Director of Health Plan Operations – Remote- New Jersey

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

 The Senior Director of Strategy and Business Development will play a key role in driving UnitedHealthcare’s long-term growth and strategic objectives. Individuals in this position serve as a driving force in helping the organization identify and evaluate strategic priorities, drive distinctive growth, and meet the many challenges and opportunities of the changing health care landscape.

 You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

 Primary Responsibilities:

• Responsible for all NJ Family Care contract requirements and metrics as stated in the NJ Medicaid state contract
• Including but not limited to, claims, reimbursement policy, encounters, reporting, etc.
• Lead efforts in preparation for and execution of annual state program audits
• Accountable for ad hoc reporting requests and/or inquiries from DMAHS, OIG, IPRO, etc.
• Lead Operations team comprised of individuals highly focused on maintaining operational excellence and ensuring all state contract requirements and metrics are met
• Leading implementation of new state required programs
• Continuously monitor and evaluate UnitedHealthcare Community Plan of NJ goals and identify opportunities for improvement
• Manage strategic projects and initiatives that require problem solving, relationship building, influencing and analyzing
• Lead in creation of frameworks and analyses to support strategic decisions that drive the business forward
• Think strategically and creatively, translating a vision to processes
• Navigate a highly matrixed organization
• Communicate effectively and accurately in writing and verbally with diverse internal and external stakeholders including but not limited to state regulators and providers

 

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 Medicaid Program experience
• 5+ years of working in Operations Position(s) – progressive operational oversight and/or program management experience
• 5+ years of managed care sector experience
• Supervisory experience and demonstrated examples of how the individual has applied strong leadership, interpersonal, organizational, and communication skills in implementing programs and projects
• Demonstrated leadership skills with the ability to prioritize, coordinate and delegate effectively
• Excellent verbal and written communication skills with exceptional attention to details; ability to communicate and coordinate effectively to internal and external customers on all levels
• Advanced level of proficiency with MS PowerPoint and Excel
• Ability to understand business models and their main levers, articulate business strategies and formulate concise solutions to complex problems
• History of effectively driving results in a dynamic, matrixed environment with high degree of organizational change and ambiguity
• Ability to champion continuous change and consult with versatility
• Ability to balance strategic thinking with the urgency to drive work forward
• Ability to adapt quickly to changes in work direction and able to pivot work accordingly
• Ability to develop creative solutions to complex problems
• Demonstrated ability to work collaboratively and influence others to drive timely decisions

 

Preferred Qualifications:

• Solid financial acumen

 

*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 re 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 $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.