Director - Medical Coding

5 months ago


Hyderabad, India UnitedHealth Group Full time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

Maintain business relationships with multiple stakeholders for a noiseless Medical coding operationsDrive transformation through best-in-class practices within current teams to develop World class operationsWorking with the transition managers for seamless migration of work from onshore locations to Hyderabad siteWorking as an independent Ops leader to take care of all operational and people issues for the site.Conducting Operational Business Reviews with onshore counterparts and management team internally.Coordinating site and country wide issues with the Business Span LeadFostering/maintaining a collaborative relationship with internal and external customers to ensure smooth relations and profitabilityAssisting in building, reviewing and adhering to the annual business plan and forecastsControlling costs and increasing profitability via productivity and quality gainsEnsuring the Production Team and Supervisors continually improve their performance and meets Service Level Agreements/Performance Guarantee goalsEnsure teams are engaged and employee satisfaction is at acceptable levelsProducing annual business plans including operating budgetsNegotiating solutions, resolving conflicts and anticipating/handling critical situationsDeveloping, motivating and retaining employees and challenging the team to set ambitious goalsProviding regular performance feedback and giving frequent formal and informal coaching sessionsManaging and owning country level P&L for respective Business AreasComply 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
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 Qualifications:

College Graduate15+ Years of Experience - large scale operations in Clinical investigation or Clinical Case review or Optum Rx or RCM or Risk adjustment coding or Provider codingExtensive experience in interactions with Clients / Onshore teamsHands on experience in managing P/L for the Process Handled Min Span of FTE’s and aboveProven excellent communication skills, relationship building and interpersonal skillsProven excellent organizational skills and ability to prioritize and multi-taskDemonstrable ability to successfully supervise and lead others
Ability to work collaboratively with sub-ordinates, peers and senior managementProven track record of sound business judgment and experience of change managementFlexible for ShiftsOpen to Travel

Preferred Qualifications:

MBA from a reputed instituteSix Sigma / Lean Sigma certificationHands on work experience of US Healthcare Industry-HCC or Provider Coding

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.



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