Search by job, company or skills

O

Deputy Manager - HIM and ROI

new job description bg glownew job description bg glownew job description bg svg
  • Posted 3 hours ago
  • Be among the first 10 applicants
Early Applicant

Job Description

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.

Health Information Management (HIM) and Release of Information (ROI) functions are essential to maintaining the integrity, accessibility, and confidentiality of patient health records across healthcare organizations. These teams ensure that medical documentation is complete, accurate, and compliant with regulatory standards, supporting both clinical operations and patient care

The HIM team is responsible for managing health records, conducting chart analysis, tracking documentation deficiencies, and coordinating with stakeholders to resolve discrepancies. The ROI team handles the secure and compliant processing of medical record requests from providers, legal entities, and payers, in accordance with HIPAA and other applicable regulations for continuity of care.

Primary Responsibilities:

  • Lead and manage a team of up to 15 to 20 FTEs
  • Monitor KPIs, productivity, and compliance metrics
  • Handle escalations, client communications, and process improvements
  • Conduct performance reviews and support professional growth
  • Monthly PKTs and knowledge gap refreshers
  • Conduct audits and ensure documentation accuracy and compliance
  • Coach, provide feedback, and guide team members on processes and issue resolution activities
  • Drive continuous improvement in content quality and instructional effectiveness
  • Support team members to achieve department targets and provider satisfaction
  • Collaborate with internal teams and clients to resolve complex issues
  • Identify and/or Implement training solutions to address business needs/performance gaps, where appropriate
  • 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 regard 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 or equivalent
  • 6+ years of experience in team handling (15-20 people) as an AM role
  • 7+ years in US healthcare
  • Solid understanding of RCM, HIPAA, UB04 & HICFA 1500 and Medical Terminologies
  • Exposure to all facets of operations and people management
  • Proficient in MS Office (Excel, Outlook, PowerPoint)
  • Proven excellent analytical, written, and verbal communication skills
  • Open to work from office as per business requirements

Soft Skills:

  • Ability to multi-task
  • Excellent Communication and Time Management
  • Problem solving, Critical Thinking, Organizational and Analytical skills
  • Active listening skills
  • Team building

#NJP

About Company

Optum, Inc. is an American pharmacy benefit manager and health care provider. It is a subsidiary of UnitedHealth Group since 2011. UHG formed Optum by merging its existing pharmacy and care delivery services into the single Optum brand, comprising three main businesses: OptumHealth, OptumInsight and OptumRx.In 2017, Optum accounted for 44 percent of UnitedHealth Group's profits and as of 2019, Optum's revenues have surpassed $100 billion.Also in early 2019, Optum gained significant media attention regarding a trade secrets lawsuit that the company filed against former executive David William Smith, after Smith left Optum to join Haven, the joint healthcare venture of Amazon, JPMorgan Chase, and Berkshire Hathaway.

Job ID: 143418711