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Optum

Recovery/Resols Analyst

Posted Yesterday
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In-Office
Bengaluru, Bengaluru Urban, Karnataka, IND
Junior
In-Office
Bengaluru, Bengaluru Urban, Karnataka, IND
Junior
Leads Payment Integrity Operations by managing team productivity, quality, coaching, onboarding, performance management, reporting, compliance, and process improvement. Identifies error trends, reduces defects, supports automation and cost optimization, manages escalations, and provides leadership with process-gap insights. Handles sensitive HIPAA information, coordinates with onshore partners, and ensures adherence to organizational policies, timelines, and healthcare industry changes.
The summary above was generated by AI
Requisition Number: 2388677
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Primary Responsibilities:
  • Drives Basic Hygiene on the operations floor and build culture for the same within Payment Integrity Operations
  • Driving Cost Reduction Agenda in the Processes with Automation Opportunities, Productivity Enhancement Opportunities and Cross utilization of resources
  • Assist the New Hires and Tenured Staff to meet the Productivity and Quality goals
  • Manage team and ensure quality and productivity targets are met and exceeded
  • Motivate and engages team members and maintains attrition within thresholds
  • Provide coaching and feedback to team members to enable them to improve their performance and focus on their career pathing and advancement within the organization
  • Assist new hires such that they are productive on the floor in the shortest possible time frame
  • Build systems to ensure no escalations and is prompt in responding to escalations
  • Provide inputs to Leadership on process gaps that exist
  • Ensure compliance with internal policies and procedures, external regulations, and information security standards
  • Be sensitive and aware of the Organizational priorities towards Change & Innovation and Cost Optimization
  • Works independently with minimal direction and is very high on execution and adherence to timelines
  • Takes initiative to understand the process and keeps himself updated on the important changes in the business and the Healthcare industry
  • Builds solid relationship with onshore counterparts and support functions and utilizes the relationship to maximize the results for OGA Handles the MIS and reporting needs with accuracy and timeliness
  • Be eager to take on more responsibilities and should be able to execute the Adhoc tasks
  • Analyze and identify error trends and opportunities for defect reduction
  • Analyze and develop overall improvement plans (department and individual)
  • Administrative responsibilities as assigned Handles sensitive information appropriately (HIPAA) and acts in a fair and honest manner consistent with the company's code of conduct
  • Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements

Required Qualifications:
  • Medical degree - BHMS/BAMS/BUMS/BPT/MPT/B.Sc. Nursing
  • 2+ years of relevant experience in healthcare BPO as a Team Manager
  • Experience with Performance Management
  • Experience with Project Management
  • Experience in coaching and mentoring
  • Demonstrated ability to do careful listening, tact and candor, two-way communication, and master a high impact communication style
  • Demonstrated ability to be a Self -starter who can manage multiple priorities with minimum direction solutions
  • Demonstrated ability to Effectively organize and lead a team of 20+ people, in cooperative processes to achieve shared outcomes
  • Proven effective communication skills both verbal and written
  • Proven effective numeracy and analytical skills

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.
#NJP

Optum Bengaluru, Karnataka, IND Office

Bengaluru, India, India

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