DRG/CV Manager - RN - Remote

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

The DRG Manager oversees a team of employees ranging from 15 - 20 direct reports. As a DRG Manager, you will be responsible for overseeing staff and processes ranging from non-clinical, and clinical. Day to day management includes employee development, revenue / IOI management, expense management, project management, client management / implementation.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities

• Manage a team of professional inpatient DRG audit staff
• Review and provide feedback of staff performance
• Serve as a resource of complex and/or critical issues
• Serves as an operational leader by creating, implementing and approving operational changes through documentation and process flows
• Provides explanations to internal and/or external partners on difficult issues
• Process expertise to solve complex problems and develops innovative solutions with broad impact to the overall business
• Participates or leads the development of business strategy
• Ability to interpret, predict and forecast changes in business operational activities and needs

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 as well as provide development for other roles you may be interested in.

Required Qualifications

• CCS or CIC Certifications, or willing/able obtain CCS or CIC certification within 6 months of hire
• 3+ years acute care Inpatient coding/DRG validation experience
• Proven knowledge of encoder/grouper applications (3M, Webstrat)
• Demonstrated understanding of health insurance and/or of waste & error principles
• Proficient in MS Excel (specifically analyzing data, filtering, generating reports, etc.)

Preferred Qualifications

• AHIMA Certified RHIT or RHIA
• 2+ years of management experience

Soft Skills

• Solid analytical, problem solving, and decision-making skills required; ability to exercise good judgment
• Exceptional telephone and client service skills; ability to interact professionally in challenging situations
• Open to change and new information; ability to adapt behavior and work methods to changing organization and integrate best practices
• Candidate must be highly organized with effective and persuasive communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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