Director, Clinical Technology - C&S - Remote
UnitedHealth GroupAbout the role
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
UHC Community & State is excited to recruit for a new senior leader in the Operations & Execution teams to oversee & lead the delivery, management and strategic advancement of the organization's main care management platform, CommunityCare, which supports care managers and care management operations across 30 markets.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Platform Strategy & Management
- Spearhead and drive long-term strategic efforts, in partnership with cross-functional teams, in the CommunityCare platform, including capability investments, data interoperability and enterprise integration efforts
- Leverage insights, AI and data to identify and spearhead initiatives that increase efficiency, drive scale and reduce operational friction across markets
- Operations Performance & Adherence
- Oversee end-to-end delivery for the CommunityCare platform and drive team accountability in delivering business outcomes, including areas such as backlog prioritization, roadmap alignment, release readiness, quality, and delivery execution that support care managers, care management operations, and member needs
- Vendor Oversight & Performance Management
- Serve as senior leader in relationship management with HealthEdge (vendor that services CommunityCare), including representing UnitedHealthcare on the HealthEdge Customer Advisory Board, as well as drive vendor performance/service level objectives, roadmap direction, and investment priorities to meet business needs
- Oversee service & change order governance, invoice reconciliation, cost management, and scope controls to ensure alignment to business value & commitments.
- Team Oversight & Development
- Oversee and develop team of platform delivery managers & owners, providing clarity in strategic priorities, accountabilities & culture norm expectations while identifying areas for development and collaboration
- Enable team members to effectively partner across care management operations, business, technology, compliance, and vendor teams to align priorities, manage dependencies, and enable coordinated, compliant delivery across a multi-market landscape
Those residing within RTO locations will be required to work a minimum of four days per week in-office.
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:
- Bachelor's degree, or equivalent professional experience
- 5+ years of progressive experience in business operations, finance and/or strategy roles with increasing scope and accountability
- 5+ years of experience in program and/or portfolio management, including complex, cross functional initiatives with large financial responsibility ($5M+)
- 3+ years of experience in product and/or technology management & delivery that includes accountability for prioritization, quality and operational performance
- 3+ years of experience directly supporting Medicaid and/or Dual Special Needs Plan (D-SNP) programs, with demonstrated knowledge of areas such as LTSS, HCBS waivers, state-specific care management mandates, and CMS interoperability/care coordination requirements
- Demonstrated experience in vendor governance and management that included accountability for relationship management, contract/financial management, roadmap influence, escalation management and driving strategic initiatives
- Demonstrated experience operating in a highly regulated environment with direct accountability for delivering against compliance, audit, or regulatory commitments
- Proven strength in people/team managemen
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