Job Description

Opportunities with Episource, part of the Optum family of businesses. Join a premier provider of risk adjustment services, software and solutions thatxe2x80x99s fueling innovation in the health care industry. Start a rewarding career where your work will empower health plans and medical groups with comprehensive end-to-end solutions designed to navigate health care efficiently. Our culture is rooted in innovation, encouraging our team to stay curious and engaged. By joining us, you become part of a global, remote/hybrid-friendly team dedicated to bridging health care gaps with a solid sense of social responsibility. At Episource, we are enriching lives, including those of our team members through Caring. Connecting. Growing together.Primary Responsibilities:

• Service Delivery

• Enable the AVP/VP to run Operations. Will bring in solid operations skills to the Account, will partner & compliment with Domain specialist. Improve the operational systems & processes in the Account
• Improve cost/chart by measures including but not limited chart/day/coder
• Manage client SLAs (turn-around-time, quality)
• solid understanding of US Healthcare industry and business environment
• Production planning xe2x80x93 monthly, weekly and daily queue management, movement of resource on need basis
• Project management xe2x80x93 Resource planning as per project scope, risk management and escalation management. Achieve client and organization objectives for a given project
• Work collaboratively with the every team to achieve organization goals
• Diligently use data driven tools and application to drive performance and decision making
• Team Management

• Goal setting, coaching and feedback, performance management, team development
• Career Management and development of leaders
• Coaching leads - Facilitate formal and informal training
• People Engagement (One-One's, Team meeting, skip meeting etc.,); Attrition Management
• Stakeholder Management

• Understand and finalize the scope with clients and onsite teams
• Manage client interaction over conference calls and/or emails
• Process Improvement

• Drive efficiency and productivity initiatives
• Improve client and employee experience by continuous improvements
• Capability Index Development

• Development and constant improvement of capability index of the team
• Compliance

• Manage external and internal quality and security standards (HIPPA/ISO/ISMS) audits and accountable for audit clearance
• Maintain documentation to demonstrate adherence to compliance standards; Audit readiness; Floor etiquettes
• Value Add

• Drives generation and execution of ideas at an organizational level
• 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

Required Qualifications:

• 3+ years of experience as Manager / Senior Manager
• Understanding of US Healthcare industry, including but not limited to HIPAA/HITECH
• Solid knowledge with ICD 10 & CPT codes

Preferred Qualifications:

• Certification in CPC or CCS
• 10+ years of Medical Coding experience

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyonexe2x80x93of every race, gender, sexuality, age, location and incomexe2x80x93deserves 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 xe2x80x94 an enterprise priority reflected in our mission.

UnitedHealth Group