Manager of Affordability – Remote in CT

The Manager of Affordability, under the direction of the Director of Medical Management Performance and in partnership with Network Management and physician leadership, has responsibility for initiatives and performance. This includes all external relationships with acute and post-acute network facilities, vendors, and Optum partners related to strategic and performance improvement initiatives.

The Manager will implement the strategy and clinical relationships to ensure our patients receive care that is safe, high quality, patient-centered, and cost efficient acute and post-acute from our partners.

If you are located in the state of Connecticut, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Medical management ROI, operations, and execution of East Region strategy with network partners, vendors, and Optum partners
• Provides leadership to and is accountable for the performance and direction through multiple layers of management, direct care staff, external partner leadership, and vendors
• Oversight, development, and delivery of value-based programs that target and maximize affordability
• Develops strategies and tactics to effectively manage healthcare costs and improve clinical quality across multiple LOBs
• Cultivates internal and external relationships and creates accountability structures to ensure consistent high performance
• Drives the creation, availability and usage of analytics to determine appropriate initiatives and measure outcomes
• Evaluates and monitors performance of existing vendors and programs for improving utilization, medical costs, patient experience, and ultimately ROI
• Convenes and is a key member of work groups, committees, or other internal and external oversight and coordinating groups formed to formulate and execute on acute and post-acute strategies. Acts as liaison and resource for senior management and service line leaders to achieve performance excellence associated with acute and post-acute partnerships
• Leads the process and collaboration to evaluate and select medical management vendors and programs that meet the specific affordability strategy and opportunity for the region
• Outside of the organization, this position interfaces with the broader external stakeholder community and draws on experience with acute/post-acute/ambulatory clinical operations and alternative payment models
• Leverage expertise as the clinical partner to Network Management to identify trends and drive new initiatives with hospital, post-acute, and HHA partners
• Serve as the clinical leader of network facility workgroups, collaborating with network facility and Optum care management leaders
• Increases knowledge of care management leadership team on network facility trends and initiatives

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:

• Active and unrestricted RN license in the state of Connecticut
• 3+ years of experience in population health or value-based care, with a specific focus on affordability, medical management, and/or care management
• 2+ years in healthcare leadership including understanding of clinical operations and operational reporting
• Demonstrated success related to implementing strategic initiatives/programs and driving results within a large, complex organization
• Proven ability to provide leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff
• Resident of Connecticut

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Connecticut Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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.

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.