USRN Supervisor Claims Review

7 days ago

Makati City, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time ₱600,000 - ₱1,200,000 per year

ROLE AND RESPONSIBILITIES

  • Manage daily team operations such as attendance, production, inventory etc.
  • Provides feedback and coaching to frontline staff on performance and behavior-related observations
  • Serves as subject matter expert for any case related queries requiring resolution
  • Sets team direction, resolves issues and provides guidance to team members on cases
  • Responsible for performance monitoring and completion of annual common review evaluations
  • Escalates concerns or operational issues to the proper channel
  • Performs quality audit on selected cases to ensure alignment and calibration to process and quality parameters
  • Prepares business review updates, prepare and monitor reports related to business metrics such as member enrollments, quality and health improvement results
  • Identify opportunity for automation and process improvements in coordination with Operations Excellence

JOB QUALIFICATIONS

  • Active USRN License in a Mainland State
  • At least 2 years of clinical experience
  • With experience in People Management or Supervisory Experience
  • Proficient in Verbal and Written Communication
  • Must have knowledge on basic MS Applications: Excel, PPT, Word
  • Should be data driven because it will deal with understanding reports and analytics

WHAT WE OFFER

  • Market Competitive Pay Levels
  • Retirement Plan
  • Medical Plan (HMO) from Day 1 of employment
  • Dental, Medical, and Optical Reimbursements
  • Life and Disability Insurance
  • Paid Time-Off Benefits
  • Sick Leave Conversion
  • Tuition Fee Reimbursement
  • Employee Assistance Program (EAP)
  • Annual Performance Based Merit Increases
  • Employee Recognition
  • Training and Staff Development
  • Employee Referral Program
  • Employee Volunteerism Opportunity
  • All Mandatory Statutory Benefits

WHO WE ARE

  • Optumis the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
  • UnitedHealth Groupis a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
  • We're a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
  • As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
  • We're a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
  • Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that's dedicated to Caring. Connecting. Growing together

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