Assistant Director, Specialty Care Operations - Albuquerque, NM

Careers at UnitedHealth Group

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Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

This role is responsible for serving as operational lead as directed. Supports Director by assisting other Site Administrators in assigned Clinic or Service Line in the daily operations, administrative functions, personnel, and revenue/expense tracking of assigned clinic(s) and/or site(s). Ensures continuity and quality of care for all services provided within the assigned Clinic and/or Service Line. Adheres to policies, procedures, and regulations to ensure compliance and patient safety; develops and revises department policies, procedures, and protocols. Participation in compliance and other important training is a condition of employment. Supports spreading of best practice operational processes, quality improvement activities, training, and projects as requested.

Primary Responsibilities:
  • Provides leadership demonstrating the ability to influence, motivate, manage, train, counsel and develop staff to work toward their highest level of function, in accordance with job descriptions and competencies
  • Delegates effectively; demonstrating the ability to plan, organize, direct, problem solve, control, monitor, and evaluate services, while using available resources appropriately
  • Develops strategies, goals, and action plans for the team that align with The Group's strategic direction
  • Participates in key decision-making regarding overall planning, work redesign, and staff development associated with implementing changes in patient care delivery
  • Develops plans and make recommendations relative to organizational and departmental operations such as organizational structure, space and layout, equipment use, workflow, and staffing
  • Models exemplary internal and external customer service through timely investigation, feedback, resolution, and documentation of customer complaints
  • Meets Budget (Operating & Capital) for assigned areas and actively creates and works through action plans to improve performance
  • Responsible for the monitoring of charge capture patient encounters, co-payment collections, accounts payable/receivable, denials, cash collections and credit/refunds
  • Assist Clinic/Site Management Team on process improvements regarding revenue related activities
  • Works closely with Director to ensure sound fiscal and business performance within specialty care as directed
  • Assists clinics as needed with minimizing and monitoring overtime, clinic expense, and reviewing appropriate coverage
  • Research questions and implements directives from support departments (revenue cycle, coding, facilities, materials management, health and safety, people services) to support operational team
  • Ensures staff and leadership training and development programs are implemented, monitored, and enforced in compliance with organizational initiatives and regulatory requirements
  • Develops opportunities for personal and professional goal achievement for self and assigned staff. Work with clinics as needed to ensure organizational initiatives are carried out timely
  • Works closely as part of Clinic/Site Management Team to align processes and clinic outcomes with company strategic plan and organizational objectives
  • Mentors and trains current and new Clinic/Site Management Team members
  • May function as a working Clinic/Site Manager while working to fill vacancies.
  • Assist with and research patient complaints that require escalation from clinics
  • Audit patient dismissals before sending to Director ensuring completeness of request
  • Supports Clinic/Site Management with employee decisions to include the hiring process, coaching and mentoring employees, and employee relations issues, etc.
  • Supports Director with the following: eliminating/minimizing overtime, KPI's, various provider issues, miscellaneous outreach visits/follow up; training of other staff to include EHR, organizational development, coding, etc.
  • Works with Directors on projects as assigned
  • Assist with Operations, Value Based Care, and Group meetings and meet and greets as appropriate

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 healthcare or business-related field
  • 2+ years of experience as a Site Administrator or Clinic Manager or related experience
  • Solid financial acumen with intermediate spreadsheet/excel skills

Preferred Qualifications:
  • Managed Care experience; Lean/Six Sigma/Performance Improvement experience; related experience in technical or specialty areas assigned
  • Knowledge of professional billing and various healthcare requirements including, but not limited to, access, coding, billing, collections, practice management systems, payer relations, appeals, and authorization process

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do 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: Assistant Director, Specialty Care Operations , Albuquerque, NM, New Mexico