21 days old

Clinical Performance, Market Relations Regional Program Manager - Telecommute

Eden Prairie, MN 55344 Work Remotely
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If you want to achieve more in your mission of health care, you have to be really smart about the business of health care.  Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)


Clinical Performance (CP) is charged with effectively implementing, monitoring, and executing on clinical documentation, quality, and affordability programs that promote patient health while improving the provider practice experience with a special focus on Medicare Risk Adjustment and HEDIS.  Clinical Performance processes on a national level by providing support in all markets served by OptumCare Delivery.


This position will report into the Market Relations Regional Associate Director.  This position is responsible for end-to-end business process and clinical program activities, which includes creating, controlling and improving processes and program performance. This may oversee work activities of other supervisors and is often working to adapt plans and priorities to address CDOs opportunities and challenges.  Role provides primary support to CDOs on the lower end of Complexity / Demand / Size (new to risk, small membership, very self-sufficient and -low touch-, etc.) or acts as secondary for CDOs on the higher end.  


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


Primary Responsibilities:

  • Primary support for Regional Associate Directors to ensure management of critical programs with proven value to Care Delivery Organizations (-CDO-) across Risk Adjustment, Quality and Affordability
  • Clinical Performance liaison to local Care Delivery Organizations (CDO) with accountability on a portfolio of initiatives driving clinical and operational performance
  • Role provides primary support to CDOs on the lower end of Complexity/Demand/Size (new to risk, small membership, very self-sufficient and -low touch-, etc.) or acts as secondary for CDOs on the higher end.  
  • Effective management of project plan timelines, deliverables, communication and performance to CDO program targets and goals
  • Facilitation of meetings to drive execution of initiatives
  • Assisting in the development of program needs and goals as related to Optum's Quadruple Aim
  • May oversee work activities of other supervisors
  • Strong problem solver who can quickly reference continuous improvement tools
  • Ensure prompt escalation of challenges/issues that will impact the business and initiative delivery
  • Operational Project and Program management supporting and driving the implementation on both the individual Care Delivery Organization, Regional, and broader Care Delivery levels
  • Partner with internal Clinical Performance team to provide tools and materials for Care Delivery Organizations
  • Collaborate with peers to maintain Care Delivery knowledge across the team
Critical Success Factors:
  • Self-starter and be able to take direction and come up with approaches and solutions
  • Excellent multi-tasking skills
  • Working in a matrix environment to drive efficiencies through influence
  • Seeks ways to improve job and operational efficiency and makes suggestions as appropriate
  • Takes ownership of the process and provides constructive information to minimize problems and increase provider and market satisfaction
  • Partners with Care Delivery leadership teams and Optum management across markets to coordinate execution and implementation in all markets
  • Ensure activities are appropriately integrated into the strategic direction, as well as the mission and values of the company

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.

Posted: 2020-11-04 Expires: 2020-12-04

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Clinical Performance, Market Relations Regional Program Manager - Telecommute

UnitedHealth Group
Eden Prairie, MN 55344

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