Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start
Caring. Connecting. Growing together.
You've been working your way to this opportunity for some time now. You've learned to lead. You've build a deep expertise in health care network operations. You've set your sights on having more impact in more ways. It's time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. We're driving ever higher levels of sophistication in how provider networks are composed and compensated. Your expertise in provider networks can help us build in the next phase of evolution. In this Director level role, you'll use your knowledge and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader.
The Associate Director of Client Performance will play an important role in Optum’s Risk Adjustment & Quality Prospective Programs to ensure that clients purchasing the Prospective Services meet or exceed their specific program goals. This role will support the Field & Virtual teams who execute the prospective program with reporting, goal monitoring, client communication & strategy. You will be assigned to clients and lead their program inclusive of in office assessments, member outreach, intense provider engagement, and integrated risk and quality programs.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Review Analytics to Drive Action in the Markets to Achieve Client Performance
- Review and Analyze available reporting
- Develop insights and action plans
- Answers the question daily - “Are we on track?”
- Proactively communicates plans at national / regional / market levels both internally and externally
- Present and roll out strategy to internal team; address questions, problem solving, provide ongoing direction and bring in client when needed for decision making
- Liaison between client management and Provider teams
- Go-To resource for operational questions
- Work closely with the Ops team to drive the program to client timelines / goals
- Meet with the Directors to provide ongoing updates on client strategies / activities
- Work with Client Management to develop the program strategy
- Work with Client Management to Build / Maintain / Report on the client goals and progress in a standard format (work plan)
- Review the actuals vs. targets / goals with the Directors
- Facilitate the provider id suppressions when needed
- Assist in completing the program readiness checklists during planning with the client to map out strategy
- Prepare information and present at quarterly business review and Strategy Meetings
- Support Regional / Market Relationships
- Attend market/regional meetings as needed
- Escalate concerns/issues to Client Manager / Corporate client
- Provide information / follow - up to requests from the plans during the meetings
- Ensure Consistent Standardized Communication of Information / Reporting
- Assist the clients in utilizing their reporting
- Ensure each market is getting what they need for reporting for their client
- Aid in building standardized Presentation / Reporting package for the client meetings
- Standardize and deliver messaging around key timelines
- Forecast Model Creation, Statistical Calculations, Aesthetic Formatting (Client Presentations)
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 experience working with a managed care organization, health insurer, or other organization focused on risk adjustment
- 5+ years of experience in data analysis
- Experience with risk adjustment
- Proficiency in Excel- Ability to create formulas, VLOOKUPS, SUMIFS, Pivot Tables, and ability to create models
- Proficient in PowerPoint
- Proven skilled communicator at executive level
- Proven skilled cross functional leader
Preferred Qualifications
- Experience with Stars/HEDIS
- Experience with program management
- Experience with provider practice relationships
- SQL experience
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
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.
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.
