Quality Manager - Optum 360 - Melville, NY - Full-time / Part-time

This position is responsible for end-to-end Quality Assurance program activity within Optum360 Revenue Cycle Management Organization. Leads team of quality analysts focused on quality assurance activities through quality assessments, performance of quality review / auditing, diagnoses of process issues, identification of process improvements and process improvement implementation.   This position is also responsible for quality reporting and other related Quality Assurance activities.
 
 
Primary Responsibilities:


Work to understand processes, identify failure points, and develop quality assurance / audit programs to ensure operational excellence is achieved

Develop new workplace audits of processes to flag issues prior to having a member impact

Adapts departmental plans and priorities to address business and operational challenges

Product, service or process decisions are most likely to impact multiple groups of employees and / or customers (internal or external)

Support short and long term operational strategic business activities by developing, enhancing, and maintaining operational information and models

Collaborate with senior business leaders to deliver insight derived from data, highlight emerging trends, and work through implications business strategies

Identify and validate issues and root causes identified with business SMEs to obtain functional area ownership

Determine appropriate action plans and obtain buy-in from functional areas on remediation activities and dates.  Follow up to ensure timely execution of action plans

Create and oversee process to conduct audits and provides feedback to reduce defects and improve processes and performance

Required Qualifications:


Bachelor's Degree or equivalent related experience

5+ years of experience with Quality auditing

5+ years of management experience

Effective, dynamic communication (verbal and written) and presentation skills with the ability to communicate to a variety of levels within the organization including executive leadership

Strong analytical and negotiation skills with a proven track record for innovative successful outcomes

Proven record of positive, effective coaching and development ability as well as supporting effective team interactions

Project Management expertise

Superior interpersonal skills, ability to work with all levels of employees and management across all functional areas

Builds and leverages a network of experts to supplement one’s own expertise

Proven ability to create and maintain a collaborative work environment with critical business partners

Change agent, intuitive and problem solver

Ability to create and maintain a collaborative work environment with critical business partners, ability to garner the buy in of multiple areas
 
Preferred Qualifications:


Prior experience in large, multi-function and cross geographic organization

Experience creating processes, guidelines, and procedures for Quality Assurance organizations

Prior experience supporting medical billing, patient registration, or Health Care organizations

Experience working within large matrix organizations with international business partners
 
 
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: UnitedHealth Group 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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.