Healthcare Operations Manager
4 weeks ago
At UnitedHealth Group, we're committed to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. As a Sr. Account Executive for Key Accounts, you'll play a critical role in driving transformative change that affects millions of people.
Key Responsibilities:
- Select, manage, develop, mentor, and support staff in designated departments or regions
- Develop clear goals and objectives for performance management and effectively communicate expectations, holding teams accountable for results
- Gain an intimate understanding of contractual requirements to meet the unique needs of our members
- Identify, select, structure, and prioritize process improvement projects, implementing changes to meet program requirements
- Ensure standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
- Act as a regional interface with other departments to coordinate workflow processes and implementation plans
Requirements:
- 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 healthcare role
- Experience coaching or mentoring staff
- Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
Preferred Qualifications:
- 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
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.
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