HIDE SNP Program Medicaid Liaison, Remote in Southfield, MI

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.

 

A full-time leadership position dedicated to the Michigan HIDE-SNP program, the Medicaid Liaison is authorized and empowered to represent UnitedHealthcare regarding all matters pertaining to the contract before such representation. This person will act as liaison between UnitedHealthcare the state of Michigan, and CMS. 

 

The HIDE-SNP Program Medicaid Liaison is a leadership position that directs the strategic development, growth and operations of UnitedHealthcare in providing innovative care to members and stakeholders in the HIDE-SNP program. The overall goal of this position is to create a successful, collaborative team of people to meet the needs of members and the state of Michigan. The HIDE-SNP Program Medicaid Liaison is responsible for market development of HIDE-SNP health plan within the state of Michigan. They execute strategies through a cross-functional structure to meet or exceed annual goals and objectives primarily in the following areas: 

• Oversight of a dedicated staff of service coordinators, transition specialists, Vendor Management and shared product community specialist(s) (e.g., Community Health Workers, Transportation Coordinator, etc.) 
  
• Member growth, retention and satisfaction 
  
• Clinical quality outcome improvements 
  
• Affordability planning 
  
• Overall contractual compliance  

 

The HIDE-SNP Program Medicaid Liaison develops and maintains positive relationships with local statewide advocacy groups, state agencies and key provider organizations serving the HIDE-SNP populations.

 

If you are located in Southfield, Michigan, or within commutable driving distance, you will have the flexibility to work remotely* as you take on some tough challenges.

 

Primary Responsibilities:

• Develops, leads and executes market-specific health plan strategies and programs  
• Builds, maintains and manages relationships with internal and external stakeholders  
  
• Drives industry-leading customer service and satisfaction  
  
• Receives and responds to all inquiries and requests made by the state of Michigan related to the contract, in the time frames and formats specified
  
• Promptly resolves any issues identified either by UnitedHealthcare or the state of Michigan that may arise and are related to the contract 
  
• Through collaboration with external partners, identifies and provides recommendations for program development, including essential services and supports  
  
• Oversees the development of policies and procedures for operational processes and verifies optimization and compliance with established standards and regulations 
  
• Develops strategic goals and turns those goals into specific operating and business plans that are executed at the local health plan 
• Promotes a positive image of UnitedHealthcare with local providers, state regulators and members 

  
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 operations experience in a Medicare/Medicaid industry, at-risk managed care environment 
  
• Experience in strategic planning and development 
  
• Demonstrated successful leadership skills in program execution and people management  
  
• Proven leadership skills in both internal and external environments  
  
• Knowledge of the local provider population and facilities, and knowledge of community-based organizations (CBOs)
• Driver’s License and access to a reliable transportation to travel locally up to 25% of the time
  
• Reside in Michigan

 

Preferred Qualifications:

• Experience with MI Medicaid Long Term Supports Services
  
• Experience with MI Health Link (MMP)
  
• Tri county area, Wayne, Oakland and Macomb and surrounding counties
• Reside in Southfield. Michigan

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

 

The salary range for this role is $106,800 to $194,200 annually based on full-time employment. 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.