Manager Finance Affordability and Operations - Remote

UnitedHealth Group•Minnetonka, MN

4d•$91,700 - $163,700•Remote

About The Position

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. As a manager you will be charged with helping to implement and drive the affordability strategy for the nation’s largest Medicare Advantage plan. The Medicare and Retirement (M&R) Affordability and Value team is responsible for executing our line of business affordability agenda in partnership with key collaboration partners across clinical, payment integrity and network. Our team supports the full lifecycle of value including analytics and ideation, design and sourcing, implementation, ongoing governance, and continuous improvement. Our team supports the foundational cadence of running the business including the business planning cycle, monthly and quarterly business review and follow up, performance scorecard development and publishing on behalf of the markets, and generalized support for programs as capacity is needed. As a manager of Payment Integrity and Affordability for M&R, you will report to the Director of Payment Integrity M&R Affordability and Value. You will be a key contributor to the Payment Integrity strategy and execution, identifying and implementing new affordability strategies and governing existing partnerships. This includes driving to annual affordability targets and governing greater than $100M in program spend annually. You will be responsible for improving the consumer and provider experience and ensuring the potential impact of affordability initiatives are understood and evaluated from a Stars risk perspective. This role requires cross functional coordination with healthcare economics, actuarial, finance, UHN, Stars team and the UHC and Optum Payment Integrity partners. This role requires the ability to build trusting relationships and to drive business goals with sister departments in UHC and Optum. Driving business strategies and processes throughout and across our matrix organization is a critical function of this position. 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.

Requirements

3+ years of healthcare or related industry experience
3+ years of business operations and execution experience with the ability to quickly diagnose and solve complex problems
Experience within large, matrix organizations with demonstrated business results
Operational experience to ground recommendations in clinical and business service workflows
Database management and data analytics capabilities, including experience working with large and complex datasets.
Proficiency in leveraging technology and data management tools to improve operational performance and business outcomes.
Expert-level proficiency in Microsoft Excel, PowerPoint, and the Microsoft 365 suite of products.
Demonstrated planning, project management and communication skills. Accurately scopes out projects, sets objectives and goals, develops schedules and resource assignments, measures performance against goals, and evaluates results
Demonstrated ability to deal with ambiguity - can cope with change, can shift gears comfortably, comfortably handles risk and uncertainty in a manner consistent with UnitedHealth Group’s core values
Demonstrated solid ability to create executive presentations, dashboards, and reports that communicate insights and support decision-making
Proven solid data analytical skills; ability to quickly interpret information and draw conclusions

Nice To Haves

Payment Integrity or Affordability experience
UnitedHealth Group experience
Finance or Health Care Economics experience
Medicare Advantage Experience
Proven ability to work independently and effectively in a results-oriented, fast-paced environment
Proven ability to synthesize complex information to drive decision-making
Proven ability to build relationships cross-functionally and lead toward common goals
Proven excellent communication skills; ability to independently produce written communication for executive leaders

Responsibilities

Facilitates execution of M&R’s Payment Integrity affordability strategy to targets in conjunction with key payment integrity partners, providing insight and recommendations and ensuring alignment
Tracks progress against M&R’s Payment Integrity value plans, identifies any deviations to support remediation plans; provides reports and analysis as required
Supports the Preparation of Affordability outlook executive summaries for Payment Integrity for Govt Programs Affordability EVP for use in monthly forums with UHC C-Suite Leadership (CEOs, CFOs, CMOs)
Communicates effectively to leadership – written and verbal, internal and external
Supports Strategic portfolio management
Supports the development and ongoing maintenance of the Medical & Clinical Operations Business Strategy document
Demonstrates effectiveness and efficiency in project planning, task-management, risk mitigation, and program execution
Maintains a cadence of regularly reviewing internal and external data and trends to identify areas of risk and/or opportunity, in partnership with HCE and others
Partners with UHC Payment Integrity, HCE and M&R Finance to analyze year-over-year gross and incremental affordability performance, Program ROI summaries and data visualizations for use in C-Suite level updates
Manage relationships with key ideation partners, including UHC Ns Optum Payment Integrity
Research existing solutions to identify opportunities (published study, competitor offerings, vendor solutions, learnings from sister lines of business, etc.)
Supports the development of proposals to optimize achievement of the triple aim for UHC M&R’s consumers and providers. Proposals consider administrative costs, capital investments, medical cost impact, user experience, quality, compliance, market competitiveness, and more, as well as the balance of risk/reward and the future maintenance of the solution
In partnership with leadership and key stakeholders, identifies best partners for implementation and execution of affordability and value solutions.
Works with leadership and selected partners to build program implementation plans including detailed objectives (KPIs), key milestone dates, scope, roles and responsibilities, etc.
Manages new/adjusted program implementation actively, quickly working through obstacles, escalating barriers, enabling decisions (Owned by Pillars)
Keeps stakeholders well-appraise of positive and negative changes in outlook and provides regular status updates
Ensures performance expectations (KPIs, service level agreements, performance guarantees, etc.) are regularly monitored for all affordability programs within the Payment Integrity Network domain
Quickly addresses and/or escalates performance deterioration and emerging risks to protect the company and its members and providers. Ensures appropriate mitigation is put in place for risks that can be avoided, and that damages are collected for risks that manifest
Leverages insights from stakeholders, benchmarking and other sources to continually improve program ROI and other value, including but not limited to rate optimization for efficiencies
Develop relationships with key partners, including Payment Integrity, Network, Healthcare Economics, Clinical, Claims and Finance
Develop relationships with key domain stakeholders, including regional and market CEOs, CMOs, Stars teams, Compliance, Legal and more
Regularly connected with Payment Integrity affordability director to ensure program learnings, performance and dependencies are well socialized and considered