VBR – Issue Resolution Manager

Job title: VBR – Issue Resolution Manager

Company: UnitedHealth Group


Job description: VBR – Issue Resolution Manager – Letterkenny, HybridOptum is a global organisation 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.About the Role:As a Fortune 5 business, we’re one of the world’s leading healthcare companies. There are no limits here on the resources you’ll have or the challenges you’ll encounter.We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we’re on the constant lookout for fresh talent to join our expanding teams. healthcare system works better for everyone.As VBR – Issue Resolution Manager of the Data Analysis Team, this individual will play a pivotal role in guiding and supporting a team of Data Level Analysts. Your leadership will be crucial in driving the analysis of issue data, identifying improvements, and implementing solutions driving these disputes through to prevention while enhancing the overall efficiency and quality of our services. This role will work closely with VBR leaders, internal, and external stakeholders to ensure that our team delivers exceptional results and contributes to the transformation of health care.Primary Roles & Responsibilities of a VBR – Issue Resolution Manager:

• Team Leadership: Lead, mentor, and develop a team of Data Level Analysts and SMEs, fostering a collaborative and high-performance culture.
• Strategic Oversight: Align vision and ensure the analysts are taking action broadly within the large data sets to identify systematic issues and drive improvements in processes and outcomes.
• Stakeholder Collaboration: Facilitate internal and external meetings to review trend findings, collaborate on resolutions, and ensure effective communication.
• Efficiency Improvement: Identify and address efficiency barriers within the team, providing coaching and support to enhance outcomes and remove roadblocks impacting performance.
• Data-Driven Decision Making: Utilize dashboards and analytical tools to monitor trends, follow up on resolutions, and ensure issues and trends are effectively addressed.
• Presentation and Reporting: Prepare and present detailed analysis and insights to senior leaders and external partners, using clear and common nomenclature.
• Innovation and Automation: Identify opportunities for workflow enhancements and automation, participating in discovery and requirement sessions.
• Knowledge Sharing: Demonstrate deep knowledge of the Value Base Care model and educate team members on its impact on responsibilities and outcomes. Ensure that VBR and Issue
• Resolution is engaged appropriately in migrations and applications development as a stakeholder.
• Cross-Functional Collaboration: Apply business knowledge across all lines of business and claims platforms to support comprehensive solutions.

Required Qualifications of a VBR – Issue Resolution Manager:

• Demonstrated leadership experience in the healthcare industry.
• High level knowledge of hospital and physician claims processing rules.
• Ability to manage multiple priorities and work on diverse issues simultaneously.
• Proficiency in utilizing technology tools for data analysis and decision making.
• Prior experience in process improvements and quality assurance
• Excellent communication skills, with experience presenting to senior leaders and executives.
• Proficiency in Microsoft Word, Excel, PowerPoint, and SharePoint.

Preferred Qualifications of a VBR – Issue Resolution Manager:

• Knowledge of multiple lines of business, benefit structures, and claims processing systems.
• Experience with ATS, SharePoint, Tableau, and Power BI.
• Broad understanding of delegated and capitated contracts and claims processing.
• Experience in root cause analysis and problem-solving.
• Demonstrated ability to influence outcomes and drive change.

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.For more information on our Internal Job Posting Policy, click .All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy.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 marginalised 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: UnitedHealth Group is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, sexual orientation, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. © 2024 UnitedHealth Group. All rights reserved.#RPO

Expected salary:

Location: Letterkenny, Co Donegal

Job date: Fri, 10 Jan 2025 23:13:26 GMT

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