Job description
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
This subject matter expert role will provide insights into long term care services (LTSS) operational complexity to support of fully/partially integrated programs. This leadership role supports product fluidity to comply with CMS guidance directing payers to prepare to have fully integrated Medicare/Medicaid capabilities going forward.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Provide program operational and regulatory expertise for LTSS/HCBS integrated services including but not limited to assessment, service planning, care coordination, transition planning, consumer hearings, member and caregiver education and training, compliance with program requirements, rules, and regulation
- Partner with provider relations team to develop content to support provider management functions for Providers of HCBS services including but not limited Support content for program policies procedures and protocols that are aligned with federal and state requirements and community education program
- Contribute to strategies which foster best in class service to the Health Plan, State Department of Medicaid, CMS and Corporate
- Contribute to the operational strategic vision, objectives, policies, and procedures related to LTSS/HCBS
- Identify operational efficiencies; meet regulatory and corporate expectations and develop a “best practice” approach to the defined operational areas
- Identifies tactics to meet and exceed requirements including organizational, state, accreditation, compliance, and contractual agreements
- Assess program strengths and weaknesses to recommend and deliver enhanced operating model
- Participate in business development and membership growth including procurement and re-procurement activities
You're ready to take on an incredibly challenging marketplace of ideas, products, and services. But are you up for leading the transformation of an entire industry? Here, you'll work with the smartest people on solving the most important problems our nation is facing. The tasks are huge, the impact is far-reaching -it's the best chance to test your mettle on a global stage.
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:
- Undergraduate degree or equivalent experience
- 5+ years of experience with managed healthcare, preferably in Medicaid ABD, LTSS and/or Medicare
- Exceptional Verbal (e.g., Public Speaking) Writing /Composing: Correspondence /Reports Analytical, MS Word, MS Excel
Preferred Qualification:
- 3+ years management experience
Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $113,500 to $218,100. The salary range for Connecticut / Nevada residents is $113,500 to $218,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, colinoncars.com is the ideal place to find your next job.