Director Business Process - Telecommute - Full-time / Part-time

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)
 
Primary Responsibilities:

Responsible for owning and driving all UHC Payment Integrity NPS® activities. This will entail partnering with Optum Payment Integrity to ensure that we are in sync and driving to common goals
Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff
Obtain needed resources (e.g., different functional teams; subject matter experts; internal and / or external stakeholders) to implement business solutions
Work most often impacts a large business unit, or multiple markets / sites
Drives the strategic development of NPS business solutions in collaboration with Directors, Support Staff and Senior Leadership ensuring buy in and support
Exhibit understanding of the objectives for each Payment Integrity Operations team to identify impacts to providers, members and medical cost savings
Develops and executes strategies for NPS (Net Promoter Score) that cross multiple business segments and multiple business areas within UnitedHealth Group
Develop, demonstrate, and continuously improve understanding of NPS  and the upstream and downstream impacts to partners of Payment Integrity
Expertise to problem solve day-to-day issues (especially those with NPS impacts) as well as issues falling outside of the traditional support provided 
Ability to lead and drive the communication to key stakeholders, and to the internal Payment Integrity teams
Communicate with stakeholders (e.g., senior leadership; directors) to gain support and buy-in for proposed business process solutions, ensure consistent use and application of solutions across functions and teams
Demonstrate understanding of relevant organizations' operations, products and applications, strategies, processes, and / or business priorities in order to build effective solutions
Demonstrate understanding of basics of transaction monitoring (e.g., claims processing; eligibility transactions; customer installation)
Demonstrate and remain current in understanding of relevant regulations (e.g., healthcare; security)
Work with relevant stakeholders (e.g., end users; SMEs; sponsors) to establish appropriate NPS criteria and goals in order to show continuous improvement to NPS scores
Analyze business process information (e.g., metrics; analytics) to identify key issues, trends, and potential root causes (e.g., training issues; lack of understanding by user community) that point to improvement opportunities
Gather and / or document information on stakeholders' business requirements, specifications, and / or needs (e.g., conduct intake process; ask questions; review project charter; monitor regulation; review reports)
Provide input into and / or develop relevant policies, procedures, and / or work tools to support new or updated business processes
Take concept and anticipate the customer needs as developing the solution to meet the objectives; put the objectives into practice
Provide operational instruction and guidance to business partners impacted by NPS business process solutions (e.g., procedure; system; applications)
Monitor on-going progress of business processes to identify potential challenges, risks, and / or defects
Assess and / or document the outcomes (e.g., risks; benefits; impacts) of business decisions and / or changes (e.g., new client implementations; new health-care regulations) on implemented business processes
 

Required Qualifications:

Bachelor's degree (or higher) in Business, Finance, Health Administration or equivalent work experience
10+ years of work experience in a corporate setting
7+ years of strategic experience with program leadership and program methodology (requirements, design, development, test and implementation)
7+ years of experience in analysis of business process and workflow and providing an evaluation, benchmark and / or process improvement recommendations 
7+ years of healthcare experience
7 + years of Leadership experience, directing others to resolve business problems that affect multiple functions or disciplines
5+ years of management large initiatives that cross multiple business areas
Expert level of proficiency with PC based software programs and automated database management systems (Microsoft suite)
Understanding of basic process management and total quality management principles and methodologies (e.g., Six Sigma; Lean)
Excellent verbal and written communication skills,  including trends and opportunities to clients and the business in writing and verbally
Experience in analysis of business process and workflow and providing an evaluation, benchmark and / or process improvement recommendations
Ability to problem solve including multiple priorities
Preferred Qualifications:

5+ years claim experience
Operational Excellence Six Sigma Green Belt Certification
Network management background
Clinical background or experience working with clinical
Demonstrate understanding of COSMOS, UNET and CSP Facets claim platforms
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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: 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.
 
 
Job Keywords: Director Business Process, Telecommute, Telecommuter, Telecommuting, Remote, Work from home
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