UM Administrative Supervisor – Remote

At United Healthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Collaborates with UM management, Clinical Operations, and cross-functional teams. Represents UM administrative staff, ensuring timely and accurate completion of tasks within UM processes. Delivers program-specific systems training using foundational training principles and a deep understanding of UM workflows and Essette functionality for UM administrative tasks.

Analyzes and improves business processes and productivity across the UM department. Handles escalated calls and resolves complex prior authorization issues. Ensures effective communication and integration of process changes, and supports clear definition, implementation, and monitoring of UM procedures. Oversees scheduling and tracking of process updates and team performance.

You’ll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• Works collaboratively with UM management, Clinical Operations, and other departments using the Essette system in accordance with the Mission and Values of the company to perform the assigned duties
• Represent the UM administrative staff and be accountable for completion of assignments in the UM processes as outlined. Provide program specific systems training for staff on updates in UM processes and new business requirements, using basic training principles tools and appropriate settings, in depth understanding of the UM processes, and experience with the software. Evolve and distribute training aids for staff and maintain training and documentation process manuals
• Responsible for analyzing and improving business processes and productivity within the UM Department
• Handle escalated calls and resolve complex prior authorization issues for UM staff
• Ensure issues or changes are communicated and integrated as appropriate
• Ensure clear process definition, design, communication, implementation, monitoring and support is available to UM administrative staff. Work with stakeholders to establish areas for integration
• Schedule, track and provide oversight for any and all process updates and team productivity
• Maintain working knowledge of all UM systems. Be a Subject Matter Expert in all areas of UM system to continually evaluate workflow and process to facilitate the most efficient and streamlined processes
• Utilize individual thought and department expertise to organize and validate data to manage the development of reports, e.g., production reports, regulatory reports, utilization reports, compliance reports for internal and external audits, and validation of reports
• Respect confidentiality and maintain confidence as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this position
• Assess, monitor, and improve work processes and work with UM administrative staff and leadership to implement changes. Ensures changes are communicated and integrated within the department and for external partners (i.e., providers and members)
• Manage the monitoring and updating of all correspondence. Implements structures to ensure required review is current and accessible to the team for reference
• Collaborates with Management to develop and run program reports. Assists with data definitions and works closely with Data Analyst teams to ensure accurate reporting. Scrub report files for accuracy.…