Medical Coding Operations Director
4 weeks ago
At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Medical Coding Operations Director, you'll play a critical role in delivering care and improving health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.
Key Responsibilities:
- Maintain 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 to migrate work from onshore locations to the Hyderabad site
- Lead operational and people issues for the site as an independent Ops leader
- Conduct Operational Business Reviews with onshore counterparts and management team internally
- Coordinate site and country-wide issues with the Business Span Lead
- Foster/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 via productivity and quality gains
- Ensure the Production Team and Supervisors continually improve their performance and meet Service Level Agreements/Performance goals
- Guarantee 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
Requirements:
- College Graduate
- 15+ Years of Experience - 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 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
Preferred Qualifications:
- MBA from a reputed institute
- Six Sigma / Lean Sigma certification
- Hands-on work experience of US Healthcare Industry-HCC or Provider Coding
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