Oversight and management of processes and staff supporting Optum Clinical Services compliance with regulatory and delegation contractual requirements for the California Market Works with the Director of Delegation Oversight Clinical Services to implement and maintain the Clinical Services compliance framework that includes management of delegation oversight and regulatory audits, internal monitoring, corrective action plan development and resolution, development of new hire and other educational... more details
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 to start Caring. Connecting. Growing together.
If you are located in PST, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Oversight and management of processes and staff supporting Optum Clinical Services compliance with regulatory and delegation contractual requirements for the California Market
- Works with the Director of Delegation Oversight Clinical Services to implement and maintain the Clinical Services compliance framework that includes management of delegation oversight and regulatory audits, internal monitoring, corrective action plan development and resolution, development of new hire and other educational programs
- Partnering with Utilization Management (UM) and Care Management (CM) leadership on process improvement initiatives to support compliance
Youll 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.
Required Qualifications:
- 3+ years of experience working in a healthcare related field: utilization management and/or case management and/or Compliance
- 3+ years of Managerial experience managing people or projects
- Intermediate to Advance experience with MS Office including Word, Excel, and PowerPoint
*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy.
California, Nevada, Washington Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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.?
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
