Community Programs Manager - Remote

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Job Family Description

Positions in this function are responsible for managing the day to day network operations in Reno, NV and the surrounding areas.

Job Function Description

Positions in this function are responsible for servicing providers, supporting the Optum Embedded Practitioner Program, marketing team and Medicine on the Move.

General Job Profile

• Manages and is accountable for the provider network in Reno and the surrounding areas
• Impact of work is most often at the local level

If you live in Reno, NV or surrounding area, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Participate in the development of business strategy
• Direct cross-functional and/or cross-segment teams to develop enterprise-wide Clinically Integrated Networks focused on specific clinical areas/service lines such as oncology or cardiology
• Oversee network analysis and strategy development and implementation
• Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness
• Ensure teams are obtaining, validating and analyzing data impacting network availability and access
• Solve unique and complex problems with broad impact on the business

Values Based Competencies

• Integrity Value: Act Ethically
  
  
  
  • Comply with Applicable Laws, Regulations and Policies
  • Demonstrate Integrity
  • Compassion Value: Focus on Customers
  • Identify and Exceed Customer Expectations
  • Improve the Customer Experience
  
  
  
  
• Relationships Value: Act as a Team Player
  
  
  
  • Collaborate with Others
  • Demonstrate Diversity Awareness
  • Learn and Develop
  
  
  
  
• Relationships Value: Communicate Effectively
  
  
  
  • Influence Others
  • Listen Actively
  • Speak and Write Clearly
  • Innovation Value: Support Change and Innovation
  • Contribute Innovative Ideas
  • Work Effectively in a Changing Environment
  
  
  
  
• Performance Value: Make Fact-Based Decisions
  
  
  
  • Apply Business Knowledge
  • Use Sound Judgement
  
  
  
  
• Performance Value: Deliver Quality Results
  
  
  
  • Drive for Results
  • Manage Time Effectively
  • Produce High-Quality Work
  
  
  
  

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 Qualification:

• 10+ years experience working with a managed care organization or health insurer; or as a consultant in a network/contract management role, such as contracting, provider services, etc.
• 5+ years experience in data analysis
• 3+ years experience with facility/ancillary contact loading and auditing including contract submission, validation and maintenance
• 2+ years project management or project lead experience
• 2+ years experience working with claims systems
• Expertise in physician/facility/ancillary contract reimbursement methodologies

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $89,800 to $176,700 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.

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.

OptumCare 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment