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UnitedHealth Group Manager Medical Clinical Operations Charleston South Carolina in Summerville, South Carolina

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's bestwork.(sm)

This position will be responsible for supervising a team of field based staff. The team is responsible for working with medical practices to coordinate outreach to Medicare Advantage members to ensure the recommended preventive health screenings are completed and gaps in care are addressed. Travel is required in state to visit physician practices and field-based staff as needed.


  • Setsteam direction, resolves problems and provides guidance to members of theteam

  • Ensuresteam meets established performance metrics, performance guarantees, andquality standards

  • Managesadministrative and clinical operations consisting of field based and/orcontact center based staff

  • Managerelationships with physician practices

  • Manageimplementation of new physician practices and deployment of resources

  • Manageclient relationships

  • Collaboratewith cross functional teams on practice specific strategies to improveMedicare Stars ratings

  • Takesthe lead role in setting direction and participating in or developing newprograms

  • Providesleadership to and is accountable for the performance and direction throughmultiple layers of management and senior level professional staff

  • Workmost often impacts a large business unit, or multiple markets/sites, or at thesegment/market group level for functional staff positions

  • Drivesperformance through audits and coaching to team personnel to ensure productsand services fully meet the client expectations while maintaining efficient andprofitable operational delivery

  • Assurethe onboarding and training of new and existing staff to support product growthand service enhancement

  • Fiscaland operational discipline and management


  • Bachelor’sdegree in applicable area of expertise or equivalent experience

  • 2+years of supervisory experience

  • Medical/ Healthcare industry experience

  • Customerservice management experience

  • Knowledgeof Benefits and Claims Systems and Operations

  • Stronginbound and outbound telephonic skills

  • Proficientin MS Office Suite (Word, Excel, PowerPoint, Outlook)

  • Abilityto travel up to 50% of the time

PreferredQualifications :

  • Project/Productcoordination/management skills

  • Abackground in managed care

  • MedicareStars experience

  • HEDISexperience

  • Strongorganizational skills and multitasking abilities will be keys to success

  • Qualityor Six Sigma experience

  • Teambuildingand leadership skills

  • Effectiveskills in motivating and mentoring others

  • Excellentcommunication and presentation skills

  • Demonstratedability to identify with a consumer in order to understand and align with theirneeds and realities.

  • Demonstratedability to perform effective active listening skills to empathize with thecustomer in order to develop a trust and respect.

  • Demonstratedability to take responsibility and internally driven to accomplish goals andrecognize what needs to be done in order to achieve a goal(s).

  • Demonstratedability to turn situations around and go above and beyond to meet the needs ofthe customer.

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)

Diversitycreates a healthier atmosphere: UnitedHealth Group is an Equal EmploymentOpportunity / Affirmative Action employer and all qualified applicants willreceive consideration for employment without regard to race, color, religion,sex, age, national origin, protected veteran status, disability status, sexualorientation, gender identity or expression, marital status, geneticinformation, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to passa drug test before beginning employment.

Job Keywords: Stars, Performance Manager, Quality Advocate, Quality, Project Management, Consulting, Providers, Member Groups, Contracts, Health Plan, Quality Improvement, Field Based, South Carolina, Charleston, Summerville, SC