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Healthcare Services Team Leader

2 months ago

Hialeah, Florida, United States Optum Full time
Job Overview

Join Optum, a part of the UnitedHealth Group family, where we are revolutionizing the healthcare landscape through advanced technology and data analytics. We offer a range of career opportunities that contribute to enhancing health outcomes and fostering healthier communities. Be a part of our mission to provide innovative solutions for patients, healthcare facilities, and insurance providers.


The Manager of Field Services plays a crucial role in overseeing operations and ensuring exceptional customer service across designated facilities within a specific region. Reporting directly to the Director of Operations, this position leads a team of Healthcare Representatives, striving to deliver outstanding service to our clients. Collaboration with field leadership and other departments within Optum is essential to this role.


Key Responsibilities:

  • Operational Management
    • Directs a team of Healthcare Representatives to deliver client-centered services, leveraging knowledge of relevant program regulations to maintain and update applicant information efficiently.
    • Ensures timely submission and resolution of claims, with appropriate documentation of claim status in the system.
    • Reviews inventory reports, ensuring accuracy in actions taken and providing constructive feedback to team members.
  • Reporting and Metrics
    • Analyzes reporting data for the assigned territory and offers strategic recommendations.
    • Ensures adequate coverage within the designated area.
    • Maintains ongoing communication with government agencies regarding claim statuses.
    • Manages customer relationships in compliance with Optum policies and applicable regulations.
  • Team Leadership
    • Encourages teamwork by promoting collaboration among team members and leading by example.
    • Facilitates change management by supporting necessary innovations and organizational improvements.
    • Sets clear performance goals for the team, monitors progress, and addresses any performance issues promptly.
    • Communicates effectively to ensure all relevant information is shared with the team.
    • Invests in team development by delegating responsibilities and coaching team members to enhance their skills.
    • Collaborates with Talent Acquisition to recruit top talent when staffing needs arise.
    • Builds and nurtures partnerships within and outside the organization to enhance support and resources.


Work Environment: This position requires onsite presence with potential travel to various facilities as necessary.


At Optum, we recognize and reward your contributions in a challenging environment that provides clear guidance for success and opportunities for professional growth.

Qualifications:

  • Minimum of 3 years of experience in Medicaid, disability, Social Security, or healthcare.
  • Experience in a clinical or hospital setting.
  • Proficient in Microsoft Office Suite (Excel, Word, PowerPoint) and comfortable using tablets.
  • Access to reliable transportation.


Preferred Qualifications:

  • At least 2 years of experience as a Patient Advocate or Healthcare Representative.
  • Experience in managing teams.
  • Comprehensive understanding of SSA/SSI disability and other federal/state assistance programs.
  • Basic knowledge of budgeting and mathematical principles.
  • Strong communication skills across diverse audiences.
  • Exceptional customer service abilities.
  • Proven decision-making skills in various situations.
  • Excellent organizational and follow-up skills.
  • Ability to work collaboratively within a team environment.


Optum is committed to fostering a diverse and inclusive workplace. We are 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.

Optum is a drug-free workplace. Candidates must pass a drug test prior to employment.