Job: Director Business Process - Managed Healthcare Operations Integration - Cypress CA or other locations

This posting has expired and is no longer available.

Browse Similar Jobs: Other/General

Jobing Description

- Business liaison providing technical leadership and oversight to the complete portfolio of NICE Platform system development initiatives.
- Oversees and/or Directs cross functional and cross organizational project teams to ensure realization of business objectives.
- Overall technical responsibility for optimizing NICE Claims Platform compliance with regulatory standards including ICD-10 and HCR (Healthcare reform).
- Manages priorities and ensures adequate NICE Platform development capacity to meet critical business needs
- With IT, monitors portfolio of projects to ensure business processes support effective design, development, testing and deployment of code.
- With IT, coordinates across the organization to ensure commitments are delivered and bottlenecks and barriers are resolved.
- Chairs NICE Steering Committee
- Manages PC Ops Funding Pool
- Ability to influence change across multiple departments and organizations


Positions in this function are responsible for end-to-end business process activities - creating, controlling and improving business processes. Leads process design and project implementation teams in process improvement activities. Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools. This position is also responsible for quality reporting, anlaysis and audits and for developing plans and programs to support continuous quality improvement using applicable tools. May assist in the creation, implementation, and evaluation of Total Quality Management (TQM) programs. May direct design, facilitation, training and evaluation of TQM incentive programs and may oversee quality improvement projects and teams. Positions that require certification in project management or accredited Six Sigma training should use the Project Management job family.
- Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff.
- Work most often impacts a large business unit, or multiple markets/sites.

The preferred location for this role is Cypress California but telecommuting is a possible option in the U.S.

Skills / Requirements

- Bachelors degree highly preferred
- Minimum of 7 Years of Experience in a Technical Leadership role
- Strong communication, leadership and presentation skills
- Understanding of NICE preferred
- Managed healthcare experience highly preferred.
- Previous experience with claims systems such as NICE or Facets a plus.
- Experience managing a portfolio of complex technology projects
- Solid Business Acumen
- Bias for action


UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:

UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Keywords: ICD-10, Project Management, Project Manager, Program Management, Program Manager, Healthcare reform, IT, Facets, NICE, managed healthcare, billing, claims, clinical, medical, integration, jobs