Health and Social Services Manager - Hamilton and Marion County

UnitedHealthcare; Indianapolis (IN); Hybrid; USD 92,000 - 164,000; Full time

Job summary

UnitedHealthcare is seeking a Health and Social Services Manager to lead a care management team in Indiana, overseeing day-to-day clinical operations and health plan initiatives. You will manage adherence reporting, audits, and program execution while mentoring staff and driving performance to meet quality and affordability targets.

The role requires strong leadership, clinical expertise, and collaboration with Medical Directors, Quality teams, and executives.

Qualifications

• Indiana licensed registered nurse with 3+ years of case management experience.
• Indiana Master's Social Worker with 3+ years of case management experience.
• Bachelor's and/or Master's degree in social work, gerontology, counseling, psychology, or nursing with 2+ years direct service experience.
• 2+ years of leadership experience.
• 2+ years of experience working in community health settings.
• 2+ years of coordinating an interdisciplinary team.
• Proficiency with MS Office (Word/Excel/Outlook/PowerPoint).
• Access to reliable transportation and a valid US driver’s license.

Responsibilities

• Works with leadership across the health plan to support and execute medical and clinical program priorities.
• Identifies opportunities to streamline processes and support program growth.
• Provides adherence reporting, audit oversight, and participates in audits.
• Leads to ensure audit outcomes are addressed and celebrated.
• Selects and develops staff in the designated department or region.
• Sets performance goals and holds the team accountable for results.
• Understands contractual requirements to meet members' needs.
• Identifies, structures, and prioritizes process improvements.
• Conducts monthly staff audits and participates in required audits.
• Ensures standardized workflow processes and compliance.
• Coaches and trains direct reports as needed.
• Collaborates with Optum, UHG, Medical Directors, and stakeholders.

Skills

Leadership

Community health

Interdisciplinary teamwork

Transportation access

Education

Bachelor's/Master's in social work, gerontology, counseling, psychology, or nursing

Tools

MS Office

Driver's license

Job description

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.
The Health and Social Services Manager will lead a care management team while overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets. The HSS Managers will support a team within Indiana. Responsibilities will include adherence reporting, audit oversight, process improvement, execution of clinical decision processes, and team management, to include performance management and implementation of program initiatives.

If you reside within a commutable distance to Hamilton and Marion County, Indiana, you will have the flexibility to work remotely* as you take on some tough challenges. Flexibility needed to travel to Indianapolis office as needed per business needs (meetings, audits, etc.)

Approximately 25-50% of field-based travel in Indiana.

Primary Responsibilities

• Works with all areas of leadership across the health plan to support and execute medical and clinical program priorities and goals
• Identifies and implements opportunities to streamline processes, increase innovation, and support growth of medical and clinical operations programs
• Provides adherence reporting, audit oversight, and participates in audit activities for health plans
• Leads laterally to ensure auditing outcomes and reporting findings are successfully celebrated and addressed, as appropriate
• Selects, manages, develops, mentors and supports staff in designated department or region
• Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
• In order to meet the unique needs of our members, have an intimate understanding of the contractual requirements
• Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
• Conducts monthly audits of staff and participates in all other required audits and business monitoring
• Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Participates in training and coaching of direct reports as needed
• Collaborates across Optum and UHG and interacted with Medical Directors, Senior Leaders, Quality, and other stakeholders

Required Qualifications

• Possess one of the following:
  • Indiana licensed registered nurse in good standing with 3+ years of case management experience
  • Indiana Master's Social Worker with 3+ years of case management experience
  • Bachelor's and/or Master's degree in social work, gerontology, counseling, psychology, or nursing with a minimum of 2 years full-time direct service experience with the elderly or disabled which includes assessment, care plan development, and monitoring
• 2+ years of leadership experience with responsibility for team performance
• 2+ years of experience working within the community health setting in a health care role
• 2+ years of experience facilitating and working in coordination with an interdisciplinary team
• Intermediate level of proficiency with MS Office skills, including Word, Excel, Outlook and PowerPoint
• Access to reliable transportation and valid US driver's license

Preferred Qualifications

• 2+ years of experience providing support or care coordination for Indiana state waiver populations
• Experience with Long Term Service and Supports or Waivers Program
• Management experience in managed care setting
• Proven ability to navigate a TEAMs environment
• Experience in project management
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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.

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