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Job Details


UnitedHealth Group

Associate Director, General Manager - Telecommute in New Jersey

Healthcare

General Dentistry

Yearly

No

New Brunswick, New Jersey, United States

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Medicare & Retirement General Manager is responsible for coordinating local market initiatives, events and programs in support of achieving market goals around growth, retention, stars and affordability. The GM will partner with market Executive Director to drive physician engagement in M&R Incentive programs. This role also helps inform operating partners of local market needs specific to the member and provider experience, and works to help implement solutions. GM plays a key role in coordinating member, provide and broker events.

If you are located in New Jersey, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • With guidance from the Executive Director & VP of Strategy, lead the development and execution of market-specific business plans, including:
    • Monitor operating effectiveness of local products/benefits
    • Identify opportunities, trends and root causes to ensure operating effectiveness of local products/benefits
  • Work directly with functional leads to ensure that national strategies and decisions will work effectively in the local market and/or identify adaptations needed to ensure success by representing the local market issues/viewpoints on national decisions/discussions, identifying pitfalls and concerns such as changes to a process which impacts referrals, PCP auto assignments, market risk type setup changes
  • Drive provider engagement by partnering with physicians to achieve success within M&R incentive programs
  • Assist local UHN to identify and resolve operational issues associated with incentive-based arrangements including: claims, member eligibility, provider and Sales related issues
  • Use solid local market knowledge/expertise to influence business decisions that will impact results, including benefit design, network, sales and marketing plans
    • Collaborate with functional areas (e.g. Clinical, Operations, Network, Marketing, Sales, Optum) to ensure an appropriate balance between local needs and enterprise priorities and plans
    • Serve as the primary interface between assigned Markets and centralized functions, triaging issues to appropriate functional leaders for resolution (Market representative on I/P Metric Management meetings for example)
    • Ensure awareness of functional initiatives that will impact assigned Markets and preparing assigned Markets for changes in operating processes, systems, etc.
  • Responsible for achieving market-level NPS goals
  • Build community relationships with local constituencies and organizations (members, providers, community agencies/partners) that will support our ability to achieve business objectives
  • Work collaboratively with member care/customer service on member escalation issues that cannot be resolved through normal customer service channels
    • Handle escalated enrollment issues that cannot be resolved through normal channels
    • Collaborate with national product and marketing to develop and execute local retention plans, including planning/coordinating local town halls and member events
    • Assist in addressing local operational issues that may impact results, for example, PCP assignment issues, Member escalated complaints, provider issues
  • Support product management functions, including: Accountable for local review and sign off of plan and member materials, including PBPs, provider directories, EOCs, ANOCs, ID Cards, etc.
  • Ongoing education to members, providers, sales managers/agents, as well as shared services partners (e.g. UHN) and vendors related to product offerings, benefit changes and strategy


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 experience
  • 5+ years related business experience
  • 3+ years in a managed care environment
  • Project management with solid coordination and follow-through skills
  • Ability to build solid community relationships with a working knowledge of the product line
  • Solid understanding of the interdependencies across healthcare product operations (network, sales, service, systems, etc.)
  • Demonstrated competence in community/public relations
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Bachelor’s degree
  • Experience working with physicians and their staff
  • Solid organizational skills that will allow individual to manage multiple tasks simultaneously to meet aggressive local goals and objectives
  • Solid communication skills, both verbal and written
  • Ability to display a high level of discretion, trustworthiness, honesty, compassion and passion in their business dealings with internal and external customers
  • Analytical skill set
  • Self-motivated, goal driven


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


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.

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