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Concept Development Ideation Lead, Cardiology - Telecommute

UnitedHealth Group

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Job Details

749621 Concept Development Ideation Lead Cardiology Telecommute

Concept Development Ideation Lead, Cardiology - Telecommute (749621)

Position Description

As the rules continue to change, one company continues to lead. No industry is moving faster than health care, and no organization is better positioned to lead health care forward than UnitedHealth Group. We invite you to bring your expert knowledge and innovative ideas to an elite team within a culture built for collaboration. At UnitedHealth Group, we seek people like you who have the ability to drive change, take appropriate risks and influence individuals at all levels of the organization. As an Ideation Leader, you will manage, through quantitative analysis, the health outcome and economic impact of health care interventions, policy changes and population health dynamics. This is your opportunity to help write the next chapter in health care. Join us. There's never been a better time to do your life's best work.(sm)

As an Ideation Leader, you will be responsible for identifying, creating, and developing a portfolio of new medical cost savings opportunities on behalf of our clients. This position will assess new opportunities by leveraging insights from data, dashboards, tools, policies, industry trends, and by soliciting input from a broad network of experts across Optum. This highly trained industry expert will work with internal and external stakeholders to determine opportunities for growth within our core payment integrity businesses and be responsible for savings delivery through deployment.


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

Primary Responsibilities:

  • Identify, create, and develop a portfolio of cost savings initiatives that drive specific and measurable results for assigned clients while providing timely and meaningful client updates

  • Perform and participate in iterative analytical, experimental, investigative and other fact - finding work in support of concept development

  • Establish strong matrixed relationships with internal stakeholders to define, align, and deliver payment integrity initiatives in support of assigned clients

  • Influence senior leadership to adopt new ideas, approaches, and / or products

  • Recommend changes to current product development procedures based on market research and new trends

  • Industry thought leader and subject matter expert

  • Lead concepts / projects from conceptualization to completion

Required Qualifications:

  • Bachelor's degree

  • Maintains working knowledge of CMS rules and regulations and knowledge of Cardiology procedure and diagnosis codes (CPT, ICD-9/10 coding, HCPCS and DRGs) and related services

  • 3+ years of experience auditing, billing, and / or coding claims within the area of Cardiology services

  • Highly collaborative and consultative style with ability to establish credibility quickly with all levels of management across multiple functional areas

  • Self - managed, self - starter with the ability to support multiple concurrent projects and meet tight delivery timelines

  • Strong project management approach with excellent critical thinking and problem solving skills

  • Exceptional presentation, communication and negotiation skills

  • Strong computer skills: Excel, Visio, PowerPoint, Tableau


Preferred qualifications:

  • Advanced degree in health care or medical field

  • Coding certification through AAPC or AHIMA

  • 3+ years of experience in revenue cycle management

  • 5+ years of experience in the health care industry (Medicare, Medicaid, Commercial) with deep exposure to Payment Integrity

  • 2+ years of experience working in a matrix and highly adaptive environment handling tight deadlines

  • Proficiency with SQL, SAS and / or other statistical programs


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: cardiology, diagnosis codes, CPT, ICD, billing, coding, claims, analysis, auditing, CMS

Job Details

  • Contest Number749621
  • Job TitleConcept Development Ideation Lead, Cardiology - Telecommute
  • Job FamilyHealthcare Economics
  • Business SegmentOptumInsight

Job Location Information

  • MN
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • 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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