In your field, learning never stops. And neither do you. You are continually pushing yourself to reach higher and go further. To do everything you can to ensure a positive outcome for our patients. Staying on top of your game and persevering in the face of challenge will be a big part of your success. And at every turn, you'll have the support of an elite and dynamic team. Join us in this role and you will use your diverse knowledge and experience to make health care work better for our patients, while doing your life's best work.(sm) In this role, you will supervise and motivate a work team to achieve team objectives, including meeting the company's standards of production and quality while maintaining applicable turnaround times and standards. You will lead by example with a positive attitude and demonstrate the fundamentals of being a team player. What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Primary Responsibilities:Ensure a timely acknowledgement and response to all authorization documents received providing appropriate feedback to address processing issues Administer the process for handling authorizations received from providers Respond to provider inquiries that have been received by the escalation and case resolution department in a timely manner Communicate with provider and/or office staff, various health plans administered and / or other employees to research and verify information provided on authorization documents when appropriate using a professional, courteous and cheerful manner Facilitate team staff meetings in order to review and implement processes that allow for smooth and efficient operations Review with management individualized reports reflecting daily production and quality in order to accurately measure and monitor predetermined company, position and individual goals Work together with all staff members, as well as other departments, to resolve issues and assist each other
Required Qualifications:High School Diploma / GED 2+ years of Supervisory experience 3+ years of Customer Service experience Intermediate (or higher) level of proficiency with Microsoft Office Preferred Qualifications:Associates or Bachelor's Degree Managed Care experience in a Care Coordination role Call Center experience Bilingual skills in SpanishCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm) 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. Job Keywords: Supervisor, Manager, Director, Team Lead, Healthcare, Managed Care, Health Insurance, Albuquerque, NM, New Mexico
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.