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Associate Director, Oncology Program Development and Implementation - Telecommute

Company: UnitedHealth Group
Location: Eden Prairie
Posted on: August 4, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) The Associate Director, Oncology of Program Development & Implementation on the RxCare team is responsible for assisting with strategy, analysis and execution of initiatives, programs and solutions with care delivery organizations. Apply advanced understanding of healthcare systems, data analytics, finance acumen, care delivery organization operations, practice operations, revenue cycle management, health plan operations and medical benefits to identify opportunities for affordability programs. Serve as subject matter expert, e.g. clinical knowledge, project scope definition, risk identification, resource allocation, facilitation, analytics, and finance. Make presentations to management on project updates, project cycle, and expected results. Collaborate with stakeholders across UHC, Optum, Care Delivery Organizations, and other stakeholders to ensure projects are aligned with core strategies and goals, implemented and launched on time and in scope. Participate in annual business planning and end-to-end designs of programs and strategies. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

  • Develops functional, market level, and/or site strategy, plans, production and/or organizational priorities
  • Ensure alignment and understanding of program / project scope and objectives with Clinical Performance and care delivery organization's (CDOs) goals
  • Predicts emerging customer needs and develops innovative solutions to meet them
  • Manage the Cancer Guidance program/Utilization Management Tool Program and other oncology related national programs
  • Partner with various business units, leadership, and CDOs to identify / define performance planning / measures, programs, initiatives, based on emerging industry trends and growth opportunities
  • Oversee and instruct functionally diverse teams in order to achieve desired end-results on complex problems regarding projects
  • Lead and guide functional and segment teams through project implementations with competing agendas and priorities
  • Identifies and resolves technical, operational and organizational problems outside of own team
  • Develop appealing data visualizations leveraging multiple internal and external data sources (quantitative and qualitative), and drawing insightful conclusions for decisions makers
  • Solve unique and complex problems with broad impact on the business
  • Provide subject matter expertise and operational support to internal business partners
  • Coach, mentor and provide feedback to others
  • Maintain project and process knowledge bank to support best practice identification and implementation
  • Collaborate cross departmentally to manage risk forecasting / mitigation, project progress and issue resolution efforts
  • Act as a liaison between internal and external teams to help steer work stream communications to ensure response integrity
  • Influence senior leadership to adopt new ideas, products, and/or approaches that may have segment-wide impact
  • Perform all other related duties as assigned 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:
    • Healthcare related field, Bachelor of Science, Nursing (BSN), or Business
    • Current and unrestricted RN license, if clinician
    • 7+ years of experience with provider practice or hospital operations, contracting, pricing, reimbursement (physicians, hospitals, pharmacies / HIT, ancillary groups & facilities, etc.), revenue cycle, network management with accountability for business results
    • 5+ years of experience with clinical quality, process improvement, education & training, and/or value-based care strategy
    • 3+ years of experience with data analysis, financial modeling, alternative payment methodologies
    • 3+ years of experience working with Medicare reimbursement methodologies (in-depth knowledge), i.e. Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, HOPPS, ASP, etc.
    • 3+ years of project management experience, large and complex projects
    • 3+ years of experience working in a Managed Care plan, with an understanding of provider network contracts
    • 3+ years of working within oncology
    • 3+ years of experience in provider practices revenue management cycle, with working knowledge of payer contracts, fee schedules, allowable tables
    • Intermediate or higher knowledge of data analytics for healthcare
    • Intermediate or higher knowledge of finance for healthcare
    • Intermediate or higher level of proficiency with MS Excel, PowerPoint, Visio, and Access
    • Intermediate or higher level of proficiency with Excel, PowerPoint, Visio, and Access
    • Demonstrated leadership & communication skills in developing content and presenting to various specialist stakeholders
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifications:
      • MSN
      • 3+ years of experience with regulatory and cancer specific accreditation compliance and initiatives including JCAHO, FACT, CoC, and QOPI
      • Experience creating an effective team environment, building strong relationships
      • Advanced analytical and technical skills; including Tableau, Power BI, other business intelligence reporting platforms
      • Solid prioritization, attention to detail, effective multi-tasking, verbal/written communication and organizational skills
      • Solid in solving problems and issues in a matrix environment and communicating effectively at all levels of an organization To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $97,300 to $176,900. The salary range for Connecticut / Nevada residents is $97,300 to $176,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. *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.

Keywords: UnitedHealth Group, Eden Prairie , Associate Director, Oncology Program Development and Implementation - Telecommute, Executive , Eden Prairie, Minnesota

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