Associate Director, Medicare Affordability And Value Minnetonka, Mn

Minnetonka, MN, United States

Job Description

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.
As a strategic leader you will be charged with developing and helping to oversee 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 preparation and follow up, performance scorecard development and publishing on behalf of markets, and generalized support for programs as capacity is needed.
As the Associate Director of Affordability and Value for M&R, you will report to the VP of M&R Affordability and Value. You will be responsible for aggregating and tracking the affordability value, strategy and execution across all major levers (Clinical, Payment Integrity, Network and Pharmacy). This includes creating artifacts that showcase the team efforts to drive to annual affordability targets and govern program spend annually. This includes showing historic performance over time, and creating far future strategic viewpoints. This role requires cross functional leadership with healthcare economics, actuarial, finance, UHN, and Optum partners. This role requires the ability to build trusting relationships with health plan leadership and the ability to drive business goals with sister departments in UHC and Optum. You must understand how to drive complex business strategies and processes throughout and across our matrix organization.
This role is office based out of the UHC Minnetonka, MN Headquarters.
Primary Responsibilities:

  • Business Planning and Regular Reporting
  • Partners with teammates to develop M&R's affordability strategy to targets, providing insight and recommendations and ensuring alignment
  • Tracks progress against M&R's affordability and value plans, identifies any deviations and suggests plans to remediate; provides reports and analysis as required
  • Assists in preparing Affordability outlook executive summaries for Affordability EVP for use in monthly forums with UHC C-Suite Leadership (CEOs, CFOs, CMOs)
  • Assists in preparing Affordability outlook executive summaries of non-Delegated functions for Optum Home and Community Leadership, and partners with their local market leaders to find additional opportunity
  • Participates in strategic planning for P&L owners and assists in developing specific plans as needed, including long range planning models
  • Communicates effectively to leadership - written and verbal, internal and external
Strategic portfolio management * Efficient in project planning, task-management, risk mitigation, and program execution
  • Cultivation of strong business relationships
  • Analytics and Ideation:
  • 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 Government Program Affordability and Value teammates, HCE and Government Program Finance to analyze year over year gross and incremental affordability performance, Program ROI summaries and data visualizations for use in C-Suite level updates
  • Partners with key ideation partners, including UCS Value Creation, UHC Payment Integrity and UnitedHealth Networks to build and maintain a pipeline of new affordability and value ideation opportunities, to stay aligned on potential value through a confidence adjustment process
  • Leans in to assist with vetting emerging ideation opportunities as needs arise
  • Implementation, Governance and Continuous Improvement:
  • Works with selected partners keep visibility to new/adjusted program implementation plans including detailed objectives (KPIs), key milestone dates, scope, roles and responsibilities, etc. to inform affordability and value outlooks
  • Keeps stakeholders well-apprised of positive and negative changes in outlook and provides regular status updates
  • Partners with key team members to ensure performance expectations (KPIs, service level agreements, performance guarantees, etc.) are well defined and regularly monitored for all affordability programs within M&R
  • Partners with key M&R Affordability and Value team members to quickly address and/or escalate 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
  • Partners with key M&R Affordability and Value team members to leverage insights from stakeholders, benchmarking and other sources to continually improve program ROI and other value, including but not limited to rate optimization for efficiencies
  • Regularly connects with the Government Program Affordability leadership team to ensure program learnings, performance and dependencies are well socialized and considered
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:
  • 5+ years of healthcare or related industry experience
  • 5+ years of Finance, Accounting or Health Care Economics Experience
  • 5+ years strategic management of complex products/processes/scope of accountability
  • 5+ years leadership experience (direct or indirect reporting relationships)
  • 5 + years business operations and execution experience with the ability to quickly diagnose and solve complex problems
  • Experience within large, matrix organizations with demonstrated business results
  • Proven excellent financial analytical skills: ability to quickly interpret financial information and draw conclusions
  • Proven excellent communication skills: ability to independently produce written communication for executive leaders
  • 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
  • Proven 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
Preferred Qualifications:
  • Master's degree (MBA, MHA, MPH) or advanced degree
  • UnitedHealth Group experience
  • Medicare Advantage experience
  • Proven ability to work independently and effectively in a results-oriented, fast-paced environment
  • Proven ability to build relationships cross-functionally and lead toward common goals
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Detail

  • Job Id
    JD5770111
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    $110,200-188,800 per year
  • Employment Status
    Permanent
  • Job Location
    Minnetonka, MN, United States
  • Education
    Not mentioned