Job Description
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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)
Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff. Work most often impacts a large business unit, or multiple markets/sites.
Primary Responsibilities:
Develops and executes strategies for a function or discipline that span a large business unit or multiple markets/sites
Directs others to resolve business problems that affect multiple functions or disciplines
Product, service or process decisions are most likely to impact multiple functions and/or customer accounts (internal or external)
Utilize standard project plan templates to create and/or tailor project plans to specific customers needs
Analyze RFP/contract language and incorporate requirements into project plans
Assist internal and/or external business partners with completion of tasks and resolution of issues and problems with program implementation
Establish and/or implement internal and/or external service level agreements in order to ensure ability to monitor and measure program performance (e.g., turnaround time quality effectiveness)
Identify and/or secure resources (e.g., funding staffing system security real estate and/or telecommuting requirements hardware/software) required to implement programs
Review, create, and/or maintain workflows to ensure they are up-to-date and operationally efficient-Provide guidance, expertise, and/or assistance to internal and/or external partners (e.g., claims call center benefits clinical) to ensure programs and strategies are implemented and maintained effectively
Communicate with and help internal and/or external partners interpret contractual requirements in order to ensure effective problem solution and strategy implementation
Provide input to internal and/or external stakeholders (e.g., sales shared business partners pre-service vendors facilities) in order to drive effective business plan and sales strategy development
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:
At least 15 years experience and 10 years in leadership capacity
Experience in Healthcare Operations/Customer Service/Voice Operations/Support Functions/Project Management/Billings and Collections/Payment Integrity
Experience in managing monthly financials
Experience in creating and delivering executive level presentations
Experience in managing call center performance with the ability to build performance remediation plans focused on resolving the root cause issues
Experience in negotiating contract terms and working through financial considerations/disputes with outside suppliers
Relevant work experience in strategy, management consulting, product or general management in a health care related field
Solid history of quickly gaining credibility, partnering with business leaders and exhibiting executive presence
Proven ability to articulate business strategies and formulate concise solutions to complex problems
Ability to champion continuous change, consult with versatility, exhibit personal leadership and model a customer orientation
Ability to effectively drive results in a dynamic, matrixed environment with a high degree of organizational change, growth and ambiguity
Excellent oral and written English Communication skills
Work Details:
Willing to be assigned in any of our PH sites - Makati/Alabang/QC/McKinley
Willing to work on US Shift
Hybrid Work Set-up, willing to report onsite
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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)
Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff. Work most often impacts a large business unit, or multiple markets/sites.
Primary Responsibilities:
Develops and executes strategies for a function or discipline that span a large business unit or multiple markets/sites
Directs others to resolve business problems that affect multiple functions or disciplines
Product, service or process decisions are most likely to impact multiple functions and/or customer accounts (internal or external)
Utilize standard project plan templates to create and/or tailor project plans to specific customers needs
Analyze RFP/contract language and incorporate requirements into project plans
Assist internal and/or external business partners with completion of tasks and resolution of issues and problems with program implementation
Establish and/or implement internal and/or external service level agreements in order to ensure ability to monitor and measure program performance (e.g., turnaround time quality effectiveness)
Identify and/or secure resources (e.g., funding staffing system security real estate and/or telecommuting requirements hardware/software) required to implement programs
Review, create, and/or maintain workflows to ensure they are up-to-date and operationally efficient-Provide guidance, expertise, and/or assistance to internal and/or external partners (e.g., claims call center benefits clinical) to ensure programs and strategies are implemented and maintained effectively
Communicate with and help internal and/or external partners interpret contractual requirements in order to ensure effective problem solution and strategy implementation
Provide input to internal and/or external stakeholders (e.g., sales shared business partners pre-service vendors facilities) in order to drive effective business plan and sales strategy development
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:
At least 15 years experience and 10 years in leadership capacity
Experience in Healthcare Operations/Customer Service/Voice Operations/Support Functions/Project Management/Billings and Collections/Payment Integrity
Experience in managing monthly financials
Experience in creating and delivering executive level presentations
Experience in managing call center performance with the ability to build performance remediation plans focused on resolving the root cause issues
Experience in negotiating contract terms and working through financial considerations/disputes with outside suppliers
Relevant work experience in strategy, management consulting, product or general management in a health care related field
Solid history of quickly gaining credibility, partnering with business leaders and exhibiting executive presence
Proven ability to articulate business strategies and formulate concise solutions to complex problems
Ability to champion continuous change, consult with versatility, exhibit personal leadership and model a customer orientation
Ability to effectively drive results in a dynamic, matrixed environment with a high degree of organizational change, growth and ambiguity
Excellent oral and written English Communication skills
Work Details:
Willing to be assigned in any of our PH sites - Makati/Alabang/QC/McKinley
Willing to work on US Shift
Hybrid Work Set-up, willing to report onsite
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UnitedHealth Group
About the company
UnitedHealth Group jobs
Philippines


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Position Healthcare operations leader (assoc dir/director) recruited by the company UnitedHealth Group at Taguig, Joboko automatically collects the salary of , finds more jobs on Healthcare Operations Leader (Assoc Dir/Director) or UnitedHealth Group company in the links above
About the company
UnitedHealth Group jobs
Philippines