COPA Operations Manager

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. 

In the Operations Manager role, you will be responsible to drive solid Operational performance by utilizing an Account Management approach with the Community & State (C&S) Health Plan. Responsibilities, included but not limited to, are: achieving and maintaining of a reference account, being a promoter of UHC Operational Excellence, developing Collaborative Relationships between the Health Plan and Shared Services, and the state regulator providing Thought Leadership/Innovation – across the Health Plan, C&S Functional Teams and UHC Shared Services. This role is an individual contributor and reports to the Regional Operations, Performance & Alignment Leader with matrix accountability to Health Plan President and operations leaders.

Primary Responsibilities:   

• Understanding and educating the C&S Functional Leaders and UHC Shared Services partners
• Learning the State Contractual / Market / Member Benefit Requirements in partnership with Compliance to assure understanding and accountability
• Build solid relationships with matrix partners (including Claims, Member/Provider Call, Provider Operations, Appeals & Grievances, Enrollment/Eligibility, Encounters, IT, Provider / Member Experience, Clinical, Quality) by fostering and leveraging an “account team” structure that is involved in key Health Plan strategic initiatives, goals and activities
• Ensuring matrix partner processes meet State / Market requirements by assuring that we are working within UHG and State guardrails / requirements
• Facilitate resolution of concerns with established guardrails / requirements trying to ensure a win for both UHG and the State
• Analyze metrics and trends to ensure contractual / market requirements are met
• Work with matrix partners to improve performance when not met
• Drive performance and accountability by developing relationships with and working across our matrix partners to eliminate identified barriers to creating new and maintaining existing reference accounts
• Be a trusted resource for the local Health Plan and assure that every State requirement, process, project and service has an owner within the matrix that will be most effective in execution
• Identify opportunities for innovation, productivity improvement and affordability
• Perform special projects as assigned by Leader or Health Plan

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: 

• 3+ years of in-depth managed care health plan operations experience to include, but not limited to claims, member/provider call center, enrollment and/or eligibility, and provider operations
• 3+ years of experience managing multiple projects/tasks to meet contractual deadlines or other time sensitive commitments
• 3+ years of demonstrated experience working in a highly matrixed environment
• 3+ years of demonstrated experience managing and driving team performance
• Intermediate MS Office Suite
• Intermediate experience with Excel and PowerPoint

Preferred Qualifications:  

• Visio skills at a beginner to an intermediate level
• Experience with SharePoint
• Experience with Project Management
• Medicaid, CHIP, long term care and/or government health plan experience 
• Proven excellent communication skills, both written and verbal

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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.

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.