Service Delivery Manager - Claim Operations

Discipline - Claims

Industry - Claim Operations

Job Description :

- UnitedHealth Group ( www.unitedhealthgroup.com or www.uhgis.com) is a diversified health and well-being company dedicated to making healthcare systems work better.- The company directs its resources into designing products, providing services and applying technologies that improve access to health and well-being services, simplify the healthcare experience, promote quality, and make healthcare more affordable.- We are No.1 on Fortune Magazine's 2006 list of the Most Admired HealthCare companies worldwide and we rank No. 6 on the 2016 Fortune 500 list.

UnitedHealth Group has had a presence in India since 2002 through United Healthcare India and its affiliate companies.- UnitedHealth Group Information Services in Gurgaon, the latest addition to the family of businesses in India, is the largest international location outside of America.- This is a fully owned subsidiary of UnitedHealth Group. UHGIS serves as a global services and delivery partner to the parent organization. We are closely involved with UnitedHealth Group to create strategic value-add in its overall business of health care services through support in Information Technology (IT) and Healthcare Business Services (HBS).

Optum Global Service, part of the UnitedHealth Group family of businesses is responsible for providing health care back office operational services as a core function to various segments of UnitedHealth Group. The team has well defined HIPAA compliant processes for its business operations with primary focus on quality of delivery.-

Since its inception in October '06, Optum Global Business has been focused on hiring top talent in the industry and enhancing their health care expertise to manage all facets of the claims lifecycle for our global partners. It's our continual effort to deliver on core services, diversify the portfolio and align ourselves with business segments strategic objectives.-

Primary Responsibilities :

Maintaining business relationships with multiple (4-5) counterparts with a perspective of smooth running of operations
Provider Data Management / Credentials

Working with the transition manager on getting the projects migrated from onshore locations to Gurgaon or Hyderabad location

Working as an independent site leader taking care of all on site operational and people issues

Conducting Operational Business Reviews with onshore counterparts and management team internally

Coordinating site wide issues with the Site Director

Aligning with key business partners to serve customers

Fostering/maintaining a collaborative relationship with internal and external customers to ensure satisfaction and profitability

Working with business partners to identify ways to improve business processes

Assisting in building, reviewing and adhering to the annual business plan

Controlling expenses and increasing profitability via productivity and quality gains

Ensuring the Production Team and Supervisors continually improve their performance and meets Service Level

Agreements/Performance Guarantee goals

Reviewing work results of the team and their pattern of handling claims queues and adjustments

Producing annual business plans including operating budgets

Negotiating solutions, resolving conflicts and anticipating/handling critical situations

Developing, motivating and retaining employees and challenging the- team to set ambitious goals

Providing regular performance feedback and giving- frequent formal and informal coaching sessions

Qualification/Required Qualifications:

Overall 9-10 Years of Experience

At least 4-5 years of Team handling with presently managing span of least 100-150 FTEs

Presently at Manager Operations role for at least for 1 year and handling about 100-150 FTEs

Experience into managing new business transitions or setting up new Operations

Project Management demonstrated experience such as customer service, claims or medical and/or health insurance

Experience in extensive client interactions

Maintaining business relationships with multiple (4-5) counterparts / stake holders

Excellent communication skills, relationship building and interpersonal skills

Excellent organizational skills and ability to prioritize and multi-task

Demonstrable ability to successfully supervise and lead others

Ability to work collaboratively with sub-ordinates, peers and senior management

Proven track record of sound business judgment and experience of change management Open to work in Night shifts-

Preferred Qualifications:

MBA from a reputed institute

Green Belt certified

Has some experience on Six Sigma

Knowledge/ work experience of US Healthcare industry-

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the worlds large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.

Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your lifes best work.

Job Keywords: Service Delivery Manager, Manager Operation, Operation Manager, Delivery Manager, Team Manager, Healthcare, Health Care, BPO, Business Process Outsourcing, Operation, Back Office Operation, Hyderabad, Telangana

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