General Manager - Medicare

UnitedHealth Group•Nashville, TN

4d•$91,700 - $163,700•Remote

About The Position

The Medicare & Retirement General Manager for North Carolina and Tennessee supports the overall performance of the Medicare Advantage business in those markets. In partnership with market leadership, the role drives business outcomes related to CMS Star Ratings, member experience, provider engagement, risk adjustment performance, and operational readiness. The General Manager serves as a cross-functional leader, influencing strategy and execution across UnitedHealthcare and Optum partners, while developing market leadership skills for potential future executive opportunities. The position is remote for people residing in North Carolina or Tennessee. Remote employees must comply with UnitedHealth Group’s Telecommuter Policy. The role offers a salary range of $91,700 to $163,700 annually based on full-time employment, along with benefits and incentive programs subject to eligibility requirements.

Requirements

At least 3 years of progressively responsible experience in healthcare, health insurance, managed care, or a related field, including leading cross-functional initiatives.
Experience with Medicare Advantage quality performance, including CMS Star Ratings or HEDIS, and familiarity with risk adjustment, diagnostic coding and documentation, or value-based care programs.
Project or program management experience, including establishing work plans, coordinating cross-functional stakeholders, managing risks and dependencies, and delivering initiatives on established timelines.
Intermediate or higher proficiency with Microsoft Excel, including pivot tables, formulas, data validation, and analysis of large datasets.
Proficiency developing executive-level presentations in Microsoft PowerPoint.
Ability to analyze large and complex datasets, identify performance drivers and root causes, and translate findings into actionable business recommendations.
Ability to work independently, establish priorities, own deliverables, and drive initiatives to measurable completion in a matrixed environment.
Written and verbal communication skills, including the ability to clearly present complex performance information and recommendations to executive leaders, providers, community partners, and cross-functional stakeholders.
Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
Candidates must pass a drug test before beginning employment.

Nice To Haves

Experience building productive relationships with healthcare providers, medical groups, health systems, or provider networks to improve quality, operational, or member outcomes.
Experience leading cross-functional initiatives across healthcare operations, including network, clinical, product, sales, marketing, customer service, and technology or systems teams.
Experience applying process-improvement and root-cause analysis methods to identify operational barriers, implement corrective actions, and monitor results.
Experience developing relationships with community-based organizations, advocacy groups, or local stakeholders to support business and member outcomes.
Experience leading change in a highly matrixed environment.
Ability to handle sensitive information and complex stakeholder matters with discretion, sound judgment, professionalism, and integrity.
Negotiation and influence skills, including the ability to align stakeholders with differing priorities and reach workable business solutions.
Advanced skills in strategic planning and process improvement.
Ability to manage competing priorities, adapt to changing business requirements, and make sound decisions when information or direction is incomplete.

Responsibilities

Support the development and execution of Medicare Advantage market strategies across North Carolina and Tennessee to achieve quality, risk adjustment, member experience, growth, and retention objectives.
Partner with UnitedHealthcare and Optum stakeholders to improve performance against market metrics, including CMS Star Ratings, HEDIS, CAHPS, HOS, risk adjustment, and provider engagement initiatives.
Analyze market performance data, identify trends, risks, and opportunities, and translate insights into actionable strategies.
Build and maintain strategic relationships with health systems, provider organizations, physician groups, and community partners to advance market priorities and improve healthcare outcomes.
Influence and align cross-functional partners to execute market priorities, operational readiness activities, and enterprise initiatives.
Partner with local and national teams on initiatives to improve member and provider experience, customer satisfaction, health outcomes, health equity, and access to care.
Support market execution of diagnostic coding, documentation, and risk adjustment strategies to improve provider engagement, compliance, suspect closure, and recapture performance.
Collaborate with product, network, clinical, service, and operations teams on market readiness, regulatory compliance, issue resolution, and business initiatives.
Represent the market in internal and external forums, using local market expertise to influence business decisions and strengthen stakeholder relationships.