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Caring. Connecting. Growing together.
This position is responsible for supporting consultative analysis for Utilization Management/Affordability, reporting to the Vice President Product, UM. Clinical performance is charged with effectively implementing, monitoring, and executing on programs related to driving affordability, clinical quality activities across the UMR Third Party Administration business.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
The following duties cover what are generally believed to be principal and essential functions of the job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties.
Support enterprise initiatives and product management needs via analysis and consultations
Consults with business partners who deliver our services and establishes and monitors SLAs
Analyzes industry trends, customer needs, competitive threats, expansion opportunities and internal performance
Performs primary and secondary market research to generate strategic intelligence and insights
Delivers data-driven insights to support actionable strategic direction, prioritization and communication
Builds market and competitive intelligence reports, dashboards and tracking structures
Uses analytical skills to design, develop, program, maintain, and publish reports and reporting applications
Collaborates with IT and translate technical information into non-technical business explanations
Meet with business partners and gather requirements, offer recommendations and different options to meet their needs
Produces business, research or clinical intelligence for key stakeholders
Supports UM team with research and data analytics for UM, Digital platforms and TCOC Products E2E
Responsible for leading, training and mentoring an product consultant team, providing strategic guidance, task prioritization, implementing quality control protocols, ensuring operational excellence
Supervise dedicated other product analyst consultants
Manage internal and client expectations on regular analytic deliverables as well as ad-hoc analytic projects
Collaboration with clinical program leaders to develop and maintain the key performance metrics used to monitor quality, compliance, and performance outcomes by department
Builds and maintains direct relationships with system vendors and acts as primary service contact for any communications on ongoing data issues with system vendors
Competencies
Ability to operate independently, managing time and priorities, and meet scheduled deadlines
Demonstrated ability to work collaboratively and influence others
End to end project management skills including development of timelines; identifying functional areas; assigning tasks; identifying milestones and dependencies; making decisions; and designating accountability
Solid writing skills
Analytical skills
Data Tools
Soft Skills
Ability to problem solve issues; including multiple priorities and research conflicting and / or inaccurate data
Solid customer orientation, communication (written and verbal) and presentation skills
Excellent communication, time management, problem solving, organizational, and analytical skills
Demonstrated ability to establish and maintain a professional working relationship with a wide variety of individuals coming from diverse backgrounds
Experience with verbal and written correspondence with all levels of an organization
Works with autonomy and minimal guidance; seeks guidance on only the most complex tasks
Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities
Ability to gain acceptance for ideas, plans, actions and then implement across organizational boundaries
Solid executive communication and presentation skills with demonstrated ability to communicate ideas clearly and concisely
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:
Registered Nurse
5+ years of experience managing people
5+ years Aerial experience
5+ years process document development experience
5+ years of experience working in a complex matrixed work environment with competing priorities
3+ years SQL, Power BI and/or equivalent experience
UMR experience
Preferred
Qualifications :
2+ years Tableau experience
2+ years Snowflake experience
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only:
The salary range for
this role
is $104,700 to $190,400 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.
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