The Risk Adjustment Validation Audit Manager - Remote

Caring. Connecting. Growing Together.

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.

The Risk Adjustment Validation Audit Manager oversees the end-to-end business process activities by creating, controlling, and improving business processes. Will assist with process design and oversee project implementation, diagnosing process improvement opportunities and develop solutions using principles of process excellence and related tools. Will evaluate quality reporting, analysis, audits, developing plans and programs to support RADV process using a variety of applicable tools.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

• Monitor quality activities to increase departmental accuracy and efficiency, including but planning, development, and implementation of improvement areas
• Review analysis of audit findings quality trends and noncompliance issues detected through auditing
• Collaborate with team supervisors to develop best practices for communicating areas of improvement
• Manage the implementation of proactive solutions to mitigate risk that will impact project quality
• Incorporate feedback from operational and QA reports to improve performance
• Assesses, evaluates, and addresses variance in production and key goals for operations
• Participates in team meetings / discussions of quality trends reported by team members

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 :

Preferred Qualifications :

Availability Requirements :

Telecommuting Requirements :

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.