Senior Project Manager II - National Remote - 2288055

Primary Care Plus; San Antonio (TX); Remote; USD 106,000 - 195,000; Full time

Job summary

A leading healthcare organization is seeking a Senior Project Manager II to oversee provider incentive programs. This role involves strategic planning, relationship management, and collaboration with various teams to improve health outcomes. The ideal candidate will have extensive experience in managed care and a strong command of Medicare operations.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 5+ years of experience in managed care and network development.
• Solid knowledge of Medicare operations.
• Proven ability to manage relationships with executive management.

Responsibilities

• Lead the administration of incentive program payment processes.
• Develop and deploy incentive program materials.
• Measure and track performance metrics.

Skills

Strategic planning

Communication

Relationship management

Tools

Microsoft Office

Share Point

Job description

Senior Project Manager II - National Remote - 2288055

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Senior Project Manager II - National Remote - 2288055

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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. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The purpose of this position is to oversee and support provider incentive programs in design, development and tactical implementation aligned with business objectives to ensure mutual understanding as it relates to quality initiatives to close gaps in care for Medicare’s Star program.

The responsibility of this position demands a wide range of capabilities including strategic planning and analysis skills; accounting knowledge and understanding of financial statements; understanding of managed care contracts; management breadth to direct and motivate; highly developed communication skills and the ability to develop clear action plans and drive process, given often ambiguous issues with numerous interdependencies.

This position will work closely with key leaders in the organization to develop long-term strategic relationships that support the OptumCare objectives and mission to change the face of health care delivery for seniors with emphasis on compliance and reporting requirements for HEDIS/Stars submissions. The position will be the liaison between all key areas of the corporate team but primarily with Quality, Contracting, Finance, and regional leadership.

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

Primary Responsibilities

• Lead the administration of incentive program payment process from data file to check submission
• Define the incentive program criteria and guidelines
• Develop and deploy all incentive program materials (education)
• Present and train incentive programs across enterprise; with new monthly topics
• Responsible for change management strategy for new incentive program guidelines
• Ensure there are clear program design rules and track details for administration
• Measure and track performance metrics and program effectiveness
• Collect, analyze and maintain a model for financial budget and forecast information
• Identify strategies to increase participant engagement within markets
• Responsible for managing multi-disciplinary team collaboration and communication
• Oversee the audit to maintain the financial accuracy/integrity of the program
• Investigate and respond to stakeholder/provider inquiries and resolve timely
• Assists in the development of organizational objectives and short and long-range program goals
• Prepares draft agendas for meetings for leadership. Issues agendas with appropriate backup materials and arranges for presence of appropriate directors and vice presidents
• Performs all other related duties as assigned
  
  

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 related experience in managed care and network development
• Solid working knowledge of Medicare health care operations and delegation
• Demonstrated successful relationship management experience with ability to interact one-on-one and consult with all levels of executive management
• Proficiency with Microsoft Office applications to include Word, Excel, Visio, PowerPoint and Outlook. Working knowledge of Share Point
• Proven ability to successfully conceptualize an initiative, develop a plan and execute the plan through implementation
• Willing to travel for work-related purposes as deemed necessary
  
  

Preferred Qualifications

• Project Management experience
• Health plan, healthcare or clinic operations experience
• Experience working in Medicare or Stars Improvement
  
  

Requirements

Physical & Mental Requirements:

• Moves/transports/positions items weighing up to 10 pounds and using up to 25 pounds of force
• Remains in a stationary position for extended periods of time
• Uses fine motor skills to operate office equipment/machinery
• Communicates regularly with others; must be able to exchange accurate information and receive instructions
• Uses logical reasoning for simple and complex problem solving
• 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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External Candidate Application

Internal Employee Application

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Project Management and Information Technology

• Industries

  Hospitals and Health Care

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