Job details
Job type full-time
Full job description
Are you eager to make an impact on one of the most important and underserved issues in the us healthcare system? naviguard, a fully owned unitedhealth group ventures company, is on a mission to protect patients from surprise bills by building a revolutionary consumer protection businessThis new business will be dedicated to helping patients understand and mitigate the unexpected financial risks they faceAs an employee of this new business, you can expect to be a part of a dynamic organization that is fast-paced and driven by our vision to promote healthcare affordability and accountability nationwide.
The manager, business process will be responsible for examining complex operational issues in order to identify, develop, and execute solutionsThis position requires a motivated self-starter with a blend customer service experience, claims processing expertise, process knowledge, and strong analytical, communication, and leadership skillsTo be successful in this role, candidate with have a strong business acumen, strong ability to problem solve and ability drive issue resolution across multiple lines of businessThis position will report to the director of ops integration.
Primary responsibilities:
Intake and troubleshoot escalated issues and share findings and solutions with operations teams and external partners.
Identify patterns and partner with various internal and external teams to improve operational processes in order to reduce or mitigate future escalations.
Analyze business process information (e.gMetrics; analytics) to identify key issues, trends, and potential root causes (e.gTraining issues; lack of understanding by users) that point to improvement opportunities.
Work independently to research complex issues across multiple systems, identify and complete root cause analysis, and partner with internal and external support resources to drive resolution.
Work cross-functionally with our operational leaders to identify and implement improvements to business processes and interactions with patients and integration partners.
Maintain operational paybook, outlining key process decisions and approach
Support end-to-end process improvements and tech enhancements
Identify and partner with appropriate unitedhealth group departments, processes, and technologies to drive issue resolution as needed.
Basic/minimum qualifications:
Undergraduate degree
4+ years experience in program/project management or operations
2+ years experience with healthcare payer systems or operations
2+ years of cross functional leadership or management experience
3+ years of microsoft office suite including word, excel, outlook, and powerpoint
Preferred qualifications:
Experience reviewing or processing claims on behalf of a health plan
Experience with unitedhealth group departments and systems, particularly member services, claims processing, or provider services systems, applications, and/or platforms (e.g., unet; iset; ors; ets; linx)
Strong attention to detail with the ability to quickly identify, analyze and solve process/workflow problems in order to improve operational processes
Experience and knowledge of quality, quality improvement and/or process improvement
Excellent communication, time/project management, problem solving, organizational, and analytical skills required.
Highly motivated individual with a passion for helping consumers navigate the complicated healthcare system
At naviguard, we are dedicated to helping people better understand and mitigate the financial risks they face when planning important medical procedures, or when they have received unplanned or emergency careAs a member of our team, you will contribute to a dynamic and fast-paced start-up business, driven by a vision to promote affordability and accountability in healthcare nationwideDoes this sound like your kind of purpose and challenge?
Diversity creates a healthier atmosphere: naviguard 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.
Naviguard is a drug-free workplaceCandidates are required to pass a drug test before beginning employment.
