OneMain Financial Jobs

Requisition number: 2343209

Job category: Medical & Clinical Operations

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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

• Service Delivery

• Oversee workforce planning, staffing alignment, and operational readiness across shifts based on business needs

• Improve cost/chart by measures including but not limited chart/day/coder and the effective utilization of resources

• Manage client SLAs (turn-around-time, quality)

• Ensure adherence to ICD 10 CM, CPT, HCPCS and payer specific guidelines and regulatory standards

• Production planning - monthly, weekly and daily queue management, movement of resource on need basis

• Project management - Resource planning as per project scope, risk management and escalation management. Achieving client and organization objectives for a given project

• Diligently use data driven tools and application to drive performance and decision making

• Collaborate with supervisors and cross functional teams to streamline workflows and leverage analytics for operational improvements

• Team Management

• Building capability through structured learning, SME development, certification support, and leadership coaching

• Career Management and development of leaders

• People Engagement (One-One's, Team meeting, skip meeting etc.,); Attrition Management

• Manage performance, engagement, and skill development of coders and coding managers, promoting a high performance culture

• Stakeholder Management

• Maintain solid stakeholder engagement by providing consistent updates, alignment discussions, and predictable delivery

• Manage client interaction over conference calls and/or emails

• Conduct routine governance reviews and present performance KPIs, RCA/CAPA status, and operational insights to leadership and the process stakeholders

• Process Improvement

• Drive efficiency and productivity initiatives

• Improve client and employee experience by continuous improvements

• Collaborate with supervisors and cross functional teams to streamline workflows and leverage analytics for operational improvements

• Drives generation and execution of ideas at an organizational level

• Support technology adoption, including coding tools, automation, quality dashboards, and workflow enhancements

• 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:

• Any Graduate (Bachelor's or master's degree in Life & clinical Sciences preferred)

• 15+ years of experience in US Healthcare operations such as medical coding, RCM, provider, and clinical coding processes

• 3+ years of experience working as Senior Manager or equivalent level

Preferred Qualifications:

• Certification in CPC or CCS or equivalent certifications from AAPC or AHIMA

• Experience in process improvement or Operational excellence

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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