Value Based Care Implementation Manager – Remote

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.  

Join us to conduct, manage and drive projects and resources that result in successful implementation of a variety of 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, Medicaid, and commercial products, contracting practices, and Federal or State regulations while coordinating activities across more than 40 departments involved in a common purpose to serve our 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 Operations teams, delivering with clarity, speed, quality, and transparency.

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

Primary Responsibilities:

• Lead activities for assigned Delegation or Capitation initiatives for Medicare Advantage, Commercial, Special Needs Plans and/or Medicaid
• 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, capitation, clinical, utilization management, mis-directed claims process or other.  Coordinate with SMEs to address task sequencing and to help obtain information necessary to each team
• Influence 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 lifecycle 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 provide business expertise relative to IT projects, with ability to elicit, understand  and articulate customer needs
• 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
• Apply project lifecycle experiences to improve our delivery and management of projects

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:

• 2+ years of project management experience including experience in successfully managing one or more major projects which integrated multiple business areas or systems
• 2+ years of facilitating end to end mid to large size workgroups
• 2+ years of experience developing tools, task plans, milestone charts
• Demonstrated experience with technology flows and system logic
• Demonstrated experience with process improvement, workflow, benchmarking and/or evaluation of business processes
• Intermediate or greater level of proficiency with Excel, PowerPoint, Word

Preferred Qualifications:

• PMP or Lean Six Sigma certification
• 2+ years of experience with any of the following platforms: COSMOS, CSP Facets, USP Cirrus, NDB, GPS with a focus on risk and delegation business
• 2+ years building visually appealing PPT decks to creatively communicate complex subject matter with extreme attention to detail
• Experience supporting delegated arrangements in CSP Facets, including provider, capitation, and benefit configuration in support of contracts with Managed Care Risk Entities (Delegates)
• Excel Data Analysis: Ability to build pivot tables and leverage formulas including but not limited to V Lookup and X Lookup

Soft Skills and Competencies:

• Self-directed, able to find answers/clarifications if not known
• Adaptable, able to maintain focus despite regular changes in requirements
• Rapid learning, ability to learn and pick up new concepts quickly
• Communication, 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
• Ability to build relationships
• Ability to break through barriers that impede progress
• Solid business partner focus
• Self-starter; team player; quality minded; focused; committed; work independently
• Able to stay committed to long-term project goals
• Able to manage through diverse opinions and personalities
• Capable of researching details if provided the tools and if provided the overviews of how to use them

*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 $89,900 to $160,600 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.