23 days old

Director, Market Solutions, Payer Risk - Telecommute - 883602

Eden Prairie, MN 55344 Work Remotely
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  • Job Code
    883602
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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)

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Within our Optum's Payer Market we"are seeking a strong expert in the space of Risk Adjustment & Quality to"help the business grow and achieve its long-term strategies. In this"role, the expectation is toprovide leadership, management and vision to"effectively grow the organization and to ensure financial strength, while"designing solutions to fit our customer's needs.This individual will have"either come from a Payer working in this space or Risk Adjustment & Quality"service provider and have intimate knowledge and expertise. The individual will"represent the business both externally and internally and architect solutions"to meet our client's needs. The candidate will have to have a strong"expertise in the Medicare Advantage, ACA, and Medicaid Markets, and an ability"to clearly define a market strategy through voice of customer for the purposes"of assisting our product teams, and strategically shaping solutions that meet"client objectives and can be delivered successfully for the achievement of"growth.

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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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  • Ability to operate inside a matrix"organization, sales, operations, product, pricing etc.

  • Architect solutions for customers

  • Market and competitive intelligence

  • Consult with customers to identify"their needs, bring those back to the organization and shape into solutions

  • Drive revenue goals

  • Lead contract negotiation

  • Revenue goal responsibilities"(budgets and actual)

  • Develop and lead functional"strategy, plans, and organizational priorities

  • Responsible for driving the"organization to achieve and surpass sales, profitability, business goals and"objectives

  • Development and execution of growth"strategy, while ensuring products are continuously innovating

  • Involved with the sales to achieve"quarterly and annual results

  • Lead the development, communication"and implementation of effective growth strategies and processes

  • Collaborate cross - functional area"to develop and implement plans to support the rapid growth objectives

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.

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Required Qualifications:

  • Undergraduate degree and/or equivalent experience

  • 5+ years of Risk Adjustment Expertise -both Retrospective and Prospective

  • 5+ years of Quality / HEDIS Expertise -both software and Medical Record Review

  • Payer expertise with a focus on Medicare, Medicaid and ACA populations

  • Strong P&L experience

  • Health plan experience

  • Ability to travel 30%

Preferred Qualifications:

  • MBA

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.


Keywords: director, payer risk, market solutions, telecommute, remote, work from home

Posted: 2020-11-04 Expires: 2020-12-26

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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Director, Market Solutions, Payer Risk - Telecommute - 883602

UnitedHealth Group
Eden Prairie, MN 55344

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