Job title: Medical Policy Operations Project Manager – Medical Policy – Remote
Company: UnitedHealth Group
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.You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
- Tracking, reporting, and managing the status of Medical Policy Operations projects
- Lead projects, define performance and goal execution, and drive results
- Investigate non-standard requests and issues, complete projects on time and within scope
- Monitor and document project milestones and outcomes throughout the project lifecycle to ensure deployment dates and project implementation are successful and make clear presentations to leadership
- Be a subject matter expert on scope definition and documentation, risk identification, methodology and resource allocation
- Determine time frames, requirements, and lead others to implement initiatives. Support implementation of initiatives
- Develop and implement contingency and recovery plans when deliverables are missed (e.g., identify critical path, document, and plan for getting back on project schedule)
- Interface with operations/partners on business system needs
- Work with resource managers to drive identification of the skills, duration and effort required for successful project execution
- Collect, analyze, and maintain financial forecast information (e.g., labor, hardware, software, savings), using input from applicable sources
- Establish/apply quality objectives, criteria, standards, and levels using appropriate quality management methods, with stakeholder input (e.g., key performance indicators, scope definition)
In this role you will be expected to:
- Serve as a key resource on complex and/or critical issues
- Solve complex problems and develop innovative solutions
- Lead cross functional discussions related to implementing projects
- Work with contacts to gain the proper approvals
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:
- 2+ years of experience working within a managed care organization or health insurer
- Extensive project management experience using data and information to make business decisions
- Demonstrated experience presenting to senior leaders
- Proficiency with MS Excel (VLOOKUP, pivot tables, formulas), PowerPoint, Teams and Project Management software
Preferred Qualifications:
- PMP Certification
- Experience in one of the following areas: Provider Data Operations/Analytics, Network Contracting, Affordability, Medical Management, Benefits, Medical Claims Review or Medical Policy
- Understanding of medical coding concepts (e.g., CPT, HCPCS, ICD-9/10)
- Proficiency with Visio, SharePoint
Soft Skills:
- Critical thinking skills
- Solid attention to detail
- Excellent written and verbal communication skills including the ability to present information to large audiences
- Able to work with minimal supervision
- Ability to shift back and forth effectively among multiple activities
- Flexible with a solid ability to multitask
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyCalifornia, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington or Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. 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.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.
Expected salary: $88000 – 173200 per year
Location: Shelton, CT
Job date: Thu, 15 Aug 2024 22:33:50 GMT
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