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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.This position will be responsible for supervising a team of outbound call center agents and/or field-based staff. The team is responsible for working with medical practices to coordinate outreach to Medicare Advantage members to ensure the recommended preventive health screenings are completed and gaps in care are addressed. Travel is required both in state and out of state to visit physician practices and field-based staff as needed.NOTE: Qualified candidates must live in Colorado or Arizona to be considered to accommodate travel requirements of the positionIf you live in Colorado or Arizona to accommodate travel requirements of the role, you will have the flexibility to work remotely as you take on some tough challenges.Primary Responsibilities:
Sets team direction, resolves problems, and provides guidance to members of the team
Ensures team meets established performance metrics, performance guarantees, and quality standards
Manages administrative and clinical operations consisting of field based and/or contact center-based staff
Manage relationships with physician practices
Manage implementation of new physician practices and deployment of resources
Manage client relationships
Collaborate with cross functional teams on practice specific strategies to improve Medicare Stars ratings
Takes the lead role in setting direction and participating in or developing new programs
Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff
Work most often impacts a large business unit, or multiple markets/sites, or at the segment/market group level for functional staff positions
Drives performance through audits and coaching to team personnel to ensure products and services fully meet the client expectations while maintaining efficient and profitable operational delivery
Assure the onboarding and training of new and existing staff to support product growth and service enhancement
Fiscal and operational discipline and management
Qualified candidate must be able to effectively demonstrate the following:
Demonstrated ability to identify with a consumer to understand and align with their needs and realities
Demonstrated ability to perform effective active listening skills to empathize with the customer to develop a trust and respect
Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done to achieve a goal(s)
Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer
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:
3+ years of experience in the Medical / Healthcare industry
3+ years of Provider Relations / Customer Service management experience, with proven teambuilding and leadership skills
3+ years of experience/knowledge of CMS Quality HEDIS/STARs
2+ years of experience with Benefits and Claims Systems and Operations
Intermediate level of proficiency or higher with MS PowerPoint (specifically creating and executing presentations to stakeholders and leadership)
Intermediate level of proficiency or higher with MS Office (specifically Outlook, Teams, Word, and Excel)
Live in the state of Colorado or Arizona to be considered
Willing to travel approximately 50% of the time in the CO, NM, and AZ regional areas as business need dictate
Proven ability to provide a valid Driver’s License and current Auto Insurance to accommodate the travel expectations of the position
Preferred Qualifications:
2+ years of supervisory experience
Project management experience
Six Sigma experience
Experience in Medicare Risk Adjustment
A background in managed care
Proven project/Product coordination/management skills
Proven solid organizational skills and multitasking abilities will be keys to success
Colorado Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.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.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.
