Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
This Business Operations Specialist position is required to handle increased workload associated with Prior Authorization system setup. The Prior Authorization system setup includes the loading of letters, updating of tables, loading clinical guidelines, and updating automated decision trees.
This role is vital since without it we will risk incomplete guidelines, incomplete or incorrect approval and denial letters loaded for each client for each migration resulting in increased cost to client and decreased member satisfaction.
Primary Responsibilities:
Explain, present and analyze the current client performance on various Metrics. investigates trends and issues and provides explanations and interpretations within the lines of business that they support
Provide Trends Analysis with supporting policies and procedures, solutions to provide meaningful insights and recommendations on historic and future performance to stakeholders
Prepares reports to internal and client supports
Helps operations in increasing efficiency and effectiveness by providing data that will help them improve processes and procedures
Can deliver timely reports and analytics to effectively measure business performance against strategic priorities
Compile results in a concise, meaningful, and actionable format and share findings with end user of reports
Collaborate with operations team to identify and document the root-cause that will be needed to generate intelligent reports and formulate steps for Process Improvement & excellence
Work with peers and stakeholders to access, pull, clean, analyze and represent data from variety of sources
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm)
Required Qualifications:
Bachelor's Degree / Undergraduate degree or equivalent experience
2+ years of relevant experience in Reporting
Experience in Reporting, Data Management and Analysis
Advanced skills/expertise in MS Excel and SQL
Proficient in MS Office, Advanced skills in data querying and manipulation via SQL
Ability to create and analyze reports using MS Excel and conduct analysis on data
Can create Data Analytics and create data trends
Excellent Oral and Written communication skills
Team player with a positive "can-do" attitude
Able to work under pressure and think clearly in challenging situations
Ability to multi-task and prioritize effectively
Ability to customize operational & strategic reports based on project goals & client requirements.
Strong communication skills, excellent interpersonal skills and ability to create as well as deliver meaningful reports/ dashboards
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: Optum 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.
Optum is a drug-free workplace. © 2022 Optum Global Solutions (Philippines) Inc. All rights reserved.
UnitedHealth Group
This Business Operations Specialist position is required to handle increased workload associated with Prior Authorization system setup. The Prior Authorization system setup includes the loading of letters, updating of tables, loading clinical guidelines, and updating automated decision trees.
This role is vital since without it we will risk incomplete guidelines, incomplete or incorrect approval and denial letters loaded for each client for each migration resulting in increased cost to client and decreased member satisfaction.
Primary Responsibilities:
Explain, present and analyze the current client performance on various Metrics. investigates trends and issues and provides explanations and interpretations within the lines of business that they support
Provide Trends Analysis with supporting policies and procedures, solutions to provide meaningful insights and recommendations on historic and future performance to stakeholders
Prepares reports to internal and client supports
Helps operations in increasing efficiency and effectiveness by providing data that will help them improve processes and procedures
Can deliver timely reports and analytics to effectively measure business performance against strategic priorities
Compile results in a concise, meaningful, and actionable format and share findings with end user of reports
Collaborate with operations team to identify and document the root-cause that will be needed to generate intelligent reports and formulate steps for Process Improvement & excellence
Work with peers and stakeholders to access, pull, clean, analyze and represent data from variety of sources
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm)
Required Qualifications:
Bachelor's Degree / Undergraduate degree or equivalent experience
2+ years of relevant experience in Reporting
Experience in Reporting, Data Management and Analysis
Advanced skills/expertise in MS Excel and SQL
Proficient in MS Office, Advanced skills in data querying and manipulation via SQL
Ability to create and analyze reports using MS Excel and conduct analysis on data
Can create Data Analytics and create data trends
Excellent Oral and Written communication skills
Team player with a positive "can-do" attitude
Able to work under pressure and think clearly in challenging situations
Ability to multi-task and prioritize effectively
Ability to customize operational & strategic reports based on project goals & client requirements.
Strong communication skills, excellent interpersonal skills and ability to create as well as deliver meaningful reports/ dashboards
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: Optum 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.
Optum is a drug-free workplace. © 2022 Optum Global Solutions (Philippines) Inc. All rights reserved.
UnitedHealth Group
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Cebu City, Cebu
Permanent
Full-time
Permanent
Full-time
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