UnitedHealth Group is hiring

Business Process Consultant - Telecommute job at UnitedHealth Group, San Diego

This job is expired

Find similar jobs



Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) 

The Business Process Consultant will perform research, development, and presentation of new or existing products to support the sale or delivery of products and/or services.  Reviews product performance against expectations and facilitates or influences changes to product to improve competitive position and optimal product performance for our customers.  May work with internal or external business constituents to determine product future direction or respond to product inquiries.  May be project-based and involve working within multiple product functions.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

  • Partner with Vendor Manager on health plan request that align to TPA/Operations
  • Documentation of Optum processes align to support the health plan. Includes creation of Optum job aids and workflows
  • Serves as a key resource for the external ISNP’s for program implementation and ongoing operations.
  • Creating and leading work plans to close infrastructural gaps in our model, including managing capital projects to improve patient identification, workflow management, and market reporting
  • Stay connected to the Data team in order to provide assistance to the markets and inform them if there are any data issues/problems, also serve as the first line of defense with any defect triage.
  • Monitor key reporting needs for the products and work with the data team to develop additional needed reports
  • Influences innovation across teams to ensure aligned, cohesive progress across multiple areas including technology, marketing, and service operations
  • Hold the various internal and external functional teams accountable to key action plans to improve outcomes including the vendor TPA, Actuarial services for bids and benefits, Model of Care resources, Network, Sales, and Clinical internal to CCM
  • Identifies core infrastructural gaps that would enable us to execute to new markets for expansion
  • Support creation of health plan reporting as needed.
  • Support/participate in health plan audits. Includes gathering of needed reports for the health plan.
  • Review health plan member materials/communications to include making revisions. Would like training on this to increase knowledge and ensure accuracy
  • Support health plan expansion to include participation in Ops related health plan expansion meetings as well as assist in creating expansion documents. Documents include project trackers, business development calendars and work flows.


You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications: 

  • Bachelor's Degree or equivalent experience
  • Minimum of 3 years of Operations, project management and/or business analysis experience within the health plan industry
  • Previous experience in Medicare Advantage products and /or services
  • Previous experience in healthcare claim processing
  • Proven Project Management skills
  • Intermediate Excel and Reporting skills

Preferred Qualifications: 

  • Able to balance strategic thinking with the urgency to drive work forward
  • Adapt quickly to changes in work direction and able to pivot work accordingly
  • ISNP experience
  • Team player with experience forming working professional relationships
  • Experience using data and research to formulate logical business recommendations
     

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment 

Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)  

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians. 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

Colorado Residents Only: The salary range for Colorado residents is $82,100 to $146,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. 

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment 


Job country: United States

City: San Diego

Category: Business Operations Specialists, All Other

Location: San Diego, CA, United States

Job posted 2022-06-04

This job is expired

Find similar jobs