Caring. Connecting. Growing Together.
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. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities :
- This role will be the dedicated resource responsible for the delivery of Optum Insight's Risk Adjustment programs to support Optum Health's Home & Community initiatives
- Manage ongoing contract relationships and service delivery to clients for both Retrospective and Prospective Risk Adjustment programs
- Build trusted / strategic relationships with clients and serve as the primary point of contact for overall and day-to-day service delivery
- Present value of Optum solutions to various levels within the client, including executives, decision makers, and key influencers
- Ensure service and delivery commitments to client are met. Coordinating and influencing service delivery and effective operational interface between clients and Optum teams related to Payer solutions
- Represent client internally and coordinate with other functions to implement client systems, complete projects, and address ongoing service needs
- Collaborate with cross-functional teams across Operations, Finance, Product, Analytics, Compliance, and Legal to define and execute on targets
- Accountable for driving growth within assigned portfolio and engaging matrixed teams in support of account objectives for revenue, earnings, growth, and client satisfaction
- Influence team members across the organization to develop approaches that increase the value we provide to our intersegment customers
- Own oversight of business processes and end-to-end service performance
- Negotiate renewals, contractual agreements, statements of work, and performance guarantees
- Serve as the subject matter expert for Risk Adjustment processes and related regulations
- Manage the outcomes of critical programs, as well as develop and execute our overall Risk Adjustment strategy
- Direct others to resolve business problems that affect multiple functions or disciplines
- Present progress on strategic initiatives and pilot outcomes to client
Required Qualifications :
5+ years of progressive experience and leadership roles in the Healthcare Industry with a proven record of leading Risk Adjustment programs and delivering measurable results5+ years of success building and evolving relationships with clients and matrixed stakeholders (internal)5+ years of success applying business expertise across an end-to-end process in heavily matrixed and regulated environmentsHistory of leading, influencing and managing indirect, matrixed teams with successful team leadership experienceTrack record of success driving client success across highly complex and matrixed organizationsTrack record of active collaboration, engagement, and strategy development of key growth opportunitiesProven ability to analyze complex market opportunities and develop creative solutions to a wide variety of unique market problemsProven solid strategic planning, analytics, and problem-solving skillsProven excellent oral and written communication skills and ability to build credibility and gain the respect and confidence of clients and internal partnersWilling and able to travel 10% of the time on a sustained basisPreferred Qualifications :
Experience supporting Optum MarketsExperience working across UHG, Optum, and / or UHC lines of businessStrong client service experience with both strategic and operational business domain experience within Healthplan OperationsAll 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). The salary for this role will range from $132,200 to $226,600 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.