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Assistant Manager Hyderabad, TS (866224)

5.00 to 7.00 Years   Hyderabad   30 May, 2020
United Health Group
Job LocationHyderabad
EducationNot Mentioned
SalaryNot Disclosed
IndustryMedical / Healthcare
Functional AreaGeneral / Other Software
EmploymentTypeFull-time

Job Description

Position Description Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry thats improving the lives of millions. Here, innovation isnt about another gadget, its about making health care data available wherever and whenever people need it, safely and reliably. Theres no room for error. Join us and start doing your lifes best work.(sm)This process works on identifying discrepancies between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. They approve/deny claims & Identify provider aberrant behavior patterns. The associates prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies.Primary Responsibilities:

  • Plan, develop and manage the quality and productivity of Production (Claim) teams
  • Coordinate project(s) issues with the Service Delivery Leader
  • Align with key business partners to serve customers
  • Foster/maintain a collaborative relationship with internal and external customers to ensure satisfaction and profitability
  • Work with business partners to identify ways to improve business processes
  • Assist in building, reviewing and adhering to the annual business plan
  • Control expenses and increase profitability via productivity and quality gains
  • Work with the MT s/AM s and teams to ensure performance commitments are met and ensure teams are meeting production and quality metrics
  • Ensure the Production Team and Supervisors continually improve their performance and meets Service Level Agreements/Performance Guarantee goals
  • Review work results of the team and their pattern of handling claims queues and adjustments
  • Develop, motivate and retain employees and challenging the team to set ambitious goals
  • Provide regular performance feedback and giving frequent formal and informal coaching sessions
  • Promote a high level of commitment to anticipating, understanding, and meeting the needs of each internal and external customer
  • Identify and leverage internal networks to complete tasks; present ideas persuasively; gain the support and assistance of others who have a stake in the outcome; and proactively participate in company initiatives
  • Identify trends and issues and recommend solutions
Required Qualifications:
  • Graduate in any discipline
  • 5+ years of People Management experience
  • Medical background
  • Attention to detail and Quality focused
  • Flexible for shifts: Early Morning, Evening and Night Shifts
Preferred Qualifications:
  • Health Insurance knowledge, managed care experience
  • Medical record familiarity
  • Knowledge of US Healthcare and coding
  • Good analytical and comprehension skills
  • People management skills
Careers with Optum. Heres the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the worlds large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your lifes best work.(sm) Job Keywords: Assistant Manager, Clinical Investigation, People Management, Healthcare, Medical Coding, People Manager, Hyderabad, Telangana,

Keyskills :
salesmis accountstat bankingpeople management skills managed careus healthcare service

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