Value Based Reimbursement Implementation Manager, Medicare & Retirement - Telecommute
Company: UnitedHealth Group
Location: Minnetonka
Posted on: June 22, 2022
Job Description:
UnitedHealthcare is a company that's on the rise. We're
expanding in multiple directions, across borders and, most of all,
in the way we think. Here, innovation isn't about another gadget,
it's about transforming the health care industry. Ready to make a
difference? Make yourself at home with us and start doing -your
life's best work.(sm)Join us to conduct, manage and drive projects
and resources that result in successful implementation of a variety
of Government Operations global risk capitation, PCP capitation or
other value based arrangements, including claims and clinical
delegation between UHC and OptumCare or other external entities. -
Develop your business knowledge of Medicare and Medicaid products,
contracting practices, and Federal or State regulations while
coordinating activities across more than 20 departments involved in
a common purpose to serve our Medicare as well as Community and
State beneficiaries.The selected candidate will become a subject
matter expert in the area of operational tasks, sequencing and
delivery of capitation, delegation and other risk based
contracting. -He or she will be viewed as a trusted partner for
Government Operations teams, delivering with clarity, speed,
quality and transparency. -You'll enjoy the flexibility to
telecommute* from anywhere within the U.S. as you take on some
tough challenges. -Primary Responsibilities:
- Lead activities for assigned Delegation or Capitation
initiatives for COSMOS, NICE or CSP Facets
- Ensure alignment and understanding of program/project scope and
objectives with the organization's strategic objectives, in
consultation with applicable stakeholders
- Guide teams across multiple disciplines as they complete
implementation tasks including provider setup, benefits, ID cards,
claims, portals, member services, provider services, enrollment,
encounters, mis-directed claims process or other. -Coordinate with
SMEs to address task sequencing and to help obtain information
necessary to each team. -
- Develop project plans that define key tasks and milestones,
taking feedback from SMEs and stakeholders. -Content includes
suggested target dates and responsible team(s)/SME(s). - Modify
plans and customize as needed over time. -
- Facilitate and manage mid to large size workgroups, enabling a
culture of collaboration, trust and disciplined accomplishment of
tasks and target dates. -
- Probe at and document issues and set up calls outside the
formal workgroup where needed to resolve open items; escalate
critical issues quickly when needed -
- Assume ownership, over time, of one or more core team tools,
applying project lifeycle experiences to improve our delivery and
management of projects
- Completes weekly status, monthly stakeholder and other
applicable reports or dashboards - -
- Establish, develop and maintain effective relationships with
applicable project stakeholders including but not limited to
project team members, delegated entity teams, internal customers,
functional SMEs, business partners, leadership.
- Demonstrates ongoing ability to grow one's knowledge of end to
end global risk, capitation and delegation -from a process and
systems function level, including knowledge -of -the business
segment and related business teams involved in the -scope of
work
- May be required to document and groom capabilities for IT
projects, with ability to elicit, understand -and articulate
customer needs. -This may include oversight of the accuracy of
features and/or user stories in Agile Rally -
- Acts as a resource for others; readily shares knowledge
- Complete recommended and optional online coursework and
orientation sessions to learn and deepen knowledge on capitation,
delegation, risk based contracting, Government Operations and our
platforms -
- Ensures operations is protected e.g. drives solutions that do
not require significant adds to staffing, influences direction away
from approaches and strategies that Operations cannot
administer
- Drive process improvement activity where assigned, including
definition of problem statements, metrics or data gathering if
appropriate, facilitate work group dialogue, identify participants,
support ideation and solutions or tools needed.
- Assume ownership, over time, of one or more core team tools,
applying project lifecycle experiences to improve our delivery and
management of projects
- Coordinate transition of clinical care from UHC to a
capitated/delegated entitySkills and Competencies for Success:
- Self directed, able to find answers/clarifications if not known
-
- Ability to effectively interact with multiple teams in a fast
paced environment -
- Ability to prioritize in an environment of rapid change
- Takes accountability for decisions
- Willingness to handle a variety of different types of project
assignments when necessary vs. a fixed role/function
- Excellent communication, time/project management, problem
solving, organizational, and analytical skills required -
- Ability to build relationships
- Ability to break through barriers that impede progress
- Strong business partner focus -
- Self-starter; team player; quality minded; focused; committed;
work independently
- Ability to stay committed to long-term project goals
- Ability to manage through diverse opinions and personalities
-
- Capable of researching details if provided the tools and if
provided the overviews of how to use themYou'll be rewarded and
recognized for your performance in an environment that will
challenge you and give you clear direction on what it takes to
succeed in your role as well as provide development for other roles
you may be interested in.Required Qualifications:
- 3+ years of project management experience including prior
experience in successfully managing one or more major projects
which integrated multiple business areas or systems
- 2+ years facilitating end to end mid to large size workgroups
-
- 2+ years experience developing tools, task plans, milestone
charts, status reports
- Intermediate or greater level of proficiency with Excel,
PowerPoint, Word -
- Demonstrated experience with process improvement, workflow,
benchmarking and / or evaluation of business processesPreferred
Qualifications:
- Bachelor's degree in Business, Finance, Health Administration
or related field
- Advanced degree
- 3+ years COSMOS, NICE, CSP Facets experience or other Medical
Claims System experience
- Experience with Agile methodology -
- Experience with clinical programs/services within a managed
care organizationTo protect the health and safety of our workforce,
patients and communities we serve, UnitedHealth Group and its
affiliate companies require all employees to disclose COVID-19
vaccination status prior to beginning employment. In addition, some
roles and locations require full COVID-19 vaccination, including
boosters, as an essential job function. UnitedHealth Group adheres
to all federal, state and local COVID-19 vaccination regulations as
well as all client COVID-19 vaccination requirements and will
obtain the necessary information from candidates prior to
employment to ensure compliance. Candidates must be able to perform
all essential job functions with or without reasonable
accommodation. Failure to meet the vaccination requirement may
result in rescission of an employment offer or termination of
employmentCareers with UnitedHealthcare. -Let's talk about
opportunity. Start with a Fortune 5 organization that's serving
more than 85 million people already and building the industry's
singular reputation for bold ideas and impeccable execution. Now,
add your energy, your passion for excellence, your near-obsession
with driving change for the better. Get the picture?
UnitedHealthcare is serving employers and individuals, states and
communities, military families and veterans where ever they're
found across the globe. We bring them the resources of an industry
leader and a commitment to improve their lives that's second to
none. This is no small opportunity. It's where you can do -your
life's best work.(sm)Colorado, Connecticut or Nevada Residents
Only: -The salary range for Colorado residents is $82,100 to
$146,900. The salary range for Connecticut / Nevada residents is
$90,500 to $161,600. Pay is based on several factors including but
not limited to education, work experience, certifications, etc. In
addition to your salary, UnitedHealth Group offers benefits such
as, a comprehensive benefits package, incentive and recognition
programs, equity stock purchase and 401k contribution (all benefits
are subject to eligibility requirements). No matter where or when
you begin a career with UnitedHealth Group, you'll find a
far-reaching choice of benefits and incentives.*All Telecommuters
will be required to adhere to UnitedHealth Group's Telecommuter
Policy.Diversity creates a healthier atmosphere: UnitedHealth Group
is an Equal Employment Opportunity/Affirmative Action 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. -UnitedHealth Group
is a drug-free workplace. Candidates are required to pass a drug
test before beginning employment.
Keywords: UnitedHealth Group, Minnetonka , Value Based Reimbursement Implementation Manager, Medicare & Retirement - Telecommute, Executive , Minnetonka, Minnesota
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