UnitedHealth Group Market Director, UHC Retiree Solutions – Telecommute from AZ in Mesa, Arizona

The United Retiree Solutions (URS) Clinical Teams is responsible for ensuring our Medicare Advantage member receive the right care, at the right time, and at the right place. This position is located in key strategic states for URS and will work closely with Market Groups to research, develop and present new or existing strategies to improve STAR performance, reduce inappropriate medical spend, and ensure accurate documentation of members conditions. We support the largest Medicare Advantage plan in UnitedHealthcare.

If you are located in Arizona you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Utilize data analysis, identify areas of improvement opportunity for Star measures, medical cost reduction, and member condition documentation

  • Partner with market teams (Optum Market Consultants, UnitedHealth Network, and Medicare and Retirement) to drive successful outcomes

  • Up to 25% travel in the CO,OR,AZ, and UT markets

  • Educate and partner with market teams on specific needs for URS business priorities

  • For assigned Employer Group Accounts be the liaison to the Client Management Team for Star, RAF, and medical cost reduction opportunities

  • Participate in market meetings to represent URS needs and look for opportunities to leverage or expand local market initiatives

  • Create monthly report highlighting Employer Group Account specific performance and state performance. Highlight recommendations for performance improvement and ensure initiatives are in place to achieve goals

  • Develop strong working relationships with the URS Client Management Team and Medicare and Retirement Market Teams

  • Negotiate priority initiatives and strategies with senior business leader for the assigned states and employer groups

  • Be the primary go to person of all Star related activities within their assigned employer groups and states

Have a homogeneous team, family like environment, high NPS scoring. Opportunity to change the lives of retirees in a positive and impactful way.

Required Qualifications:

  • 5+ years collection, analyzing and interpreting complex data and making strategic recommendations

  • Excellent demonstrated communication and presentation skills including ability to influence others through indirect influence

  • 5+ years experience within the health care industry

  • Strong knowledge of Medicare Star Rating or demonstrated experience in learning complex care quality initiatives

  • 5+ years driving quantifiable operational improvements

  • 5+ years project/program management experience

  • Proficient with MS Outlook, PowerPoint and Advanced Excel Skills

  • 4 year degree

Preferred Qualifications:

  • Medicare experience

  • Clinical background

  • HEDIS background

  • Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels

  • Client or account management experience

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

Job Keywords: HEDIS, STARS, Medicare Advantage, Quality Manager, Director, AZ, Telecommute, Arizona