billing Quality/audit representativeOptum

Billing Quality/Audit Representative » Full-time
» Taguig
» •
» Posted on April 7, 2021
» •
»Save Job favorite_border
Description:
Quality Analyst works as a member of the Quality Team focusing on workflows, execution excellence, and recommendations. In this function, the analyst works to both proactively to identifying opportunities for process change and make recommendations for enhancements. The analyst will support the leadership abilities team in providing research, documentation, and recommendations on focus areas under review by the leadership abilities team.
Primary Job responsibilities:
» Review, document and analyze current ?as is? processes as requested and make recommendations as appropriate for workflow and/or skill set changes to improve efficiency, improve effectiveness, reduce cost of delivery, reduce cycle time and/or improve quality
» Perform audits across all operations teams and communicate to leadership abilities any potential opportunities for improvement
» Maintain and update all policies and processes for operations
» Using statistical sampling and personal observation, test current compliance with defined workflows and policies, and identify variance found. Compare these results with published results on performance and identify any variances in monitoring reporting
» Ensure company standards are maintained and product integrity is preserved
» As identified, research/audit specific cases which may have deviated from the defined workflow and document the process issue, impact to the client and any process or staffing changes that should occur or have occurred as a result
» Participate as a team member on projects looking at new products, product extensions and enhancements and technology enhancements as needed, providing appeals subject matter skills
» Assist in development of special department projects
» Function as an information source when critical quality issues arise
» Provide feedback regarding training needs and assist with developing / presenting training materials as needed
» Perform other tasks as may be assigned by management
» 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 capability to do so
Requirements:
Required Appropriate qualifications:
» Demonstrated capability to research specific focus areas and provide recommendations that result in improved organizational results
» Demonstrated capability to work effectively with varying levels within an organization
» Proven capability to proactively prevent or address issues, and consistent follow-through
» Strong analytical and problem-solving skills with demonstrated capability to broadly analyze business processes and workflows.
» capability to gather and analyze data from multiple sources
» Strong Computer skills including Microsoft Word, Excel and Power Point
» Excellent written and verbal communication skills
» capability to effectively work and communicate with both internal and external customers in a positive results-oriented manner
» capability to identify the cause of an issue, proactively recommend potential solutions to an issue, with analysis of benefits/risks of implementing one solution over another
» Effective at influencing others to assist in digging into day to day realities without having a direct managery function over them
» Able to quickly lgain new processes and to work independently as required
» capability to balance conflicting demands and priorities
Preferred Appropriate qualifications:
» Bachelor's degree in business or healthcare related field
income: ?15000 - ?25000
Address: Taguig, Philippines
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Optum, a UnitedHealth Group company Employer Profile:
Optum, part of UnitedHealth Group family of businesses, is a health services and innovation company dedicated to helping people live healthier lives and helping make the health system work better for everyone. With over 165,000 people collaborating worldwide, we're working to improve the delivery, quality and efficiency of health care.
In the Philippines, we have offices in Alabang, Taguig, Quezon City, and Cebu. This is a place where you can be the best at what you do and who you are.
Careers at Optum, a UnitedHealth Group Employer :
What brings out your best? Competition? Challenge? Discovering new levels of performance? You're going to fit right in at Optum. As part of UnitedHealth Group, a Fortune 7 company, we're building on a leadership abilities position by combining data, technology and talent to create better results for our clients around the world. It's an opportunity to excel on a team that prizes excellence. And that's what makes Information technology your life's best work.SM
We're driving innovation and change all over the world and that's creating opportunity right here in the Philippines for people with energy, passion and a focus on quality. We want to make a difference and that makes this the one job opportunity that can change everything for you.
Are you in? Lgain more about careers at Optum:workatoptum.com
Worksvianet

Taguig City, Metro Manila
Permanent
Full-time