Recovery/Resols Analyst

Optum; Bengaluru; On-site; INR 700,000 - 900,000; Full time

Job summary

Optum Bengaluru seeks a Recovery/Resols Analyst to support Payment Integrity operations, driving process hygiene and coaching to meet quality targets while adhering to HIPAA and internal policies.

The role requires a medical degree and 2+ years in healthcare BPO team management, with hands-on experience in performance and project management, coaching, and data-driven decision making.

Qualifications

• Medical degree (BHMS/BAMS/BUMS/BPT/MPT/B.Sc. Nursing)
• 2+ years of healthcare BPO team management experience
• Experience with Performance Management
• Experience with Project Management
• Experience in coaching and mentoring
• Demonstrated ability to communicate clearly and analyze data

Responsibilities

• Drive basic hygiene on the operations floor and build culture within Payment Integrity Operations
• Drive cost reduction through automation, productivity gains and cross-resource utilization
• Assist new hires and tenured staff to meet productivity and quality goals
• Manage the team to meet and exceed quality and productivity targets
• Provide coaching and feedback to team members for performance and career development
• Ensure compliance with HIPAA and internal policies and procedures

Skills

Performance Management

Project Management

Coaching & Mentoring

Team Leadership

Communication Skills

Analytical Skills

Education

BHMS/BAMS/BUMS/BPT/MPT/B.Sc. Nursing

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Recovery/Resols Analyst (2388677)

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 and 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
• Be 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 all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements

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 with Performance Management
• Experience with Project Management
• Experience in coaching and mentoring
• Demonstrated ability to do careful listening, tact and candor, two-way communication, and master a high impact communication style
• Demonstrated ability to be a Self -starter who can manage multiple priorities with minimum direction solutions
• Demonstrated ability to Effectively organize and lead a team of 20+ people, in cooperative processes to achieve shared outcomes
• Proven effective communication skills both verbal and written
• 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.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.