Medicare & Retirement General Manager - Remote in AL
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Medicare & Retirement General Manager will partner with the local market Executive Director and Vice-President to coordinate initiatives, events and programs in support of achieving market specific goals around growth, retention, Stars, and affordability. This role also helps implement solutions and inform operating partners of local market needs specific to member and provider experience.
If you are located in Alabama, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
• Facilitate the development and execution of market specific business plans, with guidance from local market leaders
• Monitor operating effectiveness of local products and benefits by identifying trends, opportunities, and root causes
• Assist local leadership identify and resolve operational issues associated with incentive-based arrangements, including claims, member eligibility, provider and sales related issues
• Use local market knowledge and expertise to influence business decisions that will impact results, including benefit design, network, sales, quality performance, and marketing plans
• Manage the overall STARs quality performance, affordability, risk adjustment, CAHPS/HOS Surveys, and NPS initiatives of the health plan in partnership with the quality field teams, vendors, and national teams to ensure continuous improvement and overall performance to goal
• Develop and maintain solid working relationships with key health systems, provider groups, local constituencies, and organizations (members, providers, community agencies/partners) across the state to support our ability to achieve business objectives
• Work collaboratively with Market Aligned Operating Model on member escalations and quality improvement through call calibrations
• Support operational readiness by partnering with cross-functional teams to assist with product management functions, including member materials, provider directories, EOCs, ANOCs, ID Cards, etc.
• Facilitate ongoing education of providers, sales managers/agents, as well as shared services partners (e.g. UHN) and vendors related to product offerings, benefit changes and strategy
• Organize and execute member-focused clinical care events in community settings in collaboration with provider partners to enhance member experience and impact plan Star ratings
• Plan and support marketing and networking events that promote sales initiatives and represent the UHC brand presence within the community
• Review and assess weekly, monthly, and quarterly reporting to support business goals
• Manage relationships with external vendors to support local market membership and implement plan-specific strategic initiatives
• Act as the primary market liaison, coordinating Joint Operating Committees (JOCs) and market-level meetings with partners across Sales, Network, Quality, Clinical, and Member/Provider Advocacy teams
• Provide strategic support to the Executive Director and Vice President on ad hoc projects and special requests
You'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:
• 5+ years of managed care experience with a solid understanding of interdependencies of healthcare operations (claims, customer service, network, sales, systems, etc.)
• Proven solid understanding of CMS regulations and experience working with Medicare products
• Proven excellent organizational and communication skills
• Proven exceptional interpersonal skills with ability to effectively interact with senior leadership, matrix partners, members, medical groups, regulatory agencies, and community organizations
• Project management experience; time management; attention to details; ability to manage multiple tasks and projects simultaneously
• Proven solid analytical and problem-solving skills with effective follow through
• Proficiency with Microsoft Office, including Excel, PowerPoint, and Word
• Valid driver's license and ability to travel approximately 15% of the time
Preferred Qualifications:
• Proven experience in a similar role
• Experience working in provider network contracting or provider network operations
• Experience in process management and ability to perform root cause analysis
• Demonstrated competence in community and/or public relations
• Ability to be self-motivated and goal driven
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Apply Now
Apply Now
The Medicare & Retirement General Manager will partner with the local market Executive Director and Vice-President to coordinate initiatives, events and programs in support of achieving market specific goals around growth, retention, Stars, and affordability. This role also helps implement solutions and inform operating partners of local market needs specific to member and provider experience.
If you are located in Alabama, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
• Facilitate the development and execution of market specific business plans, with guidance from local market leaders
• Monitor operating effectiveness of local products and benefits by identifying trends, opportunities, and root causes
• Assist local leadership identify and resolve operational issues associated with incentive-based arrangements, including claims, member eligibility, provider and sales related issues
• Use local market knowledge and expertise to influence business decisions that will impact results, including benefit design, network, sales, quality performance, and marketing plans
• Manage the overall STARs quality performance, affordability, risk adjustment, CAHPS/HOS Surveys, and NPS initiatives of the health plan in partnership with the quality field teams, vendors, and national teams to ensure continuous improvement and overall performance to goal
• Develop and maintain solid working relationships with key health systems, provider groups, local constituencies, and organizations (members, providers, community agencies/partners) across the state to support our ability to achieve business objectives
• Work collaboratively with Market Aligned Operating Model on member escalations and quality improvement through call calibrations
• Support operational readiness by partnering with cross-functional teams to assist with product management functions, including member materials, provider directories, EOCs, ANOCs, ID Cards, etc.
• Facilitate ongoing education of providers, sales managers/agents, as well as shared services partners (e.g. UHN) and vendors related to product offerings, benefit changes and strategy
• Organize and execute member-focused clinical care events in community settings in collaboration with provider partners to enhance member experience and impact plan Star ratings
• Plan and support marketing and networking events that promote sales initiatives and represent the UHC brand presence within the community
• Review and assess weekly, monthly, and quarterly reporting to support business goals
• Manage relationships with external vendors to support local market membership and implement plan-specific strategic initiatives
• Act as the primary market liaison, coordinating Joint Operating Committees (JOCs) and market-level meetings with partners across Sales, Network, Quality, Clinical, and Member/Provider Advocacy teams
• Provide strategic support to the Executive Director and Vice President on ad hoc projects and special requests
You'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:
• 5+ years of managed care experience with a solid understanding of interdependencies of healthcare operations (claims, customer service, network, sales, systems, etc.)
• Proven solid understanding of CMS regulations and experience working with Medicare products
• Proven excellent organizational and communication skills
• Proven exceptional interpersonal skills with ability to effectively interact with senior leadership, matrix partners, members, medical groups, regulatory agencies, and community organizations
• Project management experience; time management; attention to details; ability to manage multiple tasks and projects simultaneously
• Proven solid analytical and problem-solving skills with effective follow through
• Proficiency with Microsoft Office, including Excel, PowerPoint, and Word
• Valid driver's license and ability to travel approximately 15% of the time
Preferred Qualifications:
• Proven experience in a similar role
• Experience working in provider network contracting or provider network operations
• Experience in process management and ability to perform root cause analysis
• Demonstrated competence in community and/or public relations
• Ability to be self-motivated and goal driven
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Apply Now
Apply Now