Oncology Clinical Program Director, Value Creation - Remote

UnitedHealth Group•Minnetonka, MN

7d•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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This Clinical Program Director is part of the Value Creation – Oncology, Genomics, and Laboratory Team, and will report directly to the Category-Lead National Medical Director. This Value Creation Team is responsible for comprehensive affordability strategy development, direction, and execution within the fields of Oncology, Hematology, Genetics/Genomics, and Laboratory, as well as other Internal Medicine specialties. The Value Creation team is focused on cost, utilization management, value-based arrangements, quality improvement, revenue maximization, and improved provider and member experience. The Oncology Clinical Program Director works with a team of Program Managers and analysts who support project plans, meetings, IT build, financing, and savings opportunity assessment. This role will engage organizational partners to execute on comprehensive Value Creation strategy for this team’s initiatives. This role will require a solid working knowledge of oncology clinical practices, as well as a strategic and critical thinking mindset with the ability to handle multiple priorities as well as the ability to drive implementation of initiatives with the support from Enterprise executive leaders to operational support teams. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

6+ years of experience in a leadership / management role
5+ years of healthcare experience with operational accountability
3+ years of claims systems and/or reimbursement methodologies experience
Demonstrated experience, working knowledge of, and solid understanding of utilization management and value-based contracting
Superior data analysis skills and knowledge of Legal, Regulatory Health care requirements and Financial Performance reporting
Sound strategic, analytic, and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes
Solid history of quickly building relationships, gaining credibility, and partnering with business leaders. Must excel at building teams and collaborating across multiple distinct business groups
Ability to work with partner teams to design, build and implement IT support for clinical programs
Ability to communicate effectively and efficiently (both verbal and written) at multiple levels of large, complex organizations
Solid negotiation skills: the ability to gain acceptance from others of a plan or idea and achieve a mutually beneficial outcome
Demonstrated ability to manage others; ability to influence in executive settings
Proficiency with MS Office (Excel, Word, PowerPoint, and SharePoint)
Ability to travel up to 10%25 for team meetings as needed

Nice To Haves

5+ years of healthcare experience with operational accountability in oncology or oncology adjacent specialty
Experience with UHC business processes and data systems
Knowledge of Oncology clinical domain, prior authorization programs, and value-based care reimbursement models
Strategic thinking with proven ability to communicate a vision and drive results
Creative problem-solving skills
Self-starter, initiates work independently

Responsibilities

Initiative Implementation and Oversight:
Oversee comprehensive ideation, development, and implementation in partnership with internal and external partners
Partner with Medical Directors and key individuals to drive the development of clinical strategies
Manage resources including flexible and agile pool of Program Managers, assign projects and efficiently move them through the project lifecycle from end-to-end
Apply knowledge of reimbursement models and value-based arrangements
Build and develop relationships across teams to ensure effective support and feedback loops and that deliverables are met
Drive performance excellence, promote best practices and seek solution-oriented initiatives
Use problem solving skills and make decisions to move implementation forward
Expert in reviewing, evaluating, and documenting business requirements and facilitating discussions with operational and technology partners, based upon business requirements for IT-related projects
Ensure compliance with financial goals
Partnership Skills:
Develop and maintain strong relationships with executive leadership of internal teams and external vendors
Partner with executive leadership from all LOBs to achieve mutual success on achieving/exceeding targets
Develop and maintain strong relationships with provider groups/facilities for collaboration on clinical pilots and programs
Quantitative Analysis:
Lead critical thinking and creative problem solving
Develop cost benefit analyses and business cases for clinical programs
Develop and analyze Key Performance Indicators for clinical program for each line of business to define timelines and documentation necessary for financial compliance and performance
Interact with HCE and LOB Finance teams to verify and report out on aggregate program performance
Solve complex financial performance barriers
Work with program managers and predictive analytics teams to accurately model performance expectations to set realistic financial goals
Provide guidance to program managers in evaluation of data from analytic teams to correlate the expected affordability to the operational reality of the program
Research Skills
Ability to search for, analyze and present innovative ideas regarding implementation of clinical programs in pipeline
Research and resolve provider/member/network inquiries specific to Value Creation programs; collaborate with claims, operations, provider relations and clinical services to resolve issues and implement solutions
Presentation Skills:
Speak clearly on complex problems across a wide range of audiences
Provide regular updates regarding the implementation process and clinical programs for Joint Operating Committees, Team Leadership and Executive Sessions
Create & participate in senior management presentations, as requested
Critical Skills:
Demonstrated ability to work independently and systematically analyze complex issues, draw relevant conclusions, and implement effective solutions
Evaluation of current business processes to identify re-engineering opportunities; provides support in identifying, developing, and implementing process improvements and/or technical capability enhancements
Adaptable and flexible; contribute innovative ideas to achieve positive results
Strong team player/interpersonal skills - ability to influence and work with people of different backgrounds, proven ability to foster teamwork and form alliances with supporting organizations
Approaches work with a high sense of accountability and attention to detail - takes ownership of tasks, performance standard and quality results
Accuracy and Efficiency - excellent time management and organizational skills, balancing multiple priorities; maintain accuracy when processing detailed tasks while meeting deadlines
Self-starter, initiates work independently; able to drive and prioritize work with minimal oversight and demonstrates sound judgment