claims Operations Manager - multiple locationUnitedHealth Group

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)
You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry.
The Claims Operations Manager is responsible for management and administration of multiple functions, or management of general business operations within Claims Department.
Primary Responsibilities:
Oversee daily operations of multiple levels of staff and multiple functions across one or more business units
Manage day to day site operations, supervisor leadership (internal and external to organization), and accountability for financial and non-financial results (budgets and actuals)
Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims
Authorize the appropriate payment or refers claims to investigators for further review
Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary
Lead project management and implementation initiatives
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
Required Qualifications:
Preferably a graduate of any 4 year course
3+ years supervisory/managerial experience in claims adjudication or customer service
2+ years managing relationships with clients and/or vendors
2+ years managing budgets, process improvement and quality assurance
Intermediate Microsoft Office skills
Preferred Qualifications:
Undergraduates degree or higher
Understanding of claims processing systems
5+ years of healthcare claims leadership experience
2+ years of experience developing presentations to include charting
Senior Level Supervisory/Managerial experience in medical claims
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.
Job Keywords: Operations Manager, Healthcare Operations Manager, Service Delivery Manager, Revenue Cycle Manager, Healthcare Claims, Eligibility and Benefits, Cebu City, Cebu, Taguig City, Alabang, Quezon City, Muntinlupa City, NCR, National Capital Region
UnitedHealth Group

Cebu City, Cebu
Permanent
Full-time