Associate Director General Management

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

• Leadership & Operational ExcellenceProvide strategic leadership and oversight to managers and senior medical coding professionalsDrive performance accountability, ensuring service delivery meets or exceeds established SLAs and KPIsLead high visibility initiatives such as new market launches, service expansions, and business development opportunitiesOversee planning, forecasting, and allocation of resources to meet operational and business requirementsEnsure adherence to standardized systems, processes, and methodologies for effective monitoring, control, quality management, and delivery of services
• Strategic Analysis & Industry EngagementDeliver insights and analysis on competitive landscape, healthcare trends, regulatory changes, and market opportunitiesSupport senior leadership in shaping and influencing public healthcare policy and industry initiativesDevelop innovative solutions to address long-standing challenges in improving healthcare quality and outcomes
• People Management & DevelopmentLead people management activities including coaching, mentoring, career development, succession planning, and performance evaluationsFoster a culture of engagement, continuous improvement, collaboration, and high performanceEnsure seamless knowledge transfer to enhance organizational capability and operational reliability
• Quality, Reporting & Stakeholder ManagementPrepare and deliver operational, performance, quality, and service improvement reports on schedule or as requiredAddress and manage escalated client or operational issues with solid documentation and problem solving capabilitiesMaintain solid relationships with internal and external stakeholders through regular reviews, communication, and alignment of expectations
• Compliance & Organizational ResponsibilitiesComply with company policies, employment conditions, and directives including but not limited to reassignment, shift changes, and flexible work arrangementsChampion adherence to regulatory standards, data integrity, and compliance in all medical coding operations
• 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

Required Qualifications:

• Bachelor's Degree in Nursing
• 5+ years of experience in USRN Healthcare Operations, specifically in Case Management, Utilization Management
• Experience working in multi-national, multi-cultural environments
• Proven experience in managing teams and leading personnel
• Extensive experience in knowledge gathering, due diligence, project commissioning, transition management, and service transformation
• Solid documentation skills and experience handling escalations and complex customer interactions
• Proficient in Microsoft Word, Excel, and Outlook
• Proven excellent written and verbal English communication skills
• Proven ability to interpret and emulate customer-specific processes and operational frameworks
• Highly customer-focused, adaptable, and able to perform under pressure
• Proven capability of working independently with minimal supervision

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.

Optum is a drug-free workplace. © Optum Global Solutions (Philippines) Inc. All rights reserved.