Community and State Manager of Operations - Georgia - Remote

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

Job summary

A leading company in health care is seeking a Community and State Manager of Operations in Georgia. This remote role involves overseeing process improvements, quality reporting, and compliance with health care standards. Ideal candidates will have significant experience in management within the health care sector and be adept at leading teams to enhance operational efficiency.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 5+ years of experience in writing business/system requirements.
• Georgia Medicaid and NCQA accreditation compliance experience.

Responsibilities

• Create and improve end-to-end business processes.
• Lead process design and project implementation teams.
• Oversee quality improvement projects and teams.

Skills

Leadership

Process Improvement

Quality Reporting

Tools

MS Project

MS Excel

MS PowerPoint

SharePoint

Visio

Job description

Community and State Manager of Operations - Georgia - Remote

Community and State Manager of Operations - Georgia - Remote

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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. Leads 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 is also responsible for quality reporting, analysis and audits and for developing plans and programs to support continuous quality improvement using applicable tools. May assist in the creation, implementation, and evaluation of Quality Improvement programs. May direct design, facilitation, training and evaluation of incentive programs and may oversee quality improvement projects and teams.

On an ongoing basis, this role leads health plan vendor oversight actions and transportation coordination.

If you live in Georgia, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities

• Create, control and improve end-to-end business processes
• Lead process design and project implementation teams in process improvement activities
• Create quality reporting, analysis and audits for developing plans and programs to support continuous quality improvement using applicable tools
• Assist in the creation, implementation and evaluation of Quality Improvement Program and Quality Improvement Work Plan
• Work with staff to maintain NCQA accreditation compliance
• Maintain subcontractors and delegated entities compliance tracking in coordination withCompliance team
• Oversee QM committee requirements are met according to NCQA requirements
• Review the work of others
• Develop innovative approaches
• Be sought out as expert
• Serve as a leader / mentor
  
  

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

• 5+ years of experience in writing business and/or system requirements and business / finance analysis
• 4+ years of experience with MS Project, Access, Word, Excel, PowerPoint, SharePoint and Visio
• 3+ years of experience with documenting processes and practices, often in accepted project methodology artifacts
• Team lead or project lead experience
• Georgia Medicaid experience
• NCQA accreditation compliance experience
• Health care industry experience
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The salary range for this role is $106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

• Industries

  IT Services and IT Consulting

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