1+ months

Market Operations Manager - Telecommute - 916704

Las Vegas, NV 89101 Work Remotely
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  • Job Code
    916704

The Market Operations Manager will act as an Operations subject matter expert in working with the growth team and local leadership. The Market Operations Manager will provide guidance regarding feasibility of implementing proposed risk contracts, educate potential and existing clients regarding capabilities, and ensure a close connection between local market needs and operational capabilities and capacity.

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The Market Operations Manager will be responsible for maintaining a high level of satisfaction from the local leadership teams regarding Operations performance, and overall responsiveness and attention from Operations.

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"Youll 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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  • Act as the primary senior contact for local issues related to our shared service operations (service, claims, eligibility, utilization management, prior authorization, payment integrity, provider data management, configuration, IT, project management, etc.)
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  • Work collaboratively with the heads of centralized operations regarding local market issues
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  • Accountable for ensuring the shared services operating metrics consistently meet and/or exceed all compliance requirements as well as key performance targets and associated service level agreements established with the local Market
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  • Work with staff and senior management to develop and implement improvements and oversight for all operational areas that impact performance
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  • Act as an advocate for local Market needs and influence change within Operations to meet customer needs
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  • Act as an advocate for Operations when influence is needed within the local Market teams
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  • Develop relationships with the local provider community
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  • Educate providers on billing issues, portal navigation, claims policies, and other information
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  • Work with Operations leadership to design innovative ways to enhance our service model and improve customer satisfaction
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  • Directs analytical activities to identify trends and potential opportunities within our Shared Service Operations functions that may impact the affordability of the local Market
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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:

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  • High School Diploma / GED (or higher)
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  • 5+ years of experience in managed care and operations management
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  • 5+ years of client relationship and/or conflict resolution experience
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  • 3+ years of implementation and/or project management experience
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  • Experience executing formal change management techniques
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  • Experience leading process improvement initiatives with or without direct authority
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  • Experience creating and monitoring performance scorecards and/or performance metrics
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  • Experience driving and executing customer focused strategies
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  • Demonstrated adaptability and flexibility to a rapidly moving business environment
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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 a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.
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Preferred Qualifications:

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  • Bachelors degree
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  • Medicare Advantage experience
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  • Commercial/Medicaid experience
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  • Operational healthcare experience
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  • Six Sigma certified
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Soft Skills:

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  • Ability to problem solve issues; including multiple priorities and research conflicting and / or inaccurate data
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  • Solid customer orientation, communication (written / verbal) and presentation skills
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  • Solid analytical mindset and problem-solving skills
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  • Excellent communication, time management, and organizational skills
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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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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, 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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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.

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

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Job Keywords: Telecommute, Telecommuter, Telecommuting, work from home, work at home, remote, Las Vegas, NV, Nevada, Market Operations Manager

Posted: 2021-03-13 Expires: 2021-05-13

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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Market Operations Manager - Telecommute - 916704

UnitedHealth Group
Las Vegas, NV 89101

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