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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Medical and Clinical Operations

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

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Clinical Admin Functional Support Supervisor - Houston TX

UHG - Houston, Texas

Posted: 12/10/2018

Let's talk about meaningful work, an important role and a career move that can transform your future. At WellMed, a part of OptumCare and the growing UnitedHealth Group family of businesses, we focus on prevention and the complete coordination of care for our patients. Join us and you'll be part of a team dedicated to patient-centered, safe and effective health care. Your skills and talents will make an important impact on our patients while you open doors for yourself that simply do not exist in any other organization.

 

The Supervisor of the Functional Support Team staff collaborates with the National Director of Administrative Services in supporting Clinical Behavioral Health Directors, Clinical Managers and Clinical staff across the country. The Supervisor also works in partnership with Compliance and Regulatory, Provider Network teams, Account Managers, External Providers & Facilities in the overall day-to-day management of the team.  This staff has responsibility for handling a wide range of non-clinical tasks intended to support all national functional teams.
 
Primary Responsibilities:
  • Overseeing a team of 18-21 nonclinical administrative coordinators that supports clinical operations
  • Overseeing Authorizations including Psych Testing Auths ensuring TATs / SLA are within the stated timelines
  • Overseeing Medicare Failed Fax Authorizations are processed within the stated TATs
  • Managing the team’s case assignment process ensuring all items are handled timely
  • Overseeing the team’s mailbox ensuring request are triaged out and worked timely
  • Point of contact for CMS Compliance Audits to review timeliness of Approval Letters and Faxes
  • Oversight of teams process flows and training documents are updated and communicated to our team members as needed
  • Recommend process changes to business partners that will create efficiency gains for the team and the organization
  • Provides input into the development and/or modification of policies and procedures
  • Interfaces with IT staff to assure that all system issues, updates, changes and problems are addressed with little impact to the team and the organization
  • Manage, track and approve HR transactions, PTO usage, Time Sheets and overtime requests
  • Interviewing, screening and hiring new staff members to the team
  • New Hire Onboarding – including creating training agenda and executing a training plan effectively
  • Complete and review annual appraisals of staff through Common Review Process
  • Conduct Supervisor monthly 1x1’s and Team meetings with staff to coach and encourage best practices and to review individual and team production goal attainment
  • Perform quality audit checks to ensure expectations are being met and to identify possible training gaps
  • Assures that all tasks are prioritized so that productivity, accuracy and turnaround times are met adhering to service level agreements
  • Address training / cross training needs of the team timely and effectively
  • Manages Production Dashboard reporting ensuring tasks are attended to and managed timely
  • Stays abreast of changes and/or updates in policies, procedures, regulations and addresses privacy/compliance issues that may be impacted by the work of the team
  • Manage and triage escalations as needed and timely
  • Actively participates on site-wide projects to promote employee engagement and support community involvement


 


Required Qualifications:
  • Minimum of 2 years Supervisory experience
  • Minimum of 3 years business office experience
  • Familiar with how a Performance Management Process works
  • Experience with developing and implementing quality controls
  • Familiar with and understanding of compliance and regulatory guidelines
  • Working knowledge of creating & analyzing performance dashboards that support key business decisions
  • Experience with executing strategies to improve performance metrics 
  • Creating training documents and process flows
  • Facilitating training sessions on process flows
  • Demonstrated skill in using Microsoft office system products (Outlook, Word, Excel and Power Point)
  • Demonstrated technical aptitude and ability to interface with IT staff
  • Strong ability to plan & manage numerous processes, people and projects simultaneously
  • Strong customer service orientation
  • Proven collaboration & delegation skills
  • Well-developed verbal and writing skills

Preferred Qualifications:

  • Bachelor’s Degree
  • People Management experience

Join us! We offer more than talent, resources and a can-do culture. We offer you a place to do your life's best work.(sm)

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's 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 life's best work.(sm)


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.

 

Job Keywords: prior authorization, Medicare, Medicare, CMS, Approval letters, Prior Authorization letters, Compliance audits, Medicaid

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