Director, Medicare Advantage Product Operations – Remote in Minneapolis, MN preferred

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

The Director, Medicare Advantage Product Operations, is a pivotal individual contributor role responsible for developing and executing an aligned operations strategy across our Medicare Advantage product portfolio. This leader will help ensure that our operational initiatives are compliant with all applicable rules and aligned with business goals while supporting positive member and provider experience.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Minneapolis, MN preferred

Primary Responsibilities:

• Represent Medicare Advantage Product within operational teams and decision-making forums as a thought leader and key decision maker
• In partnership with Government Programs Product Leadership, Operations and provider partners, develop and implement a comprehensive process to enforce the issuance of referrals on gatekeeper plans, including: stakeholder engagement, requirement definition, market scheduling, infrastructure development, issue resolution, and member and provider messaging, communication, reporting and change planning
• Work directly with market CEOs and market staff across M&R and C&S to confirm business requirements and identify and address any market, provider or plan specific issues impacting deployment plans or ongoing operations
• Lead operational performance management to enhance end-to-end efficiency, streamline processes, minimize disruption to care and ensure compliance with regulations
• Monitor financial results of the program and analyze data on implementation effectiveness to identify process improvements, streamline operations, and enhance quality while reducing costs
• Problem-solve with both operations and technical teams as necessary to keep the project on track and within budget, and clearly communicate any program changes to Medicare leaders and impacted teams

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:

• 5+ years of experience in health care product and/or operations positions, preferably within the Medicare sector
• Experience working collaboratively with cross-functional teams, including product, finance, health care economics, operations and technical teams in order to achieve business objectives
• Proven ability to develop and implement operational strategies that drive performance
• Proven excellent critical thinking and communication skills, with a focus on action orientation and collaboration within cross-functional teams

Preferred Qualifications:

• 5+ years of experience specifically in Medicare Advantage product spaces  
• Experience working with delegated claims
• Knowledge of CSP and/or COSMOS capabilities, processes and data
• Solid understanding of Medicare regulations and compliance requirements
• Familiarity with technological solutions that enhance operational efficiency
• Demonstrated ability to leverage data analytics to inform strategic decisions and operational improvements
• Demonstrated leadership skills with a proven track record of managing complex projects between product and operational teams

*All 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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. 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.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.