Supervisor Clinical Appeals

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**

**Job Function Description**

Jobs in this function provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. *Employees in jobs labeled with 'SCA' must support a government Service Contract Act (SCA) agreement.

**General Job Profile**
- Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit
- Impact of work is most often at the team level

**Primary Responsibilities**:

- Owns output at task level
- Work is generally limited to own function
- Sets priorities for the team to ensure task completion
- Coordinates work activities with other supervisors
- Develops plans to meet short-term objectives
- Identifies and resolves operational problems using defined processes, expertise and judgment
- Decisions are guided by policies, procedures and business plan
- Product, service or process decisions are most likely to impact individual employees and/or customers (internal or external)
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

**Required Qualification**:

- Graduate degree or equivalent experience

**Values Based Competencies**
- Integrity Value: Act Ethically
- Comply with Applicable Laws, Regulations and Policies
- Demonstrate Integrity
- Compassion Value: Focus on Customers
- Identify and Exceed Customer Expectations
- Improve the Customer Experience
- Relationships Value: Act as a Team Player
- Collaborate with Others
- Demonstrate Diversity Awareness
- Learn and Develop
- Relationships Value: Communicate Effectively
- Influence Others
- Listen Actively
- Speak and Write Clearly
- Innovation Value: Support Change and Innovation
- Contribute Innovative Ideas
- Work Effectively in a Changing Environment
- Performance Value: Make Fact-Based Decisions
- Use Sound Judgement
- Performance Value: Deliver Quality Results
- Drive for Results
- Manage Time Effectively
- Produce High-Quality Work
- At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission._
- #njp_