Purpose of Job:
Drive the process reengineering and transformation projects across clinical processes (medical claims, Clinical appeals, prior authorization etc.), includes managing projects with consistent governance with Stakeholders, collaboration with technology and analytics teams on a solutioning, architecture and implementation. This role will be accountable to drive all projects to completion as per defined timelines and roadmap.
Primary Responsibilities:
- Use systems thinking skills, overlay these opportunities on our current operating model and use LEAN and hypothesis based Six Sigma problem-solving techniques to uncover the root cause of inefficiencies and issues
- Assist in developing a digital transformation target operating model which includes recommendations on lean, automation, workflows, web applications, data science and employee training opportunities to improve the client experience
- Partner with product owners, business, and technology leaders to develop a series of minimal viable products (MVPs) to accelerate the pace of client improvements based on sound understanding of AGILE and change management principals
- Frontlines and collaborates well with leaders and with Stateside business partners
- Drives execution in partnership with Automation, technology, and analytics teams across enterprise
- 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:
- Educational and Licensure:
- Post Grad (MBA Top Tier)
- Project Management certification / Master of Business Administration is an advantage
- Medical background is an advantage
- Work Experience:
- 4+ years of relevant experience with increasing accountability
- Experience managing complex process improvement projects, including undertaking operational assessments and target operating model design using Lean Six Sigma & Re- Engineering Techniques
- Experience using Business Architecture to articulate automation solutions using platforms such as Ui Path, AI ML (AI and Power Automate
- Experience in projects involving emerging technologies (automation, Machine Learning, Natural Language Processing, Artificial Intelligence, etc.)
- Experience solving major project or customer issues
- Extensive experience in working with stakeholders across leadership levels
- Proven excellent communication & presentation skills
- Demonstrated experience in change management
Preferred Qualifications:
- Skills/Attributes:
- Ability to create a business architecture to facilitate alignment of strategic objectives and tactical demands
- Solid consulting, relationship management and facilitation skills including the ability to listen and question to understand the business problem, analyze, provide insight and advice
- Ability to assess data model and data flows and facilitate automation and process design workshops
- Networks within their team, department, organization, industry, and community
- Advocates with senior leaders for change or for a new idea
- Highlights the possibilities that exist, while acknowledging difficulties will exist when deciding
- Seeks to understand the 'why' behind decisions, provides examples of when they have done so and how they translated this to the team
- Excellent written and verbal communication skills including persuasive, data-rich presentation 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.
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What We Do
We’re the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare. We’re a global organization that’s evolving health care so everyone can have the opportunity to live their healthiest life. With our hands across all aspects of health, we'll provide you with a rewarding career that enables you to grow in the directions that best fit your passions. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together.
Our global technology team consists of more than 30,000 innovators from around the world passionate about using technology to improve the lives of people and communities. We are modernizing the health care system through modern analytics, comprehensive clinical expertise, innovative technologies and extensive experience in improving operational and clinical performance.
As part of our team, you will be provided opportunities to channel your curiosity into initiative, working alongside distinguished engineers and developers pursuing innovations that improve the health care experience for everyone. We encourage you to dive in, explore and ask questions about creative ways to use technology to help make the health care system work like an actual system.
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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, the responsibilities of a job, and your preference for more flexibility. These models are core on-site 5 days/week, hybrid 3 day/s week and telecommute or fully remote.
