UnitedHealth Group is among the most ambitious Fortune 25 companies
you'll ever meet. Through our family of businesses, we're working to
make the health care system perform better for more people, in more
ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here,
you'll be empowered to make an immediate impact for millions of others.
And you'll achieve more than you ever expected. How does that fit with
your plans?
Job Description
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. UnitedHealth Military & Veterans Services is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.
We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the Southeast.
Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever. Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions.
It's not just business as usual. It is one of our proudest endeavors.
If you're ready to help make health care work better for those who serve our nation. If you are smart, creative, and committed. If you want to make a difference. Consider being part of the elite team at UnitedHealth Military & Veterans Services.
The UMVS Senior Director of TRICARE Referral Management is directly responsible for the development, implementation, daily operations and outcomes of the Referral Management Department as stated in the TRICARE contract. The Senior Director reports to the VP, Medical Management Operations and is responsible for a staff of over 150 referral management coordinators.
Responsibilities:
Design and develop the UMVS Referral Management organization, processes and tools that directly comply with the TRICARE contract
Establish, implement and set controls around all referral management processes and activities to comply with the TRICARE contract
Develop all processes to ensure solid execution on all areas of the TRICARE referral management contract and government established policies and procedures
Oversee daily "call center" performance ensuring high levels of response and customer service to providers, Military Treatment Facilities and the government
Successfully lead up to 150 referral management coordinators in the central office with another 60 coordinators in the field
Motivate and generate enthusiasm among all employees and promote strong morale
Provide honest and timely performance feedback while identifying opportunities for growth and learning
Develop and manage the referral management operational budget; develop corrective plans, as appropriate
Establish clear roles, direction, responsibilities and assess reactions and respond appropriately
Leads large, complex projects to achieve key business objectives; works with other operational leaders to deploy the Referral Management program and products.
Work effectively with operational leaders to deploy new programs and services for beneficiaries and/or to refine and deploy the changes for execution.
Execute and maintain clear and concise communication channels between the field and key operational units regarding issues, operations and performance metrics
This is an opportunity to share in something special; a chance for all of us to serve, to excel, and to know that we've made a difference for those families who have made our nation stronger.
Job Requirements
Qualifications:
BA/BS Degree required; Masters preferred and preferably a degree in business
3+ years TRICARE experience in referral management operations is preferred
Five + years customer service/call center experience at an advanced level - required
Superior communication, presentation and interpersonal skills
Excellent operational problem-solving skills; ability to resolve operational issues quickly and effectively
Proficiency in Microsoft Office, Call center applications, Work-force management applications, Quality tools and technologies, Microsoft Project and other related Call Center software
Excellent conflict management skills
Experienced in goal-setting (defining and prioritizing specific, driving objectives)
Demonstrated ability to develop and implement process enhancements including technology and performance
Ability to coach and motivate others, with high influencing skills
Ability to successfully work in a change environment
Strong ability to organize, prioritize work schedules / projects
Proficient with development and analysis of operational reporting
Strong analytical skills
Excellent verbal, written and presentation skills
Ability to manage internal and external customer relationships and expectations
Ability to understand, interpret and convey technical and procedural information effectively
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.