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Business Operations Specialist - East Coast Telecommuter

UnitedHealth Group

Charlotte, NC
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Job Details

741340 Business Operations Specialist East Coast Telecommuter

Business Operations Specialist - East Coast Telecommuter (741340)

Position Description

How do we make headway in the quest for better health care? We make disruptive revolutions happen every single day. As a Business Process Consultant, you'll shift your leadership skills into a gear at a level you didn't even know you had. You will design processes, consult on project implementations and diagnose process improvement opportunities as you develop innovative solutions. This is a place like no other and where you'll do your life's best work.(sm)

As a Business Operations Specialist, you will be vital to our success and drive future growth. In this role you will provide support in the management, development and operational execution of the Prospective Solutions’ provider incentive program, inclusive of provider performance management which is tracked by designated metrics monitoring closure of gaps in care, accuracy and completeness of documentation.  The person in this role is expected to work directly with internal and external stakeholder partners to build relationships, ensure effective education and reporting, and to proactively identify performance and operational execution improvement opportunities through analysis and ongoing monitoring.

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

Primary Responsibilities:

  • Execute plans to improve the incentive programs’ performance and outcomes

  • Perform audits of submitted records to monitor compliance with program policies

  • Provide recommendations, training and coaching to stakeholders on program participation and issue resolution

  • Lead collaboration with internal resources to develop appropriate and effective provider educations tools and other resources/collateral

  • Coordinate and lead meetings with stakeholders, with regular frequency, to drive continual process improvement and achieve goals

  • Provide input into reporting package, for use by internal and external stakeholders, that demonstrates operational performance and program value

  • Facilitate/lead monthly or quarterly internal meetings with key stakeholders, including reporting and material preparation

  • Provide suggestions and feedback to Optum leadership and clients

  • Work collaboratively with field teams, for example ‘Market Consultation’, to proactively inform providers of incentive programs, participation criteria and requirements and build provider engagement and participation

  • Perform additional tasks as required / assigned


Required Qualifications:

  • Bachelor’s Degree required or 7+ equivalent work experience
  • 3+ years of healthcare industry experience
  • Intermediate or greater level of Microsoft Office (Outlook and PowerPoint) skills with exceptional analytical and data representation expertise
  • Advanced proficiency in Excel (advanced formulas, pivot tables, VLOOKUP, lists, statistical functions, etc.)
  • Demonstrated ability to achieve goals in a matrix environment
  • Demonstrated ability to work collaboratively and influence without authority
  • Effectively communicate (verbal and written) at all levels of the organization
  • Strong problem-solving skills and attention to detail

Preferred Qualifications:
  • Strong knowledge of the Medicare, Medicaid and Affordable Care Act markets
  • Experience in Risk Adjustment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


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


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:  Business Operations, Business Specialist, Analyst, audits, process improvement, performance improvement, operations improvements, healthcare, Telecommute, Remote, Work from Home, Charlotte, NC, North Carolina, Tennessee, East Coast

Job Details

  • Contest Number741340
  • Job TitleBusiness Operations Specialist - East Coast Telecommuter
  • Job FamilyBusiness Operations
  • Business SegmentOptumInsight

Job Location Information

  • Charlotte, NC
    United States
    North America
  • Other LocationsBrentwood, TN

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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