Optum is a global organization dedicated to improving health outcomes through technology and care. The Sr Communication Materials Product Specialist will manage clinical letter templates, ensure compliance with regulations, and provide subject matter expertise while collaborating with various teams to enhance the letter generation process.
Responsibilities:
- Managing and maintaining a suite of Clinical Letter Templates that could include all LOB (E&I, M&R, C&S, OptumCare, External Health Plans, Dental, Behavioral Health (BH), Physical Health)
- Partners with Regulatory, Compliance and Legal Teams to ensure templates are updated and maintained based on legal, compliance, and Healthcare Reform mandates
- Work directly with the LMA (Letter Maintenance Administrator) who build the letter template and associated logic on the strategic Enterprise Letter Generation Platform if applicable
- Provide Subject Matter Expertise on Letter Template Requirements that may vary based on Department of Insurance, ERISA and Non-ERISA Self Insured (Administrative Services Only)
- Working with individuals responsible for generating and sending Clinical Letters to inform and train on new or updated Clinical Letters
- Performing user acceptance testing (UAT) or approving results of user acceptance testing
- Performing post implementation/production validation of the template after changes are moved to production
- Maintaining templates on the appropriate letter repository
- Acting as a Letter SME to support projects and drive letters through implementation process
- Facilitating initial analysis needed on current state letters for migrating or new business in order to map to standard letters
- Conducting analysis of current suite of letters and streamlines templates when able to
- Participating in deep-dive sessions to answer any clinical letter questions for implementations
- Providing appropriate training to business areas and partners to ensure understanding of letter generation process
- Monitoring letter generation process and assess for process improvements
- Acting as a Letter SME during audits
- Working with EMT team to gather requirements, approve EMT requests, and implement changes if applicable
- Working with business partners (Product Managers, Vendors, NLT, etc.) to ensure that best practices are followed or adopted
- Ensure templates have correct formatting and grammar and are reviewed for Health Literacy
- Communicating letter issues (delays in mailing, system issues) to Senior Leadership, Business partners and Regulatory/Legal/Compliance as necessary