NHS Human Services, Inc.

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.

Positions in this family are involved in assessing training and organizational development needs, developing training programs, conducting training sessions & people management. Keeps abreast of various training delivery techniques, business processes, products, and systems. May also be involved in the design process. Training Supervisor typically reports to a Training Manager or a Senior Training Manager.

Primary Responsibilities:

• Lead a team of trainers / learning partners to execute Capability Development team’s initiatives and meet goals

• Conduct training for newly hired operational team members on core systems, processes, and applications

• Define goals / KPIs aligned with the business goals and strategy and execute learning initiatives to meet these goals

• Serve as a learning & development consultant to BU Heads, partner with Engagement managers to understand their learning and development requirements, plan and implement learning solutions that address their needs

• Implement training plans in the engagements, drive performance and career management initiatives through individual development plans of employees

• Analyze organizational learning needs through assessment of competency gaps, performance metrics, employee surveys and voice of the customer

• Assist in building a learning & development curriculum based on the needs identified, aligned to the competency framework within the organization

• Drive adoption of various learning solutions including classroom, e learning and new era innovative technology driven learning methodologies

• Measure effectiveness and outcome of training solutions, justify ROI on training spends

• Define learning & development metrics and create dashboards for Capability Development and present them in management reviews with actions for improvement

• Develop content and design soft skills training modules focused on defined competencies and the audience requirements

• Facilitate and deliver trainings on diverse leadership and professional skills for mid to senior managers in the organization

• Ensure learning & development processes are aligned to the standard operating procedures achieve full compliance in internal and external audits

• Manage new hire, refresher trainings and compliance based behavioral training to new and existing operations employees

• Coach, counsel, and monitor trainers based on their needs

• Robust communication & collaboration with the US counterparts and internal departments; Ops, HR, Quality

• Responsible for ensuring audit guidelines adherence & readiness

• Creates coaches/ mentors, and provide feedback to them on a regular basis

• 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:

• US Registered Nurse with active mainland license OR

• Philippine Registered Nurse with active license

• At least 2 - 3 years Training Supervisor experience in a Clinical BPO set-up

• Utilization Management experience

• Process Specific Skills:

• Experience in utilization management (pre-service, concurrent, and/or post service, appeals), has exposure to Medicare/MediCaid as well as commercial insurance, knowledgeable in guidelines (Interqual, MCG) and/or other insurance clinical guidelines/medical policies

• Process Knowledge - demonstrate knowledge of product, process, tools and SOP knowledge inclusive of knowledge of applicable operational platforms (e.g., workflows, procedures, systems)

• Experienced in US Healthcare Laws and Regulations

• Technical Skills:

• Proficient on general use of MS Applications - Word, Excel, Powerpoint, OneNote

• Proficient use of MS Teams, WEB-ex and other video conferencing tools to conduct virtual training

• Proficient on the use of training technology tools (Teams, KMs, Sharepoint)

• Proficient on SOP creation, understanding flowcharts and gantts

• Soft skills:

• Proven excellent communication skills, both written and verbal

• Stakeholder Management for internal and external stakeholders

• Time Management, task organization and prioritization

• Should be adaptable to change and work seamlessly in ever changing environment

• Working independently and in a team environment

Preferred Qualifications:

• Process Specific Skills:

• Experience of working with US based clients

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.

Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Optum is a drug-free workplace. © 2024 Optum Global Solutions (Philippines) Inc. All rights reserved.