Director Business Process - Remote

Optum; San Antonio (TX); Remote; USD 124,000 - 240,000; Full time

Job summary

Join a forward-thinking organization dedicated to improving health outcomes on a global scale. This role offers the opportunity to manage provider incentive programs, develop innovative strategies, and create impactful reporting tools. With a strong emphasis on diversity and inclusion, you will work alongside talented peers in a flexible, remote environment. The company is committed to advancing health equity and addressing disparities, making this a meaningful opportunity for those passionate about healthcare. If you have extensive management experience and a desire to make a difference, this position is perfect for you.

Benefits

Comprehensive benefits package

Incentive programs

Equity stock purchase

401k contributions

Qualifications

• 15+ years of management-level experience in managed care or medical management.
• Proven ability to establish effective relationships with healthcare professionals.

Responsibilities

• Manage provider incentive programs and ensure quality standards.
• Develop incentive programs focused at the provider level.
• Create reporting tools and monitor financials for ROI.

Skills

Management-level experience in managed care

Knowledge of business environment and strategy changes

Understanding of federal and state laws

Fiscal management techniques

Excellent verbal and written communication skills

Education

Bachelor's degree in a related field

Master's degree preferred

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Join us to make an impact on the communities we serve as you help us advance health equity on a global scale. Come make an impact: Caring. Connecting. Growing together.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

You'll be rewarded and recognized for your performance in an environment that challenges you and provides clear guidance on success in your role, along with opportunities for growth into other roles.

Responsibilities

1. Manage provider incentive programs, working with STARs and HEDIS performance metrics to ensure provider networks meet quality standards through competence, practice screenings, and care management.
2. Develop incentive programs that include bonus structures similar to CMS STAR ratings, but focused at the provider level.
3. Create reporting tools, present updates, track program effectiveness, and monitor financials to ensure positive return on investment.

Required Qualifications

• 15+ years of management-level experience in managed care or medical management programs, including at least five years at the Director level or above.
• Strong knowledge of the business environment, strategy changes, and emerging needs.
• Understanding of federal and state laws, NCQA regulations, and all aspects of Medical Management.
• Experience in fiscal and human resource management techniques.
• Proven ability to establish effective relationships with employees, healthcare professionals, physicians, senior management, and the public.
• Excellent verbal, written, presentation, and facilitation skills.
• Willingness to travel as required by business needs.

*All remote employees must adhere to UnitedHealth Group's Telecommuter Policy.

The salary range for this role is $124,500 to $239,400 annually, based on full-time employment, with compensation factors including local labor markets, education, experience, and certifications. UnitedHealth Group offers a comprehensive benefits package, incentive programs, equity stock purchase, and 401k contributions, subject to eligibility.

Application deadline: This posting will remain open for a minimum of 2 business days or until a sufficient candidate pool is reached. Early removal is possible due to volume of applications.

Our mission is to help people live healthier lives and improve the health system for everyone. We are committed to addressing health disparities and promoting health equity, especially for marginalized and lower-income groups.

UnitedHealth Group is an Equal Employment Opportunity employer and a drug-free workplace. Candidates must pass a drug test before employment begins. We are dedicated to helping all candidates find great careers. Your application information is secure and confidential. Please apply directly through the employer’s website.