Community and State Manager of Operations - Georgia - Remote

UnitedHealthcare; New York (NY); Remote; USD 106,000 - 195,000; Full time

Job summary

An established industry player is seeking an Operations Manager to enhance business processes and ensure quality improvement in healthcare services. This role involves leading teams, managing compliance, and driving process excellence to create a more efficient healthcare experience. You will have the opportunity to work in a dynamic environment, adapting to change while making a significant impact on healthcare delivery. Join a mission-driven organization committed to equity and improving health outcomes for all communities. If you are passionate about making a difference in healthcare, this is the role for you.

Benefits

Comprehensive Benefits Package

Incentive Programs

Equity Stock Purchase

401k Contributions

Qualifications

• 5+ years in writing business and system requirements.
• 4+ years with MS Project and other MS Office tools.
• Experience in NCQA accreditation compliance.

Responsibilities

• Create and improve end-to-end business processes.
• Lead process design and project implementation teams.
• Develop quality reporting and audits for continuous improvement.

Skills

Business Analysis

Process Improvement

Quality Reporting

Stakeholder Engagement

Team Leadership

Education

Bachelor's Degree

Tools

MS Project

MS Access

MS Excel

MS Word

MS PowerPoint

SharePoint

Visio

Job description

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

Operations Manager Role

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 role also involves quality reporting, analysis, audits, and developing plans for continuous quality improvement, including supporting Quality Improvement programs. Additionally, they may oversee the design, facilitation, training, and evaluation of incentive programs and oversee quality improvement projects and teams.

Key Responsibilities

1. Create, control, and improve end-to-end business processes.
2. Lead process design and project implementation teams in process improvement activities.
3. Develop quality reports, analyses, and audits to support continuous improvement.
4. Assist in the creation, implementation, and evaluation of Quality Improvement programs and work plans.
5. Maintain NCQA accreditation compliance with staff.
6. Track compliance of subcontractors and delegated entities in coordination with the Compliance team.
7. Ensure QM committee requirements meet NCQA standards.
8. Review work of others and develop innovative approaches.
9. Serve as an expert and mentor within the team.

Additional Notes

This role requires adaptability in a fluid environment, with a focus on quality reporting, analysis, audits, and stakeholder engagement. Success depends on gaining buy-in from multiple stakeholders and presenting solutions to senior leadership. The position offers recognition, development opportunities, and a supportive environment.

Required Qualifications

• 5+ years in writing business/system requirements and business/finance analysis.
• 4+ years with MS Project, Access, Word, Excel, PowerPoint, SharePoint, and Visio.
• 3+ years documenting processes and practices, often using project methodology artifacts.
• Experience as a team or project lead.
• Experience with Georgia Medicaid and NCQA accreditation.
• Experience in the healthcare industry.

*Remote work is permitted in Georgia, subject to UnitedHealth Group's Telecommuter Policy.

Compensation and Benefits

The salary range is $106,800 to $194,200 annually, based on full-time employment and factors such as location, education, experience, and certifications. Benefits include health coverage, incentive programs, equity stock purchase, and 401(k) contributions, among others.

Our Commitment

UnitedHealth Group aims to help people live healthier lives and improve the healthcare system for everyone. We are committed to equity, environmental sustainability, and addressing health disparities, especially among marginalized groups. We are an Equal Employment Opportunity employer and a drug-free workplace, requiring candidates to pass a drug test prior to employment.