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UnitedHealth Group Value-Based Program Manager - Telecommute within OK in Oklahoma City, Oklahoma

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's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

This person must demonstrate strong management, clinical and analytic skills, strong oral and written communication skills, and must be comfortable working closely with behavioral health agency leadership and personnel. This person will be responsible for providing direct oversight of a specialized clinical team tasked with managing and improving behavioral health agency performance using analytics, audits, and other tools in our Public Sector dedicated markets.

The Value-Based Program Manager will oversee a team of Value-Based Program Consultants responsible for the development of relationships with dedicated public sector behavioral health agencies in order to improve and monitor their clinical effectiveness and efficiency, as well as compliance with contractual obligations. This team works closely with health plan partners, Care Advocacy Operations, Network Management, and Program and Network Integrity teams to ensure coordination, effectiveness, and efficiency.

Schedule: You’ll enjoy the flexibility to telecommute from within the state of Oklahoma, as you take on some tough challenges. This position will work Monday - Friday from 8:00 a.m. - 5:00 p.m. The targeted start date is September 1.

Primary Responsibilities:

  • Direct oversight and supervision of the Value-Based Program Consultants and the daily activities of the team including the following activities:

  • Communicate with behavioral health agency leadership and personnel to initiate appropriate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with care advocacy processes and contractual obligations

  • Regularly facilitate oversight meetings with the BH agency to monitor, present, and discuss performance

  • Monitor BH agency performance on program metrics, quality outcomes and adherence to contract requirements

  • Conduct BH agency program audits and provide feedback and results

  • Identify performance improvement opportunities through analysis of clinical outcomes data, utilization/claims data, complaints, and compliance with applicable protocols/policies

  • Initiate and monitor Performance Improvement Plans to drive performance

  • Identify market trends as appropriate based on data and market oversight

  • Measure improvement of program performance over time

  • Monitor and report effectiveness of interventions

  • Modify interventions as appropriate

  • Deliver education and training

  • Interface with other UHC and OHBS departments including health plan leadership, Clinical Operations, and Clinical Network Services

  • Uses data to identify trends, patterns, issues and opportunities that have an impact on the business and utilizes the data to help make sound business decisions and recommendations

  • Attend health plan, state and provider association meetings as needed

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:

  • Licensed Master's degree-level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, Licensed Ph.D. level Psychologist, or Registered Nurse

  • License must be active and unrestricted

  • 3+ years of (Post-Licensure) direct behavioral health clinical experience

  • Experience identifying performance improvement opportunities and influencing quality metrics

  • Experience balancing contractual and clinical considerations

  • Solid computer skills at the intermediate level, proficiency with MS Office

  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

  • 3+ years of management/supervisory experience

  • 3+ years of Managed Care experience in a Managed Care setting

  • Solid analytical skills

  • Sound communication skills, written and verbal

  • Excellent time management and prioritization skills

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)

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

Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. 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

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: Value-based Program Manager, Telecommute, Remote, Work from Home, OK, Oklahoma