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UnitedHealth Group Billing Manager, Operations - divvyDOSE Moline, IL in Moline, Illinois

divvyDOSE is a new kind of home-delivery pharmacy in a hyper-growth phase focused on adherence packaging. Our company is professional but fun, dedicated yet quirky. We are fast paced, highly motivated doctors, pharmacists, pharmacy technicians, and support staff who focus on health and wellness (and if we’re being honest, sometimes pizza) and most of us have slight obsessions with our pets. We want to make a difference in the lives of our customers by treating them like friends and family. We offer a work-hard, play-hard environment with competitive pay and a comprehensive benefit plan.

We’re now part of Optum and the UnitedHealth Group family of businesses, backed by the resources of a global health organization working to help people live healthier lives and to help make the health system work better for everyone. Are you looking for a way to create next-level results with a human-level approach? Then look at opportunities with divvyDOSE, where changing the world is just one result of doing your life’s best work.(sm)

The Billing Manager is responsible for leading and planning billing operations. The individual is responsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective billing processes. This position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the department.

Primary Responsibilities:

  • Improve process efficiencies and solving problems

  • Strategic planning and priority setting for a billing department

  • Manage multiple projects concurrently

  • Oversee the billing department and functions and ensure production is continuous and free of roadblocks

  • Work with other direct reports to set performance expectations related to their assigned teams

  • Develop strategies to support current operations at the national level that allow for and promote growth

  • Determine needed tool and process adaptations to handle exponential increases in claim transaction volume

  • Partner with product and engineering teams to construct software and improve existing applications

  • Drive expandable technology services capable of handling heavy claim traffic while retaining user-friendly interfaces and controls

  • Facilitate the refinement of customer communication surrounding billing and insurance matters

  • Review financial data and operating costs and ensure trends are in the interest of the business and that steps are taken to continuously stimulate profitability

  • Assist Operations management in instilling preservation of quality standards while driving and supporting growth

  • Assist and coordinate efforts to ensure operations meet compliance and quality improvement standards and initiatives

  • Monitor the progress of assignments and performance of daily responsibilities for all assigned personnel, coaching and disciplining staff as necessary

  • Participate in the recruitment, interviewing and hiring of professional and technical staff

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.

Required Qualifications:

  • Bachelor's degree in business or higher in accounting or other appropriate field

  • 5+ years of previous experience in management and in billing, preferably in a pharmacy or medical setting

  • Familiarity with claims adjudication processes

  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

  • Knowledge of billing and third-party claims within a pharmacy, Managed Care, Medicaid, and/or Medicare industry experience

  • Ability to extract and manipulate data

  • Previous Operations Manager experience

  • Ability to understand and articulate complex concepts

  • Excellent written and interpersonal communication skill

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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

Job Keywords: Billing Manager, Operations, Pharmacy, Call center, divvyDOSE, Optum, Moline, IL, Illinois