Director, Medicare Care Management, Strategy and Clinical Operations - Remote

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 Director of Medicare Care Management, Strategy and Clinical Program Operations is responsible for owning the oversight of core Medicare clinical programs and the leadership, development and oversight of new Medicare clinical programs. This includes execution of core Medicare transition of care and longitudinal care management programs. It also includes the development and implementation of any new innovative clinical programs. This Director will be accountable for coordinating with the implementation team, M&R health plan leaders, CMOs, and the Network and Finance teams to drive end-to-end implementation of the new clinical programs. This position will provide adequate planning, contingency mapping, and risk identification / mitigation / escalation to ensure that all commitments for new clinical programs and all clinical program requirements in the contracts are delivered.

Reporting to the Sr. Director of Medicare Clinical Strategy, Program Development, and Operations, this individual will ensure ongoing communications to and engagement of clinical stakeholders as well as standard processes for continuing to support markets past go-live to ensure contractual obligations and performance standards are met or exceeded.

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

Primary Responsibilities:

• Ensuring implementation of core and new Medicare clinical programs
• Establishes clear, consistent communications to stakeholders to ensure transparency into overall clinical implementation status, risks, and contingency plans
• Awareness of regulatory requirements to ensure a common understanding of the clinical model requirement and how distinct pieces connect to each other
• Owns the success of the implementation of new clinical programs, effectively managing risk and partnering across the enterprise to ensure delivery of quality, timely, reliable solutions that meet health plan, provider, member and regulatory requirements
• Ensures clinical processes, policies and procedures meet regulatory standards and are consistent with the national clinical model
• Minimize deficiencies resulting from poor clinical implementation or clinical operations support / misalignment to regulatory requirements
• Facilitate relationships across teams and business units
• Drives accountability while maintaining positive, supportive relationships with matrix partners

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 project management experience
• 5+ years leading clinical program implementation or operationalizing clinical programs
• Experience driving quality results through setting clear goals, managing accountability and performance management for individuals and teams
• Proven prowess in leading complex implementations
• Proven conflict resolution and problem-solving skills

Preferred Qualifications:

• Current clinical license such as Nurse, Physician, Pharmacist, Behavioral Health, or Clinical Social Worker
• Experience with Medicare
• Experience with clinical programs & systems
• Managed care experience that includes at least 1 of the following: quality improvement programs, care management, utilization management, provider enablement, ACO, or other relevant clinical programs

*All employees working remotely will be required to 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. 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.