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General Manager, Medicare & Retirement - Telecommute in TN

Company: UnitedHealth Group
Location: Chattanooga
Posted on: August 4, 2022

Job Description:

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 Directors /VP of Strategy across the State. This role also helps inform operating partners of local market needs specific to the member and provider experience and works to help implement solutions.

If you are in Tennessee, you will have the flexibility to telecommute as you take on some tough challenges.

Primary Responsibilities:

  • With guidance from the Health Plan leaders, GM will lead the development and execution of market-specific business plans, including but not limited to:
  • Monitor operating effectiveness of local products/benefits
  • Identify opportunities, trends and root causes to ensure operating effectiveness of local products/benefits
  • Assist local UHN leadership to identify and resolve operational issues associated with incentive-based arrangements including claims, member eligibility, provider and Sales related issues
  • Use strong local market knowledge/expertise to influence business decisions that will impact results, including benefit design, network, sales and marketing plans
  • Helping achieve market-level NPS goals and CAHPS results
  • 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 Market Aligned Operating Model on member escalation issues that cannot be resolved through normal customer service channels, as well as quality improvement through call auditing
  • Support operational readiness by partnering with cross-functional teams across the enterprise
  • 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
  • Coordinate member clinical care events in community settings with provider partners to increase star rating
  • Run weekly, monthly, and quarterly reporting to support business goals

    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:
    • Associates degree or equivalent work experience
    • 3+ years of managed care experience
    • 3+ years of project management experience
    • Experience utilizing excellent problem-solving skills with effective follow through
    • Solid analytical skill set
    • Proficient with Microsoft Office (including Excel, PowerPoint, Word and Access)
    • Solid understanding of the interdependencies across healthcare product operations (network, sales, service, systems, etc.)
    • Valid driver s license and ability to travel 25% of the time
    • 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:
      • Medicare license
      • Medicare quality and/or Medicare marketing and sales experience
      • Demonstrated competence in community/public relations
      • Excellent attention to detail & time management skills; demonstrated ability to manage multiple priorities simultaneously
      • Solid organizational skills that will allow individual to manage multiple tasks simultaneously to meet aggressive local goals and objectives
      • Solid communication skills; able to effectively communicate to Sr. Leadership & matrix partners on a consistent basis
      • Self-motivated, goal driven
      • Exceptional interpersonal skills with ability to interface effectively internally and externally with a wide range of people including members, medical groups, IPAs, and community organizations

        To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination 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.

Keywords: UnitedHealth Group, Chattanooga , General Manager, Medicare & Retirement - Telecommute in TN, Executive , Chattanooga, Tennessee

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