VBR Operational Lead - National Remote

You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.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 and start doing your life’s best work. SMThis position will lead efforts for end-to-end value-based reimbursement (VBR) operational issue resolution with a specific focus on a line of business, such as Medicare & Retirement, Community & State (Medicaid) and Employer and Individual (Commercial). This position will be responsible for partnering closely with the various key internal stakeholders, as well as, with the delegated provider partners to resolve and prevent issues related to key risk-based contracting operational processes. This position will serve as the lead to facilitate the resolution of the root cause of these issues, as well as, to develop the communication materials for stakeholders.This will improve the care provider and member experience by reducing the administrative burden that the issues place on both UHC and the delegated provider. This position will utilize their project management and analytical skills, as well as, existing and learned knowledge of the business and the extensive business processes to implement this operational infrastructure by line of business. This position requires the ability to act independently to lead and diagnose process improvement opportunities, as well as the ability to drive complex issues to resolution with minimal supervision.This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm.All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.Primary Responsibilities:

Develop appropriate end to end controls and monitoring of key VBR operational processes impacting the member and care provider with a specific focus on the designated line of business.

Serve as the central escalation point for risk-based contract operational issues for the specific line of business.

Lead issue resolution support post risk-based contract implementation for the designated line of business and provide feedback to the implementation and impacted operational areas as necessary.

Develop and lead an operational and service governance structure for applicable risk-based contracts by line of business. Effectively communicate targeted risk-based operational performance to Health Plan leaders and other key stakeholders that includes monitoring impacts to the care provider and member experience.

Establish, develop, and maintain effective relationships with applicable stakeholders, including but not limited to, health plan team members, delegated entity teams, internal customers, functional SMEs, business partners, and applicable line of business leadership

Apply analytical and professional judgement to appropriately resolve inquiries and issues, surrounding risk-based contracts, raised by multiple stakeholders, including Network, Provider Ops, Constituent Services and Health Plan leadership.

Provide appropriate subject matter expertise and business analysis for issues impacting the end-to-end operational processes supporting the risk-based contracts. Act as a resource for others; readily share knowledge.

Root cause risk-based operational issues, document findings and implement action plans, including collaboration with external provider delegates.

Effectively communicate the issues, including any barriers or risks to their resolution, with both internal and external parties. Communication may be written or verbal.

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:

High School Diploma / GED (or higher)

5+ years of experience using operational metrics, data/analytics, capacity planning, and dashboards to run, interpret, and drive business performance

5+ years of experience developing and implementing business process change initiatives, including documentation

5+ years of experience with process improvement, workflow, benchmarking and / or evaluation of business processes

5+ years of experience in communication, internal and external executive level

4+ years of proficiency with Microsoft office, including PowerPoint, Word, and Excel, (Create, Edit, Pivot, formulas, VLOOKUP, run reports)

Ability to work our normal business hours of 8:00am to 5:00pm, Monday - Friday

Preferred Qualifications:

Bachelor’s Degree (or higher)

Knowledge of Value Based Contracting or Capitation based business models

Knowledge of the COSMOS Claims Platform

Proficiency with Visio (create standard process flows)

Experience in the Health Care industry

Experience performing financial analysis

Telecommuting Requirements:

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Ability to keep all company sensitive documents secure (if applicable)

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

High proficiency in analytical skills

Experience leading/driving meetings and conversations

Strong relationship skills

Careers with UnitedHealthcare. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.California, Colorado, Connecticut, Nevada, Washington or New York, Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / Washington / New York / Rhode Island residents is $85,000 - $167,300.Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.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.#RPO #YELLOW