Optum
Associate Director Pre Service Review - Remote
Optum, Los Angeles, California, United States, 90079
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 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.Primary Responsibilities:Assist Managers and Supervisors with escalated issuesAssist in development of training materials; acts as Subject Matter ExpertFields questions and serves as a resourceReviews and updates job aids to maximize quality and productivityTrend, analyze and improve processes and suggests improvementsParticipate in efficiency and quality improvement initiativesLeads or participates in special projects, as requiredSubject Matter Expert (SME): resource for complex issues and process/application questionsSME: Process/Documents (SOP, JA, Review Guides, Policy, Procedure)Analyze, communicate results/trends, and collaborate with leaders to develop action plans for key reportsActively participate in key projects and meetings to champion business standardization and flawless execution. Report outcomes to leadership teamSupervisor and Manager coverage back upFacilitate employee engagement activitiesSupport and endorses business goals, provide recommendations for improvementExcellent interpersonal and motivational skillsExcellent Problem Solving and analytical skillsAble to work independently and make sound decisions in a fast-paced environmentProvide input into the Common Review process when applicableMentoring, coaching, staff education: time management, skill, processes, professional development, etc.Required Qualifications:CA nursing license (unrestricted)2+ years of Utilization management experience2+ years of experience as a ManagerWorking knowledge of Microsoft applications (Word, Excel, PowerPoint)Knowledge of medical billing and office automation softwareComputer LiterateProven excellent verbal and written communication skillsProven interviewing and interpersonal skillsPreferred Qualifications:Bachelor's degree from a four-year college and/or a professional certification requiring formal education beyond a two year collegeMaster's Degree, MBA*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.California Residents Only:
The salary range for this role is $104,700 to $190,400 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).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.
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Caring. Connecting. Growing together.Primary Responsibilities:Assist Managers and Supervisors with escalated issuesAssist in development of training materials; acts as Subject Matter ExpertFields questions and serves as a resourceReviews and updates job aids to maximize quality and productivityTrend, analyze and improve processes and suggests improvementsParticipate in efficiency and quality improvement initiativesLeads or participates in special projects, as requiredSubject Matter Expert (SME): resource for complex issues and process/application questionsSME: Process/Documents (SOP, JA, Review Guides, Policy, Procedure)Analyze, communicate results/trends, and collaborate with leaders to develop action plans for key reportsActively participate in key projects and meetings to champion business standardization and flawless execution. Report outcomes to leadership teamSupervisor and Manager coverage back upFacilitate employee engagement activitiesSupport and endorses business goals, provide recommendations for improvementExcellent interpersonal and motivational skillsExcellent Problem Solving and analytical skillsAble to work independently and make sound decisions in a fast-paced environmentProvide input into the Common Review process when applicableMentoring, coaching, staff education: time management, skill, processes, professional development, etc.Required Qualifications:CA nursing license (unrestricted)2+ years of Utilization management experience2+ years of experience as a ManagerWorking knowledge of Microsoft applications (Word, Excel, PowerPoint)Knowledge of medical billing and office automation softwareComputer LiterateProven excellent verbal and written communication skillsProven interviewing and interpersonal skillsPreferred Qualifications:Bachelor's degree from a four-year college and/or a professional certification requiring formal education beyond a two year collegeMaster's Degree, MBA*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.California Residents Only:
The salary range for this role is $104,700 to $190,400 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).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.
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