Job Details

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As an Ideation Leader, you will be responsible for the function that identifies, develops, and obtains approval of new medical cost savings opportunities with our Payment Integrity clients. You will oversee a team driving this work and lead dialogue related to cost reduction opportunities and risks. Additionally, you will be responsible for coordinating the analytic solutions that deliver client savings with Optum business partners and interact with senior Optum and client leaders with a focus on performance to achieve business objectives. Youll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities

• Oversee the ideation function that identifies medical cost savings opportunities and manage that portfolio of work to maximize client value delivery
• Participate in analytical, investigative, and other fact-finding work in support of new concept development
• Establish strong client and matrix partner relationships to define, align, and deliver payment integrity solutions in support of assigned clients
• Provide executive level program updates and manage Optum team escalations
• Influence client leadership to adopt new ideas, approaches, and/or products
• Recommend changes to current product development procedures based on market research and new trends
• Operate as an industry thought leader and Payment Integrity SME

Youll 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

• BA / BS degree or equivalent experience
• 5+ years of experience in relationship management; Ability to collaborate and consult in order to establish credibility quickly with all levels of management across multiple functional areas
• 2+ years of experience in Payment Integrity or with billing, coding, and auditing claims
• 1+ year of experience using Project Management skills with the with the ability to self-manage, self-start, and support multiple concurrent projects and meet tight delivery timelines
• Solid computer skills: Access, Excel, Visio, PowerPoint
• Maintains working knowledge of CMS rules and regulations and knowledge of procedure and diagnosis codes (CPT, ICD-9/10 coding, HCPCS, and DRGs)

Preferred Qualifications

• Advanced degree in health care or medical field
• 5+ years of experience in the health care industry (Medicare, Medicaid, Commercial) with deep exposure to Payment Integrity
• 2+ years of experience working in a matrix and highly adaptive environment handling tight deadlines
• Coding certification through AAPC or AHIMA
• Basic level proficiency with SQL
• Knowledge of statistical methods used in the evaluation of healthcare claims data
• Excellent critical thinking and problem-solving skills
• Exceptional presentation, communication, and negotiation skills

*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, youll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug?free workplace. Candidates are required to pass a drug test before beginning employment.

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