UnitedHealth Group-posted 10 months ago
$106,800 - $194,200/Yr
Full-time • Director
Remote • Atlanta, GA
Insurance Carriers and Related Activities

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Operations Managers are responsible for end-to-end business process activities - creating, controlling and improving business processes. Leads process design and project implementation teams in process improvement activities. Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools. This position is also responsible for quality reporting, analysis and audits and for developing plans and programs to support continuous quality improvement using applicable tools. May assist in the creation, implementation, and evaluation of Quality Improvement programs. May direct design, facilitation, training and evaluation of incentive programs and may oversee quality improvement projects and teams. On an ongoing basis, this role leads health plan vendor oversight actions and transportation coordination. If you live in Georgia, you will have the flexibility to work remotely as you take on some tough challenges.

  • Create, control and improve end-to-end business processes
  • Lead process design and project implementation teams in process improvement activities
  • Create quality reporting, analysis and audits for developing plans and programs to support continuous quality improvement using applicable tools
  • Assist in the creation, implementation and evaluation of Quality Improvement Program and Quality Improvement Work Plan
  • Work with staff to maintain NCQA accreditation compliance
  • Maintain subcontractors and delegated entities compliance tracking in coordination with Compliance team
  • Oversee QM committee requirements are met according to NCQA requirements
  • Review the work of others
  • Develop innovative approaches
  • Be sought out as expert
  • Serve as a leader / mentor
  • 5+ years of experience in writing business and/or system requirements and business / finance analysis
  • 4+ years of experience with MS Project, Access, Word, Excel, PowerPoint, Point and Visio
  • 3+ years of experience with documenting processes and practices, often in accepted project methodology artifacts
  • Team lead or project lead experience
  • Georgia Medicaid experience
  • NCQA accreditation compliance experience
  • Health care industry experience
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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