Community and State Manager of Operations - Georgia - Remote

Lensa; Augusta (GA); Remote; USD 106,000 - 195,000; Full time

Job summary

A leading career site is seeking a Community and State Manager of Operations to oversee business processes and quality improvement in the healthcare sector. This remote role requires strong leadership and compliance knowledge, particularly in Georgia Medicaid and NCQA standards. The position offers a competitive salary and benefits, emphasizing growth and development opportunities.

Benefits

Comprehensive benefits package

Incentive programs

Stock purchase options

401k contributions

Qualifications

• 5+ years of experience in writing business/system requirements.
• 4+ years of experience with MS Project and other tools.
• Experience with Georgia Medicaid and NCQA accreditation compliance.

Responsibilities

• Create, control, and improve end-to-end business processes.
• Lead process design and project implementation teams.
• Develop quality reports and analyses for continuous improvement.

Skills

Business/System Requirements Writing

Business/Finance Analysis

Team Leadership

Process Documentation

Healthcare Industry Knowledge

Tools

MS Project

Access

Word

Excel

PowerPoint

SharePoint

Visio

Job description

Community and State Manager of Operations - Georgia - Remote

1 day ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Operations Managers are responsible for end-to-end business process activities—creating, controlling, and improving business processes. They lead process design and project implementation teams in process improvement activities, diagnose process improvement opportunities, and develop solutions using principles of process excellence and related tools. This position also oversees quality reporting, analysis, audits, and develops plans and programs to support continuous quality improvement, including the creation, implementation, and evaluation of Quality Improvement programs. They may also direct design, facilitation, training, and evaluation of incentive programs and oversee quality improvement projects and teams.

This role involves ongoing leadership in health plan vendor oversight and transportation coordination. If you reside in Georgia, you will have the flexibility to work remotely while tackling challenging projects.

Primary Responsibilities

• Create, control, and improve end-to-end business processes
• Lead process design and project implementation teams in process improvement activities
• Develop quality reports, analyses, and audits to support continuous quality improvement using applicable tools
• Assist in the creation, implementation, and evaluation of Quality Improvement Programs and Work Plans
• Ensure NCQA accreditation compliance with staff and subcontractors
• Track compliance of subcontractors and delegated entities in coordination with the Compliance team
• Oversee that QM committee requirements meet NCQA standards
• Review work of team members
• Develop innovative approaches and serve as an expert resource
• Lead and mentor team members

In this dynamic environment, you will need to adapt quickly, gain stakeholder buy-in, and present solutions to senior leadership. Your performance will be recognized and rewarded, with opportunities for growth and development.

Required Qualifications

• 5+ years of experience in writing business/system requirements and business/finance analysis
• 4+ years of experience with MS Project, Access, Word, Excel, PowerPoint, SharePoint, and Visio
• 3+ years of documenting processes and practices using accepted project methodology artifacts
• Experience leading teams or projects
• Experience with Georgia Medicaid and NCQA accreditation compliance
• Healthcare industry experience
• Remote work adherence to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $106,800 to $194,200 annually, based on full-time employment and various factors such as experience, education, and certifications. Benefits include a comprehensive package, incentive programs, stock purchase options, and 401k contributions.

Our mission is to help people live healthier lives and improve the health system for all. We are committed to equity, environmental sustainability, and addressing health disparities, especially for marginalized groups.

UnitedHealth Group is an Equal Employment Opportunity employer and a drug-free workplace, requiring a pre-employment drug test.

Additional Information

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Management and Manufacturing
• Industries: IT Services and IT Consulting