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.

Responsible for transforming new clients to Optum’s Global Operating Model (OGOM) by serving as a change agent for the middle revenue cycle Transformation team. The position will lead key initiatives in transformation to deliver performance excellence through standardization of processes and focus primarily on ensuring best practices are implemented and stabilized. This position is key in implementation of change, consistently improving the patient, employee, and client experience. This position is a critical member of the Optum360 Transformation team. This position must maintain strong client relationships and represent Optum360 in all aspects of its values.

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

Primary Responsibilities:

• Leads new client onboarding and transformation by utilizing a diverse group of resources (people, process and technology) to integrate new clients into the standard OGOM
• Leads the PMO/PM discipline for technology implementations related to PB Coding
• Establish the standard PB Coding methodology to measure productivity, efficiency, scalability, human touch volume, and workflow
• Leads new client to strengthen PB Coding governance
• Leads analytics efforts to build and deliver multiple performance metrics
• TOPS implementation and ongoing maintenance
• Institutionalizes the best practices and standard processes of the OGOM. Critical in training operations on the use of the GOM levers and ensuring new client transformations aligns directly to the OGOM
• Drives coding quality assurance program by measuring adherence to OGOM processes
• Change champion
• Collaborate and align with operational partners to drive OGOM and change
• Partner across organization to drive transformation via engagement in assessment of people, process, and technology
• Adopt A3 problem solving methodology and implement all modules of TOPS program
• Collaborate and share with operational leadership.
  

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 in related healthcare field or 4+ years of related professional work experience
• AHIMA or AAPC Credentialed
• 5+ years of multi-system coding leadership experience in an ambulatory care setting. Leadership can be defined as being a lead, trainer, supervisor, manager, etc.
• Operational knowledge of health care related Federal and State regulations, as well as standards from regulatory agencies and accrediting organizations (e.g., CMS, TJC)
• Proven solid program management skills with the ability to lead and manage multiple, concurrent running projects, prioritize tasks, and adapt to frequent changes in functional/regional/departmental priorities
• Proficiency with Microsoft Office Suite
• Ability to travel nationwide 25-50% of the time, based on client need
  

Preferred Qualifications:

• Coding compliance/audit experience
• Experience leading large complex projects and/or implementations
• Proven record of managing successful hospital coding departments with proven metrics and value add to the organization
  

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $67,800 to $133,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

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.