Clinical Investigator Supervisor (SIU) – San Juan, PR

Requisition Number: 2295730
Job Category: Claims
Primary Location: San Juan, Puerto Rico, US

Doctor consulting nurse at nurse station.

Optum is a global organization 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. 

  

You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.   

  

This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.

  

The Recovery Resolutions Supervisor will support certified medical coders or recovery resolutions representatives that will provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.

  

Primary Responsibilities: 

  • Sets team direction, resolves problems and provides guidance to members of own team
  • Oversees work activities of medical coders or recovery resolutions representatives
  • Adapts departmental plans and priorities to address business and operational challenges
  • Influences or provides input to forecasting and planning activities
  • Leverage pertinent data to identify and solve a range of problems
  • Examine, assess, and document business operations and procedures to ensure data integrity, data security, and process optimization
  • Leverage solid communication skills (verbal, non-verbal, and written) with a demonstrated ability to communicate ideas clearly and concisely with peers, superiors, subordinates, members, and providers
  • Manage the day-to-day activities of staff
  • Set priorities for the team to ensure task completion and performance goals are met
  • Provide coaching and constructive feedback to team members
  • Employee will be required to completed the Coding Academy
  • Other duties or projects may apply

  

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION*** 

  

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: 

  • Registered Nurse (RN) with an active, unrestricted Puerto Rico license or an active Certified Professional Coder (CPC)
  • 2+ years of experience in a production environment within the healthcare industry
  • 1+ years of experience managing or supervising employees in a metrics and data driven environment
  • Proven intermediate Microsoft Office Suite skills: Microsoft Excel (ability to sort, sum, insert bar graphs and use formulas) , Microsoft Word (ability to create documents and complete mail merging), Microsoft Outlook (ability to manage email, calendar, and task lists), and Microsoft PowerPoint (ability to create presentations with images, words, charts / graphs and merging data from Microsoft Excel)
  • Bilingual Spanish/English
      

Preferred Qualifications:

  • Project management experience
  • Demonstrated inventory management skills

 

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 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.

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

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

Additional Job Detail Information

Requisition Number 2295730

Business Segment Optum

Employee Status Regular

Job Level Manager

Travel No

Country: US

Overtime Status Exempt

Schedule Full-time

Shift Day Job

Telecommuter Position No

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