UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description
Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
Position Purpose:
Direct the operations of the Medicare Revenue Reconciliation team. Maintain oversight of payment reconciliation activities, metrics reporting, internal and external process and system audits, performance management, customer satisfaction, vendor management, and strategic operations.
- Manage the planning and direction of departmental operations.
- Provide direction and assistance to MRR management team (Supervisor, Project Managers, Data Analysts, Business Analysts) on key projects and initiatives.
- Measure, report, and evaluate operations and results to determine goals for improvement.
- Lead tactical and strategic planning for the Medicare Revenue Reconciliation team.
- Represent the MRR team to existing and prospective customers.
Responsibilities:
· Oversee day to day operations for Tactical Operations, Strategic Operations, Vendor Management, and Data Analysis
· Partner with Clinical Assessment Solutions Business Development resources to market Revenue Reconciliation services to prospective customers
· Lead the development of new systems/tools for performance of the Revenue Reconciliation services
· Deliver on all customer contract terms and metrics
· Meet with customers regularly to ensure satisfaction with services and reporting
· Evaluate existing processes, design and implement new processes, and identify new opportunities for Revenue Reconciliation services
· Maintain compliance of Revenue Reconciliation operations to CMS regulations and to Ingenix PHI Protections/HIPAA rules
· Set goals and management performance for MRR team
· Manage vendor and operations budgets for MRR team
· Report to Senior Management on the progress and key issues for the MRR team
Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.
Qualifications
· Bachelor's degree in a business field and 5-6 years experience managing employees
· Experience with performance management, goal setting, and metrics reporting
· Quick learner with solid understanding of Business/Finance concepts
· Strong leader with motivational skills
· Ability to make fact-based recommendations and decisions
· Ability to express ideas clearly and convey information effectively in oral and written communication
· Excellent presentation skills
· Ability to work independently, set priorities, and meet deadlines
· Strong problem solving and analytical skills
· Experience with technology solutions
· Expert in Microsoft Office tools
· Experience in data and process analysis
· Ability to work with remote employees in multiple locations
· Demonstrated ability to focus activities toward a strategic direction as well as develop tactical plans, drive performance and achieve targets
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
