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Concept Research Manager - Franklin, TN or Eden Prairie, MN Preferred or Telecommute

UnitedHealth Group

Franklin, TN
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742828 Concept Research Manager Franklin TN or Eden Prairie MN Preferred or Telecommute

Concept Research Manager - Franklin, TN or Eden Prairie, MN Preferred or Telecommute (742828)

Position Description

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm)


As the UHC Concept Research Manager, you will be responsible for 25+ analysts who are accountable for developing new medical cost savings opportunities on the OPI Research and Development Team.  The position involves oversight of the UHC Payment Integrity Team to ensure the team is operating most efficiently to meet the increased targets, continuous coordination with matrix partners to confirm processes and handoffs are in place to execute savings delivery to our partners and client.  In addition, this role supports the Commercial Savings Targets by developing concepts which become a part of the commercial library of concepts for development.


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


Primary Responsibilities:

  • Manage an elite team to identify, interpret and analyze data recommending best approaches to solution concepts
  • Collaborate and build strong matrixed relationships with our clients and partners to continually improve our processes to drive measurable results, providing timely and meaningful client updates
  • Prepare written analysis and summaries of our team outcomes using graphical representations and professional formatting for presentation to our clients and partners
  • Leverage technology and carry out process improvement activities
  • Recommend changes to current product development procedures based on market research and new trends
  • Be an independent, innovative leader


Required Qualifications:

  • BA / BS degree or equivalent experience
  • 2+ years of experience managing a team and prioritizing work on multiple complex assignments with ongoing deadlines
  • 3+ years experience billing, coding, and auditing claims
  • 3+ years of experience identifying, analyzing, and effectively communicating trends in highly complex data
  • Maintains working knowledge of CMS rules and regulations and knowledge of procedure and diagnosis codes (CPT, ICD - 9 / 10 coding, HCPCS and DRGs)
  • Strong computer skills:  Access, Excel, Visio, PowerPoint. Specifically, an advanced level of proficiency working with MS Excel including formulas, pivot tables, charts / graphs for data analysis and presentation
  • 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 prioritize and support multiple concurrent projects and meet tight delivery timelines
  • Strong project management approach with excellent critical thinking and problem solving skills

Preferred Qualifications:

  • Advanced degree in health care or medical field
  • Coding certification through AAPC or AHIMA
  • Experience in the health care industry (Medicare, Medicaid, Commercial) with deep exposure to Payment Integrity
  • Experience working in a matrix  and highly adaptive environment handling tight deadlines
  • Understanding of SAS programming and SQL coding
  • Ability to approach issues from broad strategic perspective while also focusing on the details
  • Strong facilitation, critical thinking, problem solving, decision making and analytical skills
  • Exceptional verbal and written presentation, communication and negotiation skills

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: Coding, ICD-10, ICD-9, Manager, Supervisor, Billing, Franklin, TN, Tennessee, California, Texas, Arizona, Eden Prairie, MN, Minnesota, Telecommute, Telecommuter



Job Details

  • Contest Number742828
  • Job TitleConcept Research Manager - Franklin, TN or Eden Prairie, MN Preferred or Telecommute
  • Job FamilyHealthcare Economics
  • Business SegmentOptumInsight

Job Location Information

  • Franklin, TN
    United States
    North America
  • Other LocationsEden Prairie, MN

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelManager
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • 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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