The Role
Assists with managing Payment Integrity Operations by overseeing team productivity, quality, coaching, onboarding, compliance, reporting, escalation handling, and process improvement. Identifies error trends, supports automation and cost reduction initiatives, develops improvement plans, maintains stakeholder relationships, and handles sensitive healthcare information in accordance with HIPAA and company policies.
Summary Generated by Built In
Requisition Number: 2366947
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:
- Drives Basic Hygiene on the operations floor and build culture for the same within Payment Integrity Operations
- Driving Cost Reduction Agenda in the Processes with Automation Opportunities, Productivity Enhancement Opportunities and Cross utilization of resources
- Assist the New Hires & Tenured Staff to meet the Productivity and Quality goals
- Manage team and ensure quality and productivity targets are met and exceeded
- Motivate and engages team members and maintains attrition within thresholds
- Provide coaching and feedback to team members to enable them to improve their performance and focus on their career pathing and advancement within the organization
- Assist new hires such that they are productive on the floor in the shortest possible time frame
- Build systems to ensure no escalations and is prompt in responding to escalations
- Provide inputs to Leadership on process gaps that exist
- Ensure compliance with internal policies and procedures, external regulations, and information security standards
- Be sensitive and aware of the Organizational priorities towards Change & Innovation and Cost Optimization
- Works independently with minimal direction and is very high on execution and adherence to timelines
- Takes initiative to understand the process and keeps himself updated on the important changes in the business and the Healthcare industry
- Builds solid relationship with onshore counterparts and support functions and utilizes the relationship to maximize the results for OGA Handles the MIS and reporting needs with accuracy and timeliness
- Is eager to take on more responsibilities and should be able to execute the Adhoc tasks
- Analyze and identify error trends and opportunities for defect reduction
- Analyze and develop overall improvement plans (department and individual)
- Administrative responsibilities as assigned Handles sensitive information appropriately (HIPAA) and acts in a fair and honest manner consistent with the company's code of conduct
- 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 regards 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:
- Medical degree - BHMS/BAMS/BUMS/BPT/MPT/B.Sc. Nursing
- 2+ years of relevant experience in healthcare BPO as a Team Manager
- Experience or knowledge in Performance Management
- Experience or knowledge in Project Management
- Experience or knowledge in Coaching and mentoring
- Proven effective communication skills both verbal and written
- 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 20+ people, in cooperative processes to achieve shared outcomes
- Proven effective numeracy and analytical skills
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
- Medical degree: BHMS, BAMS, BUMS, BPT, MPT, or B.Sc. Nursing
- 2+ years of relevant experience in healthcare BPO as a Team Manager
- Experience or knowledge in performance management
- Experience or knowledge in project management
- Experience or knowledge in coaching and mentoring
- Effective verbal and written communication skills
- Careful listening, tact, candor, two-way communication, and high-impact communication skills
- Ability to self-start, manage multiple priorities, and work with minimal direction
- Ability to organize and lead a team of 20 or more people
- Effective numeracy and analytical skills
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.
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The Company
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.
Typical time on-site:
Not Specified
