26 days old

Clinical Program Manager - Telecommute - 918526

Columbus, OH 43215 Work Remotely
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  • Job Code
    918526

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)

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The Clinical Program Manager, Program Management & CDO Relations is responsible for managing, coordinating and completing projects and managing programs across various functional areas and business units related to drug therapies, including specialty and home infusion. You will utilize your understanding of distribution channels, pharmaceutical group purchasing organizations, wholesalers, provider/facility networks, unit costs and pricing, revenue cycle management, site of service, and medical benefits to be successful in this role. You will provide subject matter expertise in areas including project scope definition, risk identification, project methodology, resource allocation, facilitation, and other areas of expertise based on established project management techniques. You will make presentations to management on project updates, project cycle, and expected results. You will collaborate with stakeholders across UHC, Optum, Care Delivery Organizations etc. to ensure projects are aligned with core strategies and goals, implemented and launched on time and in scope. You will participate in annual business planning and end-to-end designs of pharmacy programs and strategies. You may manage vendor and service providers to define project scope and performance expectations.

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

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Primary Responsibilities:

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  • Lead large, complex projects to achieve key strategic and business goals
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  • Ensure alignment and understanding of program/project scope and objectives with the organization's strategic objectives and the Voice of the Customer(s)
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  • Partner with executive leaders in the development of organizational objectives and short- and long-term goals
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  • Partner with various business units, leadership, and CDOs to identify/define performance planning/measures, programs, initiatives, based on emerging industry trends and growth opportunities
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  • Oversee and instruct functionally diverse teams in order to achieve desired end-results on complex problems regarding projects
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  • Lead and guide functional and segment teams through project implementations with competing agendas and priorities
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  • Create compelling interactive dashboards for internal and external customers to identify, design, recommend and execute solutions to deliver actionable information
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  • Develop appealing data visualizations leveraging multiple internal and external data sources (quantitative and qualitative), and drawing insightful conclusions for decisions makers
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  • Solve unique and complex problems with broad impact on the business
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  • Provide subject matter expertise and operational support to internal business partners
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  • Coach, mentor and provide feedback to others
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  • Maintain project and process knowledge bank to support best practice identification and implementation
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  • Collaborate cross departmentally to manage risk forecasting/mitigation, project progress and issue resolution efforts
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  • Act as a liaison between internal and external teams to help steer work stream communications to ensure response integrity
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  • Influence senior leadership to adopt new ideas, products, and/or approaches that may have segment-wide impact
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  • Perform all other related duties as assigned
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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.

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Required Qualifications:

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  • Bachelors Degree in a related field
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  • 3+ years of professional project management experience, with responsibility for large-scale projects & process engineering
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  • 3+ years of managing projects involving technical platforms, systems, e.g. claims, EHRs, provider portals, population health, etc.
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  • 3+ years of working in a PBM or Managed Care plan, with an understanding of provider network contracts & relations, medical & pharmacy operations, clinical & quality programs performance
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  • 3+ years of experience in provider practices or health systems, including operations and revenue management cycle, with working knowledge of payer contracts, financial budgets, and operational workflows
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  • Advanced proficiency with Excel, PowerPoint, Visio, and Access
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • Advanced analytical and technical skills; including Tableau, SQL or SAS
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  • Strong critical thinking, prioritization, attention to detail, effective multi-tasking, verbal/written communication and organizational skills
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  • Excellent in solving problems and issues in a matrix environment and communicating effectively at all levels of an organization
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  • Ability to create an effective team environment, build strong relationships
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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)

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Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCares support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

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Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Clinical Program Manager, Project Management, Claims, EHR, Provider Portals, Population Health, Provider Network Contracts, Provider Relations, Medical Operations, Pharmacy Operations, Clinical Programs, Quality Programs, Provider Practices, Health Systems, Revenue Management Cycle, Pharmacy Benefit Management, PBM, Managed Care, Columbus, OH, Ohio, United States, Work At Home, Remote, Work From Home, Telecommute, Telecommuter, Telecommuting, Optum

Posted: 2021-03-26 Expires: 2021-04-25

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 Program Manager - Telecommute - 918526

UnitedHealth Group
Columbus, OH 43215

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