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Manager, Medical Clinical Operations - Telecommute in Charleston or Columbia, SC more...
Location:North Charleston (Charleston), SC
Company:UnitedHealth Group
First posted:April 02, 2021

Combine the two fastest-growing fields on the planet-information technology and health care-with a culture of performance, collaboration, and opportunity and this is what you get: leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

This position will be responsible for supervising a team of outbound call center agents and/or field-based staff. The team is responsible for working with medical practices to coordinate outreach to Medicare Advantage members to ensure the recommended preventive health screenings are completed and gaps in care are addressed. Travel is required both in state and out of state to visit physician practices and field-based staff as needed.

If you are located the Charleston or Columbia, South Carolina area, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Set team direction, resolves problems and provides guidance to members of the team 
  • Ensure team meets established performance metrics, performance guarantees, and quality standards 
  • Manage administrative and clinical operations consisting of field based and/or contact center-based staff
  • Manage relationships with physician practices
  • Manage implementation of new physician practices and deployment of resources
  • Manage client relationships
  • Collaborate with cross functional teams on practice specific strategies to improve Medicare Stars ratings
  • Take the lead role in setting direction and participating in or developing new programs 
  • Provide leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff
  • Work most often impacts a large business unit, or multiple markets/sites, or at the segment/market group level for functional staff positions
  • Drive performance through audits and coaching to team personnel to ensure products and services fully meet the client expectations while maintaining efficient and profitable operational delivery
  • Assure the onboarding and training of new and existing staff to support product growth and service enhancement
  • Fiscal and operational discipline and management

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Bachelor’s degree in applicable area of expertise or equivalent experience
  • 2+ years of supervisory experience
  • Medical / Healthcare industry experience
  • Customer service management experience
  • Knowledge of Benefits and Claims Systems and Operations
  • HEDIS experience
  • Proven inbound and outbound telephonic skills
  • Teambuilding and leadership skills
  • Computer skills and technical aptitude, familiar with MS Office
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Knowledge of call center performance measurement systems and metrics (i.e. ASA, AHT,  Service Level)
  • Project/Product coordination/management skills 
  • A background in managed care
  • Medicare Stars experience
  • Proven organizational skills and multitasking abilities will be keys to success
  • Project management experience
  • Quality or Six Sigma experience
  • Experience in utilization review, concurrent review and/or risk management
  • Effective skills in motivating and mentoring others
  • Excellent communication and presentation skills
  • Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities
  • Demonstrated ability to perform effective active listening skills to empathize with the customer in order to develop a trust and respect
  • Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done in order to achieve a goal(s)
  • Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's 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 life's best work.(sm)

Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


Diversity creates a healthier atmosphere : UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


Keywords: manager, medical, clinical, operations, telecommute, remote, work from home, Charleston, Columbia, SC, South Carolina

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