Remote Ces Role Jobs (NOW HIRING)

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
We have a position open for a Functional Manager to support the Optum Application Managed Services (AMS) Team. The AMS team engages in long term commitments and partnerships.
AMS provides full-service operation to our clients with a proactive approach to business communication, growth and problem resolution. The AMS team partners with health plan clients to become an extension of their organization. The highly seasoned staff is dedicated to managing Claims Edit System (CES) as well as looking at where CES fits in the client's "Ecosystem". AMS provides services that will help provide long term benefit for the client, not only direct savings, and increased revenue but also savings in process, manual effort, and other operational areas.
The Functional Manager role requires a highly flexible and adaptable individual that is able to lead project teams to drive positive outcomes. Solid experience in management or lead role is required, preferably with demonstrated experience with healthcare claims or Medical /Drug/ reimbursement arena. The Functional Manager must have solid communication skills and be able to fluctuate communication styles based on audience. This includes articulating complex issues at all levels - front line, execs, and clients. This role requires an individual that takes initiative and has the ability to execute and produce results, follow through on commitments and hold others to deliverables. The Functional Manager must have a collaborative mindset to leverage resources effectively and be open to other ideas and suggestions. Organizational skills with emphasis on documentation and coordination of work are essential.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:

• Owner of Functional Processes
• Establish & track metric baselines and standards
• 1:1 with employees
• Ensure Workload Balance Across Functions
• Escalation point-of-contact for client issues, problems to AMS functions
• Participate in internal Functional and Client meetings
• Identify, define, coordinate new projects
• Lead Process Improvement Initiatives Liaison for escalation between AMS & other departments
• Access & coordinate staff Training Needs
• Reviews Monthly Report and provides input on results
• Present SLA Tracking Reports
• Intake Process Performance and Management
• Mid-Year and Annual Employee Reviews
• Hiring activities
• Manage employee status report & PTO
• Pipeline Sales and Contract Support

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:

• 7+ years of experience in the Healthcare industry, either via direct work in the market (with insurers, hospitals, physicians, etc.) or via technology solutions being sold into the healthcare market
• 5+ years of experience interfacing with Clients
• 5+ years of experience leading process improvement initiatives
• 3+ years of experience in directing individuals to meet a common goal
• 3+ years of experience interfacing at the Executive level
• Proficiency with MS Office applications

Preferred Qualifications:

• 3+ years of experience in management or supervisory role
• Experience pulling reports in SalesForce
• Experience with CES, Claims Manager or Content Manager

Soft Skills:

• Solid analytic and problem-solving skills.
• Excellent interpersonal, written, and verbal communication skills
• Highly motivated and innovative, with the ability to work as part of a high-performing team as well as independently
• Experience in the delivery of complex technology solutions that address business issues within a large fast paced environment
• Demonstrated competency in large-scale organizations within a matrix environment
• Ability to manage multiple priorities and execute deliverables on time

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.