562125 - Associate Director of Appeals & Grievances - Medicare and Retirement - CMS - San Antonio, TX, Roanoke, VA (preferred) or Telecommute Opportunity.

• Provide expertise or general support to team in reviewing, researching, investigating, negotiating, and processing and CTM's. 


• Analyze and identify trends and provide reports as necessary.


• Identify root cause for CTM's and provide thorough reporting on drivers of CTM's with overall objective of reducing CTM volume


• Provide business partner management/leadership and is accountable for the performance of managers and/or senior level professional staff.


• Develop and drive employee management model - employee value and retention.


• Identify and resolve technical, operational and organizational problems outside and within own team.


• Drives accountability and issue resolution with business partners


• Drives superior service delivery, productivity and quality improvements throughout the organization


• Translates overall business strategy to determine overall impact and develop and execute on short term and long term operations goals


• Develops staff to ensure succession planning at all levels in the organization


•  Creates performance excellence by identifying best practices, building measurement systems and improving operational efficiency


• Consistently demonstrates ability to act and react swiftly to continuous change and challenges


• Develops innovative operational solutions and architects process, technology, and people/change components to deliver cost effective results


• Develops productive and collaborative working relationships with internal and external partners, customers and suppliers


• Develops innovative operational solutions and architects process, technology, and people/change components to deliver cost effective results


• Uses sound judgment to resolve politically sensitive roadblocks

• Bachelor's degree preferred or equivalent experience required, MBA a plus


• 3+ years of operations and/or vendor management 


• 1+ year of leadership experience and managing team of 50+


• Healthcare industry knowledge required


• Experience with M&R and CMS required


• UHG experience preferred


• Consultative style and approach with ability to influence and drive others


• Experience working in a matrix environment


• Approximately 25% travel required


• Proficient skills with MS (Word, PowerPoint, Excel, Project and SharePoint)


• Excellent oral, written and presentation skills


• Strong strategic and business acumen


• Excellent analytical and problem solving skills


• Poised to interact with senior and executive leadership


• Demonstrated experience with creating, deploying, and managing complex business imperatives


• Demonstrated experience in building a highly effective team

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.




UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.