Job description


  • Entry level
  • No Education
  • Salary to negotiate
  • Eden Prairie


Position Description

Do you love the excitement of a fast-paced, high-growth organization? If so, a career at Optum, part of the UnitedHealth Group family of businesses, will allow you to serve almost all dimensions of the health system from those who diagnose and treat patients, to those who pay for care, deliver health services, and those who supply the cures. Optum brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. Join us and learn why there is no better place to do your life's best work.(sm)
As an Ideation Leader, you will be responsible for the function that identifies, develops, and obtains approval of new medical cost savings opportunities with our Payment Integrity clients. You will oversee a team driving this work and lead dialogue related to cost reduction opportunities and risks. Additionally, you will be responsible for coordinating the analytic solutions that deliver client savings with Optum business partners and interact with senior Optum and client leaders with a focus on performance to achieve business objectives.
If you are located in Minnesota, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Oversee the ideation function that identifies medical cost savings opportunities and manage that portfolio of work to maximize client value delivery
Participate in analytical, investigative, and other fact-finding work in support of new concept development
Establish strong client and matrix partner relationships to define, align, and deliver payment integrity solutions in support of assigned clients
Provide executive level program updates and manage Optum team escalations
Influence client leadership to adopt new ideas, approaches, and/or products
Recommend changes to current product development procedures based on market research and new trends
Operate as an industry thought leader and Payment Integrity SME

Required Qualifications:
BA/BS degree or equivalent experience
2+ years of experience in Payment Integrity or with billing, coding, and auditing claims
5+ years in relationship management; Highly collaborative and consultative style with ability to establish credibility quickly with all levels of management across multiple functional areas
1+ years of Project Management experience with the ability to self-manage, self-start, and support multiple concurrent projects and meet tight delivery timelines
Strong computer skills; Access, Excel, Visio, PowerPoint
Maintains working knowledge of CMS rules and regulations and knowledge of procedure and diagnosis codes (CPT, ICD-9/10 coding, HCPCS, and DRGs)
Preferred Qualifications:
Excellent critical thinking and problem-solving skills
Exceptional presentation, communication, and negotiation skills
Advanced degree in health care or medical field
5+ years of experience in the health care industry (Medicare, Medicaid, commercial) with deep exposure to Payment Integrity
2+ years of experience working in a matrix and highly adaptive environment handling tight deadlines
Coding certification through AAPC or AHIMA
Basic level proficiency with SQL
Knowledge of statistical methods used in the evaluation of healthcare claims data
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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,

About the company

Our mission is to help people live healthier lives and to help make the health system work better for everyone.

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 85 million people worldwide.

Our biggest point of differentiation is our people - and the collective talent, energy, intelligence and drive our force of 188,000 individuals around the world bring to our mission every single day. So, how do we do it? With our every action, interaction and intention that demonstrates the five fundamental values that guide everything we do:

• Integrity
• Compassion
• Relationships
• Innovation
• Performance

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