At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Manager of Clinical Admins (MCAs) are responsible for leading a team of Clinical Admin Coordinators (CACs) who provide support to clinical teams. The MCA is responsible for ensuring team compliance with all quality, productivity and timeliness expectations. The MCA will utilize data and reporting to monitor the performance of the team overall and of individual team members. The MCA will provide regular updates to clinical leadership regarding the team's performance and will actively collaborate with clinical teams. The MCA will develop and maintain processes that provide clear direction to the team. MCAs will be required to travel occasionally to attend health plan or team meetings.
Schedule: This is for a full-time (40 hours/week). Schedule is Monday through Friday any 8-hour or 10-hour shift to be determined by the hiring manager between the hours of 7am to 6pm Central Standard Time.
Location: Remote in the state of Kansas or within 50 miles of the border.
If you reside in KS or within 50 miles of border, you will have the flexibility to work remotely as you take on some tough challenges.
Primary Responsibilities:
- Responsible for the development and maintenance of clinical admin procedures. Engage in a regular review of existing processes to look for CQI opportunities.
- Provide onboarding and training to clinical admin team members.
- Provide tools such as workflows, templates, etc that facilitate the CACs ability to meet position expectations.
- Utilize data and reporting to regularly monitor team performance on quality, timeliness and productivity metrics.
- Enforce performance metrics and apply performance management processes and tools.
- Conduct regular one-on-one meetings with direct reports, including discussion of team member development goals.
- Conduct regular team meetings to provide relevant updates and to facilitate team engagement.
- Actively collaborate with other departments to achieve relevant goals.
- Communicate regularly with manager and with clinical leadership to provide regular updates on team's performance toward meeting TAT expectations, including any barriers in meeting these expectations.
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:
- High School Diploma/GED.
- 2+ years of leadership experience.
- 2+ years of experience with Healthcare Authorizations and Claims.
- Experience using data and reporting to monitor team performance.
- Advanced proficiency with MS Office Products including Word, Excel, Outlook and SharePoint.
- Reside in the state of Kansas or within 50 miles of the border.
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI).
- Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
Preferred Qualifications:
- 3+ years of experience of Healthcare/Managed Care experience, including experience with authorizations and claims.
- 3+ years of experience of leadership experience.
Soft Skills:
- Ability to develop end-to-end processes.
- Ability to solve complex problems.
- Solid oral and written communication skills.
- Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work.
- Excellent customer service skills.
- Excellent interpersonal and problem-solving skills.
- Attention to detail, as observed in day-to-day work.
- Excellent time management and prioritization skills.
- Ability to maintain professionalism and a positive service attitude at all times.
- Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn.
- Solid team player and team building skills.
- Able to handle sensitive issues with members and providers in a confidential manner.
- Demonstrates initiative in achieving individual, team, and organizational goals and objectives.
- Creative problem-solving skills.
*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.
#J-18808-Ljbffr
