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.
Sets team direction, resolves problems and provides guidance to members of own team
Communication overall delivery and status of the program to the stakeholders
May oversee work activities of other supervisors
Adapts departmental plans and priorities to address business and operational challenges
Influences or provides input to forecasting and planning activities
Product, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external)
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Undergraduate degree or equivalent experience
Active USRN Mainland License
At least 5 years of Managerial capacity
At least 3 years Utilization Management experience
Willing to be assigned in any of our PH sites -Makati/Alabang/QC/McKinley
Willing to work on US Shift
Hybrid Work Set-up, willing to report onsite
Proven expertise in process flow for Utilization Management or Utilization Review, including prior authorization, concurrent authorization and/or clinical appeal and grievance reviews, as appropriate
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.
Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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.