Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

• Create Capabilities for feature development
• Review regulatory guidance and requirements for large scaled/complex initiatives and determine how the requirement will be met within the Appeals domain
• Ensure alignment and understanding of program/project scope and objectives with the organization's strategic objectives, in consultation with applicable stakeholders
• Coordinate with SMEs and other stakeholders to obtain information necessary to define the appropriate process and facilitate and manage workgroups, enabling a culture of collaboration, trust and disciplined accomplishment of tasks and target dates
• Provide guidance and oversight to any configuration changes impacting appeals processing
• Provide appeal impact and input to the Agile product teams during the build of business requirements/solution capabilities for projects requiring technology changes, with ability to elicit, understand and articulate customer needs
• Acts as a resource for others; readily shares knowledge
• Ensures operations is protected - e.g. drives solutions that do not require significant adds to staffing, influences direction away from approaches and strategies that Operations cannot administer
• Determine test scenarios and support business testing prior to system changes being deployed in production
• Oversee operational readiness activities/deliverables, such as training to the appeals supervisors/SMEs and SOP updates
• Monitor and audit product after system deployments to ensure minimal impact to quality
• 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

While you’re busy helping us change the landscape of health care, you’ve got to be able to quickly adapt to change in a fluid environment. It's all about quality reporting, analysis and audits and developing plans and programs to support continuous quality improvement. You’ll also be challenged to gain buy-in from multiple stakeholders before presenting solutions to senior leadership.

Required Qualifications:

• Graduate in any stream
• 8 - 12 years of experience
• 2 years Project Management experience
• 2 years Leadership experience
• Intermediate level of experience with Microsoft Office products, such as PPT, Excel and Visio

Preferred Qualifications:

• Experience working directly with senior level business stakeholders
• Experience with appeals system platforms
• Ability to hit the ground running and helping to pave the road
• Self-motivated to see the need and find ways to address the need

Soft Skills:

• Solid working knowledge of how to execute on project deliverables in a fast paced environment
• Ability to develop Solid networks and ensure collaboration and consensus building
• An ability to communicate complex issues to diverse audiences

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