Client relations manager serp_jobs.h1.location_city

Caring. Connecting. Growing Together

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Positions in this function receive, document, process and resolve provider, physician, organization and / or member feedback, complaints, and grievances. Serve as primary resource to senior management, plan sponsors, enrollees, and regulatory agencies across Washington and Oregon in resolution of oral and written complaints, feedback and appeals. Responsible for researching and resolving written, phone and internet complaints and complex or multi-issue appeals submitted by consumers, health plans, media, teammates, government and other regulatory agencies as well as UHG.

This position will provide expert knowledge of appeals process, resolution and assess appeals status of complaints. Conduct root cause analysis by identifying potential compliance, process, or systemic breakdowns; communicate findings to management; ensure appropriate actions are being taken for process improvement. Collaborates with department leaders, risk management, quality and compliance to resolve patient issues and identify key patient safety improvement opportunities. Develop Patient Feedback reports and analyzes data to identify opportunities for improvement. Promotes patient experience as measured by the survey through collaborative projects, training and education.

If you are located in Oregon, you will enjoy the flexibility to work remotely

• as you take on some tough challenges.

Primary Responsibilities :

Skills :

Youll 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 :

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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 : OptumCare is an Equal Employment Opportunity / Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.