Job Abstract

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position will be an integral member of the Institutional Clinical Value team, responsible for providing operations support for DRG, ED Safe Discharge and Institutional MedEx program deployments, optimization and sustainability.

This role will require direct collaboration with program leadership and market team members for optimal delivery of utilization and unit cost programs, as assigned. This role is critical to deployment operations, supporting performance monitoring, analysis and market operators satisfaction. With responsibility in partnership with team Senior Leadership team for deployment and sustainability functions related to the operational management and impact, this position is accountable for the timely, effective and comprehensive support of program needs.

Scope - Product, service or process decisions to impact entire functions of markets/facilities/sites.

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

Primary Responsibilities:

• Support clinical and operational programming alongside program Directors for defined set of facilities or markets based on member volume or scope of opportunity.
• Works with Directors to inform and develop functional, market level and/or site strategy and new program opportunities by providing supportive diligence (e.g., background research, obtaining data, etc.)
• Acts as functional subject matter expert for Institutional Clinical Value programs (e.g., DRG Optimization or ED Safe Discharge)
• Owns end to end process for assigned MedEx program including tracking, dashboard analysis and performance improvement support to assigned market stakeholders
• Perform pre-engagement preparations for assigned markets such as identifying and connecting with stakeholders, understanding their population, key players, and prepares materials with those specific nuances in-mind
• Supports design and implementation efforts by analyzing business processes, systems and operations in existing market capabilities/systems and informing workflows, arranging/supporting trainings, content production, creating and monitoring trackers
• Participates in development of business strategy for supported programs
• Has a detailed understanding of the status of each program rollout by assigned region/market, and continually leverages internal program plans to ensure plans are on-track.
• Identifies and anticipates risks related to each program implementation and clearly communicates/engages Directors to address concerns and mitigate
• Collect and evaluate data/information to identify Clinical Best Practices and improvements
• Works collaboratively with the CDI/ED CM teams to ensure optimal workflows are in place to ensure effective and efficient outcomes
• Maintain and monitor implemented programs and processes
• Works collaboratively across pillars to inform performance management, reporting and outcomes for national reporting
• Demonstrate proficiency in elements of healthcare operations and strategy, with a strong preference for expertise in mechanisms to reduce total cost of care
• Quantitatively assess gaps in program delivery and build or customize solutions that address those gaps Prevalence and benchmark analysis, performance monitoring, ad hoc analysis to measure ROI and opportunity
• Demonstrate high levels of EQ while engaging stakeholders and colleagues
• Interact with senior management by providing thoughtful analysis on key decision points to drive initiatives forward

Youll 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 relevant experience (e.g. consulting, strategy, healthcare operations, medical group, health plans, program evaluation, data analytics, data science)
• Supervisory, coaching and mentoring experience
• Demonstrated proficiency in consultative skills when addressing complex inquiries from clients, vendors and customers
• Proven aptitude for and facility with change management and care transformation processes
• Willing and able to travel up to 50%

Preferred Qualifications:

• Proven ability to recognize interdependencies of process and how changes impact overall integration efforts
• Demonstrated ability to create, refine and manage new business processes; demonstrated business expertise
• Proven ability to give and receive thoughtful feedback
• Proven ability to delegate appropriately
• Demonstrated ability to work effectively at both detail and big-picture levels and to drive projects forward
• Proven ability and willingness to maintain open and clear communication with teammates, clients, and vendors
• Proven ability to thrive in an environment of ambiguity and autonomy; flexibility and ability to manage multiple projects, deadlines and multiple priorities in a fast-paced, changing and evolving work environment
• Proven highly developed persuasion and influence skills; able to influence without authority
• Proven excellent presentation and communication skills (written and verbal)
• Proven solid interpersonal and client service skills
• Proven analytical thinker with ability to perform root cause analysis, prepare and implement action plans, and lead initiatives
• Proven leadership skills and the ability to collaborate across functions and with all levels of the organization and with outside physicians and potential business partners

Essential Behaviors, Skills, and Attitudes:

• Demonstrated proficiency in consultative skills when addressing complex inquiries from clients, vendors and customers
• Solid interpersonal and client service skills
• Analytical thinker with ability to perform root cause analysis, prepare and implement action plans, and lead initiatives
• Proven leadership skills and the ability to collaborate across functions and with all levels of the organization and with outside physicians and potential business partners
• Ability to recognize interdependencies of process and how changes impact overall integration efforts
• Highly developed persuasion and influence skills; able to influence without authority
• Willingness, desire, and ability to supervise with aptitude for coaching, mentoring, training, and developing teammate performance and skills to foster a positive work environment
• Demonstrated ability to create, refine and manage new business processes; demonstrated business expertise
• Ability to give and receive thoughtful feedback
• Ability to delegate appropriately
• Demonstrated ability to work effectively at both detail and big-picture levels and to drive projects forward
• Excellent presentation and communication skills (written and verbal)
• Ability and willingness to maintain open and clear communication with teammates, clients, and vendors
• Ability to thrive in an environment of ambiguity and autonomy; flexibility and ability to manage multiple projects, deadlines and multiple priorities in a fast-paced, changing and evolving work environment

*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $104,700 to $190,400 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, youll find a far-reaching choice of benefits and incentives.

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 everyoneof every race, gender, sexuality, age, location and incomedeserves 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.