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

Who are we? Optum360. Our Division within Optum360 partners with Quest Diagnostics to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.

A Subject Matter expert will lead with the Supervisor a team of 20-25 team members of revenue cycle management operation along with complying with established productivity goals

Primary Responsibilities:

• Conduct audits and provide feedback to reduce errors and improve processes and performance and may be responsible for representing the OPTUM 360-QUEST area on operational excellence and improvement projects
• Support training for process knowledge training to current and new associates
• Prepare and review training/refreshers/help tools for the processes aligned to OPTUM 360-QUEST
• Provide manual mail return expertise support and coach representatives
• Analyze, identify trends and provide reports as necessary
• Understand and clarify where errors happened or where they may continue to happen and potential permanent solution in a fast-paced environment
• Ensure adherence to state and federal compliance policies
• Solve routine problems on own
• Work with supervisor to solve more complex problems
• Partner with supervisor to support staff development initiatives
• Provide insight of staff strengths, challenges on development process
• Support/develop daily work plans and communicate progress of it in a prompt manner
• Stimulate engagement and empower staff to meet productivity, quality and timeliness goals
• Performs basic and specialty workflow and administrative tasks with minimal supervision
• Collaborates with others to identify and solve moderate problems that promote efficiency and quality
• Meets productivity, quality and timeliness goals
• Makes fact- based decisions; uses sound judgment and applies business knowledge
• Acts ethically; demonstrates integrity, complies with all laws, regulations and policies
• Ability to work independently and as a team player
• Productivity support will be required as needed by the business
• Perform other duties as assigned

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:

• 1+ years of experience in the healthcare industry
• 1+ years of experience analyzing and solving bills, claims, or data entry environment
• 1+ years of experience working in a production and quality environment
• 1+ years of experience in Quest-BDE process
• Microsoft Excel proficiency
• Must be in compliance with current production and quality goals
• Available to work (40 hours/week) Monday- Friday. Flexible to work any of our 8-hour shift schedules during our normal business hours of (7:00am to 5:00pm AST) It may be necessary, given the business need, to work overtime or weekends
• Proficient in verbal and written English skills

Preferred Qualifications:

• Training experience
• Management experience
• Inventory and audit management
• Microsoft Power Point and Word proficiency

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.

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.