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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
The Director of Payment Integrity, Program Management is responsible for managing the successful delivery of transformative blue chips initiatives that advance the organizational strategy to streamline operations, enable technology, improve provider experience, and retain our right to audit in support of UHC Payment Integrity, Operations and Experience. The Director is responsible for the strategy, project planning, implementation plans and oversight of all operational processes and protocols to support transformed operations.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:

• Develop and execute strategic roadmaps to achieve Payment Integrity and enterprise business goals
• Engage cross-functional business teams to identify key issues, gaps, strategic needs, and priorities
• Influence executive leadership through compelling presentations that communicate strategy, risks, plans, and successes
• Oversee deployment of business process improvement and design initiatives, ensuring operational readiness and alignment across workstreams
• Anticipate and manage downstream impacts of new processes; adjust strategies to maintain business alignment
• Coordinate with Product, Technology, Operations and vendors to ensure deliverables meet business objectives and align with long-term transformational goals
• Manage a small team of analysts and project managers, fostering a culture of accountability, collaboration, and continuous improvement
• Create and maintain reporting dashboards; conduct analysis and quality audits to ensure confidence in deliverables and accurate performance forecasting
• Provide transparent communication and program updates through status reporting and Steering Committees
• Facilitate and lead cross-program workgroups to design and deploy process improvements, including strategy, requirements, and planning
• Assess impacts, risks, and cost/benefit of proposed changes; recommend actions to mitigate roadblocks and ensure successful deployment

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 combined experience across Payment Integrity, Revenue Cycle Management, Encounter/Claims Processing, and/or Provider Network
• 5+ years of people leadership experience
• 5+ years managing operational changes within the end-to-end claim lifecycle, including assessing upcoming changes and their impact, developing, and executing readiness plans and ensuring smooth transition to steady-state operations post-deployment
• 3+ years proven project, capability or program management experience successfully managing one or more major projects which integrate with multiple business areas or systems
• 3+ years partnering with technologist in support of Agile Technology delivery from requirements to deployment
• Expert ability to analyze business process information (e.g., metrics; analytics) to identify key issues, trends, and potential root causes (e.g., training issues; lack of understanding by user community)
• Exemplary ability to diagnose process opportunities and develop solutions, high problem-solving capability
• Advanced user experience with MS Office Suite (Word, Excel, PowerPoint, Teams and Visio)

Preferred Qualifications:

• PMP, Six Sigma or other certification programs
• Proven experience with project management software such as Microsoft Project, Smartsheet, Jira, etc.
• Deep knowledge of claims platforms
• Proven history of successful process improvement with tangible results

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.

Skills Required