Job 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 that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare 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.

Imagine yourself in a new a career with Optum. We'll count on your professionalism, expertise, and dedication help ensure that our clients receive the quality experience they deserve. So, if you're looking for a place to use your passion, your ideas and your desire to drive change, this is the opportunity for you.

This position is full-time (40 hours/week), Monday through Friday from 8:00am to 5:00pm with possible weekends and overtime. It may be necessary, given the business need, to work occasional overtime. Our office is located at 11000 Optum Circle, Eden Prairie, Minnesota 55344

The pace is fast, so your ability to multi-task is essential. You should also enjoy working with people and have the communication skills necessary to build strong relationships with our customers.

Job Summary:

The Provider Payment Relations Team Lead is responsible for providing direct team member leadership, creating and refining business processes, and ensuring complex provider payment issues are resolved. This position will work within a large, matrixed environment to gather information and assist the provider with payment redemption solutions, banking resolution, provider tax levies and payment resolution. The position serves as a primary subject matter expert for peer support, change management, user acceptance testing, pulling monthly metric data, procedural write ups, identifies trends and provides reports as necessary.

What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/

Primary Responsibilities:

* Provider direct oversight of Optum Pay Operations PPR Team Members
* Support, coach, and audit team member work and performance metrics
* Provide SME support to team members as they support complex both internal and external provider inquiries
* Review, analyze and identify trends and provides reports as necessary to Optum Pay leadership
* Provide exceptional service to all providers
* Work rejected ACH payments from the providers account via phone & email, as needed
* Consistently reviews established productivity, schedule adherence and quality standards
* Monitor and investigate bank account changes that occur during the red flag potential process
* Monitor all Optum Pay Operations email box(s) to ensure tasks are completed within TAT
* Identify and communicate solutions to provider questions, using appropriate problem-solving skills and established guidelines, where available (e.g., workarounds, descriptions of relevant processes)
* Communicate with providers via both written and verbal communications
* Establishment and maintenance process documents
* Curate environment that encourages teamwork, interdependence, inclusion, and ethical behavior
* Complete User Acceptance Testing to ensure monthly releases are successful
* Support internal audit requests from business partners
* Assist leadership with various projects, as needed
* Other duties as assigned.

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:

* High school education or higher
* 3+ years of work experience in an office environment, healthcare related/insurance related field or customer service industry
* Intermediate to Advanced skill with using Microsoft Office management tools (must be able to open, send, create, and edit documents, presentations, emails, and spreadsheets. Must know advanced skills such as Charting, Pivot Tables & Pivot Reporting. VBA & Macros
* 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:

* Experience working in the health care industry
* Experience working with claims and/or recovery
* Experience working in financial

Soft Skills:

* Problem solving skills
* Self motivated and detail oriented
* Excellent written and verbal communication skills (respectful of opinions and ideas of others, able to communicate in a diplomatic and confidential manner).
* Excellent time management and problem-solving skills
* Ability to multi-task - this includes ability to understand multiple products and multiple levels of benefits within each product

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

Some of the steps we've taken to ensure employee well-being include:

* Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
* Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
* Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
* Fully cover the COVID-19 healthcare costs for our employees
* Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home

You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.

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: healthcare, SME, Optum Pay, leadership, ACH Payment, maintenance process documents, audit, coach, Optum, UnitedHealthcare, hiring immediately