Job Description

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)

Optum State Government Solutions implements and operates a range of business services supporting State Governments. Client engagements include multiple Optum services that are internally provided by different teams and delivered in a matrix environment. The Business Lead role is designed to ensure alignment of the overall solution with the State client's requirements and goals, using the Implementation team and Optum State Government resources.

The ideal candidate has extensive experience as a delivery professional managing relationships with State or Federal government executives in both implementation and on-going operations phases of large government health services contracts. This candidate will be an established leader with operational credibility and experience in the areas of implementing business service operations and Medicaid Management Information Systems (MMIS) or commercial off the shelf solutions (COTS), and leading efforts that bring best possible solutions to the marketplace. We are particularly looking for individuals with Provider Enrollment and Credentialing experience to act as the single point of contact with State SME's.

The role will transition to on-going operational management of the implemented services after the go-live date. The role will also foster and support business development activities related to enhancements or additional scope. This individual will have strong executive presence and be able to clearly discuss and communicate product value and benefits to customers, prospects, and internal and external partners.

If you are located in the NorthEast, SouthEast, or MidWest, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

* Establish and implement appropriate team structure to complete program implementation
* Establish and maintain positive relationships with the client's executive leadership
* Establish and maintain positive relationships with various Optum and UnitedHealthcare delivery teams
* Act as the key SME on provider enrollment and credentialing on implementation programs
* Establish and manage the Model Office process, driving alignment on requirements and functionality
* Gain agreement and establish client support for critical gap closures
* Deliver results with efficiency, quality, and customer value; measure and report results to the client and to Optum stakeholders
* Engage client and Optum stakeholders to manage risks and timely resolution of issues
* Ensure in scope deployments are completed on time and per contract requirements
* Ensure operational services are delivered with quality and within KPI and SLA requirements
* Prioritize multiple demands and ideas based on available resources and client commitments
* Support decisions and act quickly and effectively to sustain progress
* Navigate and influence multiple cross-functional teams (both client, Optum and United Healthcare) in a complex work environment
* Foster and support business development opportunities while engaged with the client

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 a minimum of four years' related experience
* 3+ years of demonstrated experience working within a State Medicaid Agency or a large healthcare provider
* 3+ years of demonstrated experience in project management for implementation of information systems
* 2+ years of experience managing project controls including issues, risks, requirements, scope, schedules
* 2+ years demonstrated experience with Provider enrollment and credentialing processes
* Experience maintaining visibility on day-to-day activities with project teams and ensuring sufficient face-time with key executive stakeholders
* Demonstrated experience partnering with stakeholders (client and internal) to ensure the proper strategy, plan, alignment, integration and visibility
* Understanding of Federal/CMS/State regulations, requirements, and processes
* Experience engaging in government RFP responses and SOW activities
* Medicaid Management Information Systems (MMIS) or commercial off the shelf products and related solutions experience
* Willingness and ability to travel as required up to 50%
* Previous experience in the healthcare operational services industry
* A certification in project management, preferably from the PMI
* Knowledge of project management standards and best practices including the PMBOK
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

* Prior experience serving as a consultant to government clients
* Advanced industry degree or MBA
* Previous Health and Human Services (HHS) experience in public and/or private sector (Medicaid-focus)
* Ability to balance strategic thinking with the urgency to drive work forward
* Highly skilled in communications (both verbal and written), negotiation, and conflict management

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado Residents Only: The salary for Colorado residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*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.

Job Keywords: business, provider, lead, TN, Telecommute