Claims Manager - San Juan, PR - 2315097 Job at UnitedHealth Group in San Juan

Overview 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.

It\'s a big step forward when you realize that you\'ve earned the trust to lead a team. Now, let\'s determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you\'ll be part of a team that\'s reshaping how health care works for millions. We\'re driving ever higher levels of sophistication in how provider networks are composed and perform. Join us and you\'ll play a key role in directing the management of data and databases of physicians and specialists who are part of our provider networks. You\'ll join a team of incredibly talented technology and business professionals where you\'ll find discover the resources, backing and opportunities that you\'d expect from a Fortune 5 leader.

Responsibilities Health Care Provider contracting process operations management

Manages multiple teams and processes each with their own set of performance expectations and regulatory requirements

Tracks, measures and provides feedback to staff on performance

Serves as an operational leader by creating, implementing and approving operational changes through documentation and process flows

Participates or leads development of business strategy

Ability to interpret, predict and forecast changes in business operational activities and needs

Manages teams that generate revenue and savings

Reviews the work of others and make course corrections as needed

Develops innovative approaches and strategies

Anticipates customer needs and proactively develop solutions to meet them

Solves complex problems and develops innovative solutions with broad impact on the business

Provides explanations and information to others on difficult issues, both within the team and other departments

Develops and leads projects that drive process improvements

Serves as an operational leader in client implementations

Tracks and reports business performance using dashboards and scorecards

Candidate must be highly organized with effective and persuasive communication skills

Strong analytical, problem solving and decision-making skills required; ability to exercise good judgment

Open to change and new information; ability to adapt behavior and work methods to changing organization and integrate best practices

Interpersonal skills to influence and spur cultural change, facilitate and enhance performance within a cross-functional environment

Ability to gain acceptance for ideas, plans, actions and then implement flawlessly

Effective data analysis and interpretation skills

English proficiency will be assessed after application.

Qualifications Required Qualifications :

5+ years of experience in the BPO or healthcare industry

5+ years of experience utilizing operational metrics, data / analytics, goals / objectives, and dashboards to run, interpret, and drive business performance

5+ years of management experience

Experience with the Microsoft Office Suite

Proficiency in using advanced functions in Microsoft Excel such as filters, pivot tables, formulas, etc.

English Proficiency

Preferred Qualification :

Experience in usage of Six Sigma tools

Experience in Claims Processing in the healthcare industry

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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