Market Operations Manager – National Remote

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Market Operations Manager will act as an Operations subject matter expert in working with the growth team and local leadership. The Market Operations Manager will provide guidance regarding feasibility of implementing proposed risk contracts, educate potential and existing clients regarding capabilities, and ensure a close connection between local market needs and operational capabilities and capacity.

The Market Operations Manager will be responsible for maintaining a high level of satisfaction from the local leadership teams regarding Operations performance, and overall responsiveness and attention from Operations.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am – 5pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment.

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

                                          

Primary Responsibilities:

• Act as the primary senior contact for local issues related to our shared service operations (service, claims, eligibility, utilization management, prior authorization, payment integrity, provider data management, configuration, IT, project management, etc.)
• Work collaboratively with the heads of centralized operations regarding local market issues
• Accountable for ensuring the shared services operating metrics consistently meet and/or exceed all compliance requirements as well as key performance targets and associated service level agreements established with the local Market
• Work with staff and senior management to develop and implement improvements and oversight for all operational areas that impact performance
• Act as an advocate for local Market needs and influence change within Operations to meet customer needs
• Act as an advocate for Operations when influence is needed within the local Market teams
• Develop relationships with the local provider community
• Educate providers on billing issues, portal navigation, claims policies, and other information
• Work with Operations leadership to design innovative ways to enhance our service model and improve customer satisfaction
• Directs analytical activities to identify trends and potential opportunities within our Shared Service Operations functions that may impact the affordability of the local Market

                                          

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:

• High School Diploma / GED
• Must be 18 years of age or older
• 5+ years of experience in managed care and operations management
• 5+ years of client relationship and/or conflict resolution experience
• 3+ years of implementation and/or project management experience
• Experience executing formal change management techniques
• Experience leading process improvement initiatives with or without direct authority
• Experience creating and monitoring performance scorecards and/or performance metrics
• Experience driving and executing customer focused strategies
• Adaptability and flexibility to a rapidly moving business environment
• Experience problem solving issues, including multiple priorities and research conflicting and / or inaccurate data
• Ability to travel up to 10% of the time
• Ability to work full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am – 5pm CST. It may be necessary, given the business need, to work occasional overtime

                                         

Preferred Qualifications:

• Six Sigma certified
• Medicare Advantage experience
• Commercial/Medicaid experience
• Operational healthcare experience
• Customer orientation, communication (written/verbal) and presentation skills
• Analytical mindset and problem-solving skills
• Communication, time management, and organizational skills

                                         

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

                                         

*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  $89,900 – $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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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