Remote Escalations Representative Jobs in Maple Grove, MN

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.

The Enterprise Information Security (EIS) team is responsible for cybersecurity across our organization. We support our business and members by reducing risk, rapidly responding to threats, focusing on business resiliency and securing new acquisitions.

The Director - Identity Escalation Support provides strategic leadership for the OptumID / One Healthcare ID B2B Tier 1 and HealthSafe ID B2C Tier 1.5/1.75 call centers.  This role is accountable for the performance and direction of the Phone Support function through multiple layers of management and senior professional staff. This role is responsible for developing and executing strategies that span large business units or multiple markets/sites, ensuring the delivery of exceptional phone-based customer service to members, customers, and providers.

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:

• Lead and manage the Phone Support function, overseeing managers and senior staff across multiple teams and locations
• Develop and execute strategies to enhance customer experience, operational efficiency, and service quality for phone-based support
• Direct others to resolve business problems affecting multiple functions or disciplines within Customer Service
• Ensure compliance with all relevant policies, procedures, and regulatory requirements, including the Fair Labor Standards Act (FLSA) for exempt employees
• Drive product, service, or process decisions that impact multiple functions and/or customer accounts (internal and external)
• Foster a culture of continuous improvement, innovation, and accountability within the Phone Support organization
• Collaborate with cross-functional leaders to align Phone Support operations with broader business objectives
• Monitor performance metrics, analyze trends, and implement action plans to achieve operational goals
• Represent the Phone Support function in enterprise-wide initiatives and strategic planning
• Security & Privacy Focus:
  • Oversee implementation and enforcement of caller identity verification protocols to prevent fraud and unauthorized access
  • Ensure robust security measures are in place to protect member data during phone interactions
  • Manage privacy issues arising from member identity collision, including prompt resolution of cases where multiple members share similar identifying information
  • Train staff on privacy best practices and regulatory requirements (e.g., HIPAA), and ensure ongoing compliance

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
• 8 years of progressive leadership experience in technology support, customer service operations, or contact center environments, including accountability for large, multi layered teams
• Proven experience leading phone based technical support or identity related support operations across multiple teams, sites, or business units, with full ownership of performance, quality, and service outcomes
• Experience partnering cross functionally with Technology, Product, Security, Privacy, Compliance, and Business leaders to resolve complex issues and align support operations with enterprise objectives
• Experience ensuring compliance with HIPAA, FLSA (exempt workforce), and internal risk, security, and privacy policies
• Demonstrated expertise in call center quality management, workforce performance oversight, and continuous improvement methodologies
• Working knowledge of identity verification, fraud prevention, and member data protection within phone based or technical support environments
• Demonstrated ability to set and execute operational strategy aligned to business priorities, customer experience standards, and enterprise service commitments
• Proven solid track record of leading operational improvement, transformation initiatives, and change management, including process redesign, scaling support models, and adoption of new tools or workflows
• Proven advanced capability in performance management and analytics, using metrics such as service level, FCR, AHT, CSAT, NPS, quality, and compliance indicators to drive sustained results
• Proven ability to identify and mitigate operational, regulatory, and privacy risks, including member identity collision scenarios and escalation management
• Proven solid executive communication and stakeholder influence skills, with experience representing support organizations in enterprise initiatives and strategic forums
• Demonstrated success building, coaching, and developing senior managers and leaders, driving engagement, accountability, and a culture of operational excellence

*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 $134,600 to $230,800 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.