Manager of Coding Operations (Remote)

UnitedHealth Group; Plymouth (MN); Remote; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group seeks a Supervisor to lead a 15-18 person team of investigators, ensuring performance, efficiency, and policy adherence. You will mentor staff, manage daily operations, and collaborate with PEGA developers and Optum partners to implement changes.

The role offers remote work flexibility nationwide with an in-office requirement of four days per week for Minneapolis and DC areas, and focuses on process improvement, KPI tracking, and staff development to deliver high-quality

Qualifications

• 2+ years of leadership and relevant work experience.
• 2+ years of experience coaching, mentoring and providing feedback.
• 2+ years of Provider Data analysis or provider installation roles.
• 1+ years of human resource policies and procedures experience.
• 1+ years of client service experience.
• 1+ year of experience on UHC platforms (NICE, COSMOS, FACETS, UNET etc.)
• Demonstrated highly organized with effective and persuasive communication skills.
• Proven analytical, problem-solving and decision-making skills; good judgement.
• Open to change and adaptable in changing environments and able to integrate best practices.
• Proficiency in MS Office with solid computer skills.

Responsibilities

• Manages team of 15-18 investigators, tracking KPIs, metrics, OT, TAT and performance.
• Creates documentation and gains client approval; implements and trains team on updates.
• Provides explanations to others on difficult issues; solves problems and supports new client implementations.
• Develops innovative approaches to improve business processes and aligns priorities with operational needs.
• Promotes high employee engagement with transparent communication and a safe collaborative environment.
• Completes HR administrative reporting and policy adherence.

Skills

Leadership

Mentoring

Client service

Communication skills

Problem solving

MS Office

Adaptability

Team guidance

Data analysis

Tools

NICE

COSMOS

FACETS

UNET

Job description

OptumInsightis improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, andultimately consumers. Our deepexpertisein the industry and innovative technology empower us to help organizations reduce costs while improving risk management,qualityand revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Supervisor will manage inventory by overseeing the work of employees, ensuring efficiency, achievement of department goals, and adherence to policies. They will instruct and implement changes. Supervisors will provide support, guidance, feedback, and support professional growth of team members. They will foster a positive work environment while striving for continuous process and performance improvements. Supervisor will conduct monthly one to one meeting, daily huddles, and biweekly team meetings. They will assist members of the team with schedule updates.

The Supervisors will be expected to and collaborate with internal functional areas such as the developers of our PEGA application and our Optum partners.

You'llenjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Manages team of 15-18 investigators (professional, non-exempt), including tracking KPI's, metrics, OT, TAT etc., provides feedback to staff on performance, sets work direction, resolves problems, provides guidance to team members when needed and takes necessary steps to address poor performance including corrective action up to termination and provides input to forecasting and planning for their team
• Serves as an operational expert for their business, creating documentation, gaining approval from the client with the assistance of management and implementing and approving operational changes through documentation and training the team on the updates
• Sought out as an expert for the business and provides explanations and information to others on difficult issues, both within the team and other departments. With the guidance of leadership solves complex problems, builds innovative solutions and assists the operational leader in new client implementations and/or expansion of our current business
• Develops innovative approaches and strategies to improve business process through projects, internal and external to our business and adapts the department needs/priorities based on business and operational challenges
• Strives for high employee engagement through transparent and honest communication. Provides a safe and secure environment for ongoing collaboration, feedback and growth
• Completes all required HR administrative reporting through score card maintenance, Year In Review, performance documentation and policy and procedure adherence

You'llbe 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 asprovidedevelopment for other roles you may be interested in.

Required Qualifications:

• 2+ years of leadership and relevant work experience
• 2+ years of experience coaching, mentoring and providing feedback
• 2+ years' experience in Provider Data analysis or provider installation roles
• 1+ years of human resource policies and procedures experience
• 1+ years of client service experience
• 1+ year of experience on UHC platforms (NICE, COSMOS, FACETS, UNET etc.)
• Demonstrated highly organized with effective and persuasive and robust communication skills
• Demonstrated solid, analytical, problem-solving and decision-making skills; ability to exercise good judgment
• Proven to be open to change and new information; ability to adapt in changing environments and integrate best practices
• Demonstrated proficiency in MS Office with solid computer skills (e.g. multiple systems experience, keyboarding skills, trouble-shooting IT concerns, etc.)

Preferred Qualifications:

• Healthcare claims experience
• Criminal Justice background and/or certified Fraud Investigation experience
• Demonstrated solid communication skills with the ability to interpret data
• Experience with Fraud Waste & Abuse or Payment Integrity
• Previous CMS experience

*All employees working remote will berequiredto 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 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.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.