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UnitedHealth Group Business Process Denials Consultant in Muntinlupa Manila, Philippines

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

  • Create, control and improve end-to-end business processes

  • Lead process design and project implementation teams in process improvement activities

  • Create quality reporting, analysis and audits for developing plans and programs to support continuous quality improvement using applicable tools

  • Assist in the creation, implementation and evaluation of Total Quality Management (TQM) programs

  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

While you're busy helping us change the landscape of health care, you've got to be able to quickly adapt to change in a fluid environment. It's all about quality reporting, analysis and audits and developing plans and programs to support continuous quality improvement. You'll also be challenged to gain buy-in from multiple stakeholders before presenting solutions to senior leadership.

Required Qualifications:

  • Undergraduate degree or equivalent experience

  • 5+ years of experience in writing business and/or system requirements and business/finance analysis

  • 3+ years of experience with documenting processes and practices, often in accepted project methodology artifacts

Preferred Qualifications:

  • Bachelor's degree in Business, Finance, Health Administration or related field

  • 4+ years experience with MS Project, Access, Word, Excel, PowerPoint, SharePoint and Visio

  • Experience with SQL

  • Health care Industry experience

  • Team lead or project lead experience

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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.

Optum is a drug-free workplace. © 2024 Optum Global Solutions (Philippines) Inc. All rights reserved.

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