Director of Operations - Bogota, Colombia - UnitedHealth Group

UnitedHealth Group

Empresa verificada

Bogota, Colombia

hace 1 semana

Publicado por:

Carolina González

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Descripción

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.

Come make an impact on the communities we serve as we help advance health equity on a global scale.

Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and
your life's best work.

The
Operations Director manages daily general business operations of multiple levels of staff, functions, and departments across multiple business units.

This position must guarantee synergy with global operations, as well as participate in local strategic planning process.

Key Responsibilities:

Provide Call Center (member & provider) operations leadership to identify & remove operational barriers. Conduct deep dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement.
Drive operational efficiency initiatives, site leadership/planning, client management, leadership development, and strategic planning.
Establish and/or implement internal and/or external service level agreements to ensure ability to monitor and measure program performance (e.g., turnaround time; quality; effectiveness).
Provide guidance, expertise, and/or assistance to internal and/or external partners (e.g., call center; benefits; clinical) to ensure programs and strategies are implemented and maintained effectively.
Provide input to internal and/or external stakeholders (e.g., sales; shared business partners; preservice vendors; facilities) in order to drive effective business plan and sales strategy development
Work with internal and/or external partners (e.g., call center, claims) to ensure accurate reports are produced to validate program performance review.
Review consolidated operational performance reports to determine overall effectiveness, make necessary changes, and identify opportunities for new programs or program consolidation or expansion. Provide standard performance reports (e.g., scorecards) to update relevant internal and/or external stakeholders on the status of work projects.
Conduct regular meetings (e.g., JOCs; QBRs) with relevant internal and/or external stakeholders to review and discuss updates and outstanding issues (e.g., project implementation readiness; compliance and/or quality audit results; outofcompliance issues; staffing issues).
Develop corrective action plans to address and/or resolve relevant internal and/or external stakeholders' concerns or issues regarding operational issues.
Partner with relevant internal and/or external stakeholders to develop and/or review potential operational strategies, programs, and plans (e.g., affordability initiatives; quality programs; projected resource needs; training).
Communicate and coordinate with and/or help internal and/or external partners interpret contractual requirements to ensure compliance with contractual and regulatory stipulations.
Ensure staff utilize relevant websites required to obtain uptodate policies, guidelines, procedures, and regulations
Monitor and/or report ongoing compliance and related outcomes (e.g., claim denials; complaints; clinical metrics) to relevant internal and/or external stakeholders (e.g., regulatory agencies; customers; vendors).
Ensure that business continuity/emergency response plans are reviewed and tested regularly, uptodate, and can be readily executed.
Work with relevant internal partners (e.g., Finance; Underwriting) to identify resource requirements and/or create budgets and forecasts.

Formal Requirements

Bachelor's degree or HS Diploma/GED with 10+ years equivalent experience

- +12 to 14 years of overall management experience
- +10 years of experience in BPO / Call Center environment

3+ years' experience driving innovative solutions
Specific Experience
Multiple simultaneous clients
KPI and P&L accountability, minimum USD$18MM
Strategy design to achieve business goals
2+ years leading nonFTE operation, transaction based operations (service levels, occupancy, interval level staffing, adherence management. monthly, weekly, daily forecast deliveries and deviations).

Careers with Optum. Our objective is to make health care simpler and more effective for everyone.

With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time.

We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility.

Work with diverse, engaged and high-performing teams to help solve important challenges.