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:
- Investigation, recovery and resolution of all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
- Initiate phone calls to members, providers and other insurance companies to gather coordination of benefits
- Handles a team of up to 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 accuracy
- 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 plan for improvement to ensure Analysts meet future standards
- Building and maintaining an effective team environment
- Identifying training needs for the team and facilitating trainings
- Routinely analyze quality results to report error trends
- Identify root causes of errors and opportunities for defect reduction
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
- Graduate
- 2+ years of relevant experience in healthcare
- Must have team handling and people Manger experience
- Effective communication skills both verbal and written to individuals
- Ability to do careful listening, tact and candor, two-way communication, and master a high impact communication style
- Ability to be a Self -starter who can manage multiple priorities with minimum direction solutions
- Ability to Effectively organize and lead a team of people, in cooperative processes to achieve shared outcomes
- Effective numeracy and analytical skills
- Performance Management
- Project Management
- Ability to coach and mentor
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.
Skills Required
- Graduate (degree)
- 2+ years of relevant experience in healthcare
- Team handling and people manager experience
- Effective verbal and written communication skills
- Careful listening, tact, candor, and high-impact communication
- Self-starter able to manage multiple priorities with minimal direction
- Ability to organize and lead a team to achieve shared outcomes
- Numeracy and analytical skills
- Performance management experience
- Project management experience
- Ability to coach and mentor
Optum Compensation & Benefits Highlights
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Healthcare Strength — Official materials highlight copay and HSA medical plan choices with in‑network preventive care at 100%, prescription coverage, and low/no‑cost virtual visits, plus company HSA contributions. Dental preventive services are 100% in network, and mental health resources include an EAP and premium Calm access.
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Parental & Family Support — Programs include six weeks paid parental leave, up to two weeks paid caregiver leave, and Bright Horizons back‑up care with enhanced family supports. Adoption assistance up to $10,000 for full‑time employees reinforces family‑oriented benefits.
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Equity Value & Accessibility — Financial benefits include an Employee Stock Purchase Plan at a 10% discount, expanding access to equity ownership.
Optum Insights
What We Do
Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.
