Healthcare Operations Manager
1 month ago
We are seeking a highly skilled and experienced Senior Account Executive for Key Accounts to join our team at UnitedHealth Group. As a key member of our sales team, you will be responsible for selling new, fully insured, and self-insured business in the + employee segment.
This is an exciting opportunity to work with a dynamic team and make a meaningful impact on the lives of millions of people. If you are located within Central/Northern, VA markets, you will have the flexibility to work remotely as you take on some tough challenges.
Key Responsibilities- Selects, manages, develops, mentors and supports staff in designated department or region
- Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
- To meet the unique needs of our members, have an intimate understanding of the contractual requirements
- Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
- Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
- Acts as regional interface with other departments to coordinate workflow processes and implementation plans
- Bachelor's degree
- Registered Nurse or Licensed Clinical Social Worker (LCSW) or LPC with active and unrestricted license in the state of VA or qualifying reciprocal license
- 5+ years of experience working within the community health setting in a health care role
- Experience coaching or mentoring staff
- Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
- Master's degree
- Certified Case Manager (CCM)
- 3+ years of leadership experience
- Experience/exposure with discharge planning
- Experience in utilization review, concurrent review and/or risk management
- Case Management experience
- A background in managed care
*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.
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