1+ months

Payer Digital Engagement Manager - Telecommute - 889006

United Health Group
St Paul, MN 55102 Work Remotely
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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's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Calling for healthcare professionals with passion to transform the US healthcare operating model. Do you enjoy analyzing complex problems and creating solutions using data and logic? Enjoy understanding the varied stakeholder interests, and finding a win-win solution? Experience in market research, data science, solution architecture, and/or application development?

Payer Digital practice's mission is to partner with Health Plan leaders to accelerate their vision of core operating model transformation. We work with client organizations to design data-driven, digital enablement blueprints for transforming core administrative operations and design solutions that meet our their financial, operational, and performance improvement goals. Leveraging in-house products in conjunction with relevant solutions in the market, in collaboration with clients and strategic industry alliances, we help design and deliver scaled industry solutions.

As a Payer Digital Engagement Manager, you will help clients set up, manage, and operate their most complex programs, assess and implement core administration solutions, and design and derive transformative approaches for health plan systems and processes.

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

Primary Responsibilities:

  • As a trusted advisor, provide expertise in health plan core functions and administrative platforms to internal teams and clients
  • Participate in engagement objectives and scope setting meetings; ask deliberate questions and define what success looks like with a set of metrics with clients
  • Partner with business areas to identify impacts, define requirements, design new processes, and implement changes needed for future activities
  • Define the required team composition, and secure internal resources to deliver engagements
  • Assume accountability for on-time delivery of contracted activities and deliverables
  • Manage delivery, work plans, and activities for a complex engagement across multiple work streams
  • Lead teams to assess, design, and implement solutions to achieve client's strategic objectives and business issues
  • Identify opportunities for client account growth and perform a leadership role in conjunction with the sales leaders to close add-on business
  • Define, develop and document business requirements to ensure clients' needs are captured and delivered
  • Develop financial models and tools, including cost-benefit analysis, resource utilization models and performance reports
  • Produce job aids, training material and instruction manuals for end-users

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:
  • Bachelor's degree from an accredited college or university (economics, finance, and science degrees preferred)
  • Minimum of 5+ years of professional experience within the health care industry specifically focused on health insurance core administration functions and platforms
  • Understanding of the health care industry, including market landscape, regulatory environment, and emerging trends (strong preference given to Payer experience)
  • Demonstrated understanding of the health insurance business (Commercial, Health Care Exchanges, Medicare, Medicaid, Federal Employee Program)
  • Expertise in three or more of the following functional areas: membership and enrollment, billing, products and benefits, provider services, provider networks, provider reimbursement methodologies, authorizations, utilization management, care management, customer service, claims and claim payments
  • Experience in one or more of the following types of projects within health plans: operational readiness assessment, operational/IT solution design, system evaluation and selection, application rationalization, core administration platform implementation, membership migration
  • Strong written and oral communication skills
  • Ability to work in the fast-paced environment; proven critical thinking, analytical, and problem-solving skills on business and technical constructs
  • Proficient in Microsoft Office (PowerPoint, Excel, Word)
  • Ability to travel up to 80% (when pandemic allows)
Preferred Qualifications:
  • Experience with delivering large business transformation and technology programs with experience in setting up high performing teams, and selling client projects
  • SDLC management experience in waterfall, agile, and/or scaled agile
  • Experience in a large matrix environment
  • Advanced degree in business, technology, or health care related field from a top tier program
  • Management consulting experience in a health care related field
  • Experience working on provider data migration initiatives
  • Experience configuring benefits, providers, contracts, and/or other health plan functions
  • Demonstrated ability to manage a high performing team
  • Record of consistent career progression with increasing levels of responsibility
  • Proactive and open to learning new technologies

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)

*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.

Job Keywords: Payer Digital, Engagement, Healthcare, UnitedHealth Group, Telecommute, Remote

Posted: 2020-09-08 Expires: 2020-12-27

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Payer Digital Engagement Manager - Telecommute - 889006

United Health Group
St Paul, MN 55102

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