Claims​/Provider Dispute Resolution Implementation Lead - Remote

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.

You’ll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges.

• Assesses and interprets customer needs and requirements
• Makes recommendations and decisions for loading strategy for new market/payor configuration in Facets
• Gather technical and business requirements and responsible for documentation of business and process requirements
• Serve as primary subject matter expert to critically assess impact of non-standard implementation requests to claims and payment teams
• Act as escalation lead for identified risks; work with operational areas to develop and execute risk mitigation plans
• Maintain and foster collaborative working relationships with external stakeholders, internal SMEs, vendors and internal team members
• Responsible for the coordination and completion of projects, in addition to the management of Claim Operations readiness tasks and timelines while adhering to Quality and Compliance requirements
• Facilitate and manage mid-size work groups, enabling a culture of collaboration, trust and disciplined accomplishment of tasks and target dates
• Make presentations to management on project updates, project cycle, and expected results
• Lead or contribute to the development of program or project scope statements, in consultation with applicable stakeholders
• Develop and maintain detailed project plans (including resource assignments, schedules, dependencies, etc.) and ensures projects are completed on time and in scope
• Monitor and report progress throughout the project life cycle, using appropriate project planning and scheduling tools (e.g., dashboards, metrics)

You’ll 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