Quality Assurance Reporting Manager

Less than 5 years experience  •  Insurance

Salary depends on experience
Posted on 10/24/17
Eden Prairie, MN
Less than 5 years experience
Salary depends on experience
Posted on 10/24/17

Position Description

Positions in this function are responsible for end to end Quality Assurance process activities within Optum360 Revenue Cycle Management Organization. Working on risk identification, diagnose process issues, identify process improvement solutions and process improvement implementation using principles of process excellence and related tools. This position is also responsible for leading a quality reporting team to perform analysis and deliver quality reporting to our clients. This role requires continuous engagement and collaboration with the Optum360 Operations Leadership on a regular basis.


Primary Responsibilities:

  • Leads a team of quality reporting analysts

  • Assesses and interprets customer needs and requirements across the end to end Optum360 revenue cycle

  • Supports the identification of solutions to non-standard requests and problems

  • Collect requirements and develops QA reporting

  • Supports the collection of leadership feedback and action planning

  • Solves moderately complex problems and/or conducts moderately complex analyses

  • Works with minimal guidance; seeks guidance on only the most complex tasks

  • Translates concepts into practice

  • Provides explanations and information to others on difficult issues

  • Coaches, provides feedback, and guides other Quality Analysts

  • Acts as a key resource for others in the organization with less experience

  • Demonstrate understanding of basic process management and total quality management principles and methodologies (e.g., Six Sigma, Lean)

  • Demonstrate understanding of relevant organizations’ operations, products and applications, strategies, processes, and/or business priorities in order to build effective solutions

  • Develop, demonstrate, and continuously improve understanding of upstream and downstream impacts to partners of business process operations and solutions

  • Engage in Quality auditing activities to validate process performance

  • Analyze business process information (e.g., metrics, analytics) to identify key issues, trends, and potential root causes (e.g., training issues, lack of understanding by user community) that point to improvement opportunities

  • Work with relevant stakeholders (e.g., end users, SMEs, sponsors) to establish appropriate criteria and goals (e.g., efficiency, effectiveness) in order to direct investigation into problems and potential solutions

  • Estimate and/or quantify potential benefits, costs, and resource requirements associated with recommended business process solutions

  • Summarize and communicate proposed solutions with the appropriate audiences in a manner tailored to their understanding, level, or experience

  • Communicate potential impacts and risks associated with implementing proposed solutions to key stakeholders

  • Collaborate with stakeholders (e.g., senior leadership, end users) to ensure consistent use and application of solutions across functions and teams

  • Support, develop and communicate reporting functionality to serve the needs of the operations to understand auditing results and progress of actions taken to resolve risks and gaps identified

  • Provides support and direction to other quality analysts to provide clear and consistent direction and feedback as required

Required Qualifications:

  • Undergraduatedegree in Computer Science, Mathematics, or other related degree

  • 2-3 years as a manager or supervisor with direct reports

  • 3+ years in a role supporting a quality function or related operational function

  • Project Management experience

  • Experience working in a healthcare related field or earned credential through formal education (i.e., degree or certificate in healthcare field)

  • Intermediate to Expert MS Office experience including Word, Excel, and PowerPoint

  • Intermediate to Expert SharePointexperience including utilization, site creation, workflow creation and site maintenance

  • Experience in effective communications (verbal and written) and presentation skills with the ability to communicate to a variety of levels within the organization including executive leadership

  • Strong analytical and negotiation skills with a proven track record for innovative successful outcomes

  • Proven record of positive, effective coaching and development ability as well as supporting effective team interactions

  • Travel 10%


Preferred Qualifications:

  • Prior experience in large, multi-function and cross geographic organization

  • Revenue Cycle Management experience

  • Specific experience working in an Operations Environment

  • Basic to Intermediate Statistical Analysis experience using SSA, Minitab, JMP, or a similar statistical software tool / application

  • Formal Quality Training experience (i.e., Six Sigma, Lean, TQM, etc.)

  • Intermediate Visio experience (or like process mapping software)


Not the right job?
Join Ladders to find it.
With a free Ladders account, you can find the best jobs for you and be found by over 20,0000 recruiters.