1+ months

MRCP Capability Manager - Telecommute - 892510

Minnetonka, MN 55345 Work Remotely
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People say change is hard. We say so what? We're in the business of making health care more affordable, simpler and easier for people to access. And we need really smart business professionals who can help us. This role requires alignment to business and product strategy, effective design and development, and ongoing management of capabilities for claims. You will leverage market insights to monitor trends and external landscape, and to inform capability strategies and customer use case scenarios. You will be accountable for delivering sustainable, financially sound solutions that solve a specific problem and enable successful external product delivery and/or internal business function performance, while driving adoption with internal business clients and define future capability direction that supports business strategy and new opportunities.

Government Programs is undergoing a transformational five-year claims modernization effort, building a service oriented/component-based claims platform (aka MRCP). The selected candidate will be a key leader in helping to lead capability/set of initiatives according to the MRCP roadmap.

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

Primary Responsibilities:

  • Lead program/Claims initiatives under the MRCP program
  • Responsible for delivery of the capability/program
  • Ensure alignment and understanding of program/project scope and objectives with the organization's strategic objectives, in consultation with applicable stakeholders
  • Coordinate with SMEs to address task sequencing and to help obtain information necessary to each team
  • Facilitate and manage workgroups, enabling a culture of collaboration, trust and disciplined accomplishment of tasks and target dates
  • Establish, develop and maintain effective relationships with applicable project stakeholders including but not limited to project team members, delegated entity teams, internal customers, functional SMEs, business partners, leadership
  • Document and groom business requirements/solution capabilities for projects requiring technology changes, with ability to elicit, understand and articulate customer needs.
  • Primary to work with Architects on solution intent
  • Acts as a resource for others; readily shares knowledge
  • Ensures operations is protected e.g. drives solutions that do not require significant adds to staffing, influences direction away from approaches and strategies that Operations cannot administer

While you're busy helping us change the landscape of health care, you've got to be able to quickly adapt to change in a fluid environment. It's all about quality reporting, analysis and audits and developing plans and programs to support continuous quality improvement. You'll also be challenged to gain buy-in from multiple stakeholders before presenting solutions to senior leadership.

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:

  • 3+ years of project management, business analysis and or product management experience within medical claims or payment operations
  • Prior experience with COSMOS, NICE, CSP Facets or other medical claims system platforms
  • Demonstrated experience with process improvement, workflow, benchmarking and / or evaluation of business processes
  • Demonstrated experience in gathering and evaluating requirements and also writing and translating business requirements
  • Intermediate level of experience with Microsoft Office products, such as Excel or Visio
  • 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

Preferred Qualifications:

  • Bachelor's degree in Business, Finance, Health Administration or related field required, advanced degree
  • Prior experience with Agile methodology
  • Experience working directly with senior level business stakeholders
  • Strong working knowledge of how to execute on project deliverables in a fast-paced environment
  • Ability to develop strong networks and ensure collaboration and consensus building
  • Ability to communicate complex issues to diverse audiences

Careers with UnitedHealthcare.
Let's talk about opportunity. Start with a Fortune 7 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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: Capability Manager, COSMOS, NICE, CSP Facets, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Minnetonka, MN, Minnesota

Posted: 2020-12-01 Expires: 2021-01-29

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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MRCP Capability Manager - Telecommute - 892510

UnitedHealth Group
Minnetonka, MN 55345

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