Optum · 20 hours ago
Operations Manager, Commercial Data Mining - Remote
United States
Full-time
Remote
Mid, Senior Level
$92K/yr - $164K/yr
4+ years expOptum is focused on improving the flow of health data and information to create a more connected system. As an Operations Manager on the Commercial Data Mining team, you will drive strategic ideation, establish operational standards, and optimize resource utilization to enhance operational efficiency and client relationships.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Ensure timely data acquisition and accuracy
Maintain ideation pipeline
Prioritize and manage audit production efficiency
Drive timely recoveries
Assist in strategic planning and budgeting
Effectively communicate with, manage, and develop staff
Provide reporting and attend meetings with internal and external stakeholders
Support internal quality assurance efforts
Qualification
Required
4+ years of healthcare experience
Understanding of healthcare claim adjudication and payer workflows
Solid understanding of EDI data (837/835)
Knowledge of healthcare coding guidelines and reimbursement policies
Knowledge of healthcare payment methodologies
Demonstrated proficiency in Microsoft Office software
Demonstrated solid verbal and written communication skills
Demonstrated solid client facing experience and the ability to deliver clear, professional client presentations
Demonstrated ability to work independently
Preferred
Experience with client engagement
Experience working within a large organization
Solid understanding of database logic and software
Demonstrated employee management and leadership skills
Demonstrated solid presentation skills
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
A comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase