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Job Details

Clinical Program Consultant - Remote




Hartford, Connecticut, United States

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 and start doing your life's best work.(sm)

You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
Project Management and oversight of clinical programs under the guidance of the Clinical Program Director and Designer and in collaboration of internal and external teams. Operational and financial analytics to identify opportunities for clinical programs and measure outcomes.

This role will require a methodical and critical thinking mindset with the ability to handle multiple priorities as well as the ability to drive implementation of initiatives and monitor existing programs with the support from Enterprise executive leaders to operational support teams.

  • Initiative Implementation and Oversight:
    • Implementation of initiatives that have a variety of approaches and requirements in partnership with internal and external stakeholders
    • Project manage multiple initiatives by defining scope, risk identification, project methodology, resource allocation, cost-benefit analysis, process flows, facilitation, and other areas of expertise based on established project management techniques
    • Maintain relationships across teams to ensure effective support and feedback loops and that deliverables are met
    • Collaborates with appropriate individuals to provide required documents for committee and/or governance meetings
    • Project manage to complete implementation activities as assigned
    • Assist in problem solving to help make decisions to move implementation forward
    • Assist Clinical Program Director and Designer in solving complex operational and financial performance barriers (pre-implementation and post-deployment)
    • Support team in overseeing clinical vendor relationships and ongoing management of program operations
    • Leverage historic experience to drive enterprise alignment in vendor relationship oversight tactics and apply best practices towards management of new programs
    • Gather requirements from various business partners and provide documentation and solutions to enable the operational and technical needs to be delivered
    • Monitor Key Performance Indicators for specific clinical programs to define timelines and documentation necessary for financial compliance and performance
    • Conduct operational team reviews to determine FTE needs and costs
  • Quantitative Analysis:
    • Compile data from multiple sources to identify unique and innovative clinical program opportunities
    • Perform data aggregation and summarization, using output data sets to complete analyses to identify root causes and draw conclusions
    • Translate data analyses and conclusions into financial affordability opportunities
    • Be able to link the expected financial affordability result to every part of the implementation and scope of the program and explain how the execution can affect that affordability
    • Evaluate data to correlate the expected affordability results to the operational reality of the program
  • Partnership Skills:
    • Develop and maintain solid relationships with internal teams and external vendors
    • Ability to navigate LOBs to deploy programs
    • Help manage day-to-day relationship with program team to drive performance excellence, promote best practices and seek solution-oriented initiatives
    • Collaborate with cross-segment and cross-functional partners and key stakeholders to resolve issues and implement solutions
    • Ensure the solutions you are responsible for are built with the customer perspective in mind
  • Presentation Skills:
    • Create high-quality PowerPoint presentations
    • Speak clearly on complex problems across a wide range of audiences
    • Provide regular updates regarding the implementation process and post-deployment monitoring

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:

  • Undergraduate degree or equivalent experience
  • 3+ years of working in a health care setting, preferably in a managed healthcare company
  • 3+ years of project management experience including tracking, planning projects, working with large data sets, and making data-driven analytical decisions
  • 3+ years in data analytics and financial analysis
  • Advanced level of proficiency with MS Office Suite (Word, PowerPoint, Excel)

Preferred Qualifications:

  • RN / clinical experience
  • Six Sigma Green or Black Belt
  • Medicare or Medicaid guidelines experience
  • Advanced level of MS office Excel using formulas and pivot tables to manipulate data and conduct data analysis
  • Excellent written and verbal communication skills and solid data presentation skills
  • Problem solving skills, including the ability to work independently and systematically analyze complex problems, draw relevant conclusions, and successfully devise/implement solutions calmly and effectively
  • Able to communicate with clinical operational teams, business teams and IT to bridge the gap between stakeholders
  • Ability to read and interpret technical specifications and data validation reports to guide technical teams in the population of data and mapping files according to the specs, validation results, and business needs
  • Ability to multitask and work independently in a fast paced, highly matrixed environment

Careers with UnitedHealthcare. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.