - clinical FWAE investigator
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  • Participate / lead activities that increase employee engagement
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  • Provide insight to Associate Director on staffing needs due to claim inventory
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  • Manage workflow to prevent claim backlog
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  • Perform data analysis of staff performance to identify performance gaps that requires staff
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  • Provide assistance to Associate Director during client implementations
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  • Lead client operational workgroups (i.e. Letters, PIRT, Escalations) as necessary
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  • Analyze quality audit results for investigators
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  • Conduct education / mentoring as needed to clinical investigators on Quality Audit results
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  • Perform client claim research as necessary to resolve high priority issues
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  • Participate and provide feedback in staffing interviews
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  • Identify root cause claim batch errors / issues
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  • Serve as point person for onboarding newly hired investigators
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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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  • High School Diploma / GED (or higher)
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  • 3+ years of experience with health insurance business, industry terminology and regulatory guidelines
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  • 1+ years of experience in healthcare operations
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  • 1+ year of leadership experience OR 1+ year of experience initiating and leading a special project and/or providing mentorship to peers
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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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  • Bachelors Degree (or higher)
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  • Certified AAPC or AHIMA Coder (CPC, CCS, RHIT)
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  • Knowledge of CMS and AMA rules
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  • 2+ years experience working in Fraud, Waste and Error
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  • OPRS experience
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  • 2+ years experience working in client/project management role
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  • 2+ years experience developing Process/Quality improvements
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UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

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You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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Careers with Optum.Here's the idea. We built an entire organization around one giant objective; make the health system 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 doyour life's best work.

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Colorado Residents Only: The salaryrange for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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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.

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UnitedHealth Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Keywords: operations, manager, supervisor, project manager, client facing, telecommute, healthcare operations, health insurance, leadership, mentorship, team lead, clinical, coder, OPRS, coding, fraud, waste, error, FWAE,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately

Posted: 2021-02-20 Expires: 2021-03-22

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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Operations Manager - US Remote - 910540

UnitedHealth Group
Minneapolis, MN 55415

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