Medical Coding Operations Director

4 days ago


Hyderabad, Telangana, India Optum Full time

About This Role

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. As a key member of our team, you will play a critical role in improving health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.

Key Responsibilities

  • Maintain strong business relationships with multiple stakeholders to ensure seamless Medical coding operations.
  • Drive transformation through best-in-class practices within current teams to develop World-class operations.
  • Work with transition managers for the smooth migration of work from onshore locations to our Hyderabad site.
  • Lead as an independent Ops leader to take care of all operational and people issues for the site.
  • Conduct Operational Business Reviews with onshore counterparts and management team internally.
  • Coordinate site and country-wide issues with the Business Span Lead.
  • Foster and maintain a collaborative relationship with internal and external customers to ensure smooth relations and profitability.
  • Assist in building, reviewing, and adhering to the annual business plan and forecasts.
  • Control costs and increase profitability through productivity and quality gains.
  • Ensure the Production Team and Supervisors continually improve their performance and meet Service Level Agreements/Performance Guarantee goals.
  • Ensure teams are engaged and employee satisfaction is at acceptable levels.
  • Produce annual business plans, including operating budgets.
  • Negotiate solutions, resolve conflicts, and anticipate/handle critical situations.
  • Develop, motivate, and retain employees and challenge the team to set ambitious goals.
  • Provide regular performance feedback and give frequent formal and informal coaching sessions.
  • Manage and own country-level P&L for respective Business Areas.
  • Comply with the terms and conditions of the employment contract, company policies, and procedures, and any and all directives.

About You

We are seeking a highly experienced and skilled professional with a proven track record in large-scale operations in Clinical investigation or Clinical Case review or Optum Rx or RCM or Risk adjustment coding or Provider coding. The ideal candidate will have extensive experience in interactions with Clients/Onshore teams and hands-on experience in managing P/L for the Process.

Requirements

  • College Graduate
  • 15+ Years of Experience in large-scale operations in Clinical investigation or Clinical Case review or Optum Rx or RCM or Risk adjustment coding or Provider coding
  • Extensive experience in interactions with Clients/Onshore teams
  • Hands-on experience in managing P/L for the Process
  • Handled Min Span of 500 FTE's and above
  • Proven excellent communication skills, relationship building, and interpersonal skills
  • Proven 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
  • Flexible for Shifts
  • Open to Travel


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