UnitedHealth Group Account Manager, Health Plan Performance, Community Plan - Albuquerque, NM in Dallas, Texas
Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product.
UnitedHealth Group offers a portfolio of products that are greatly improving the life of others.
Bring along your passion and do your life's best work.
(sm) Primary Responsibilities: Understand and educate Community & State functional leaders and UnitedHealthcare Shared Services Partners (matrix partners) on New Mexico State Contractual/ Market/ Member Benefit requirements in partnership with compliance to assure understanding and accountability Build strong relationships with matrix partners (including claims, member/ provider call, provider operations, appeals & grievances, enrollment/ eligibility, encounters, IT, provider/ member experience, clinical and quality) by fostering and leveraging an account team structure that is involved in key Health Plan strategic initiatives, goals and activities Ensure matrix partner processes meet State/ Market requirements by assuring that we are working within UnitedHealth Group and State guardrails/ requirements.
When necessary, will facilitate resolution of concerns with established guardrails/ requirements trying to ensure a win for both UnitedHealth Group and the State Analyze metrics and trends to ensure contractual/ market requirements are met, and working with matrix partners to improve performance when not met Drive performance excellence and accountability by developing relationships with and working across matrix partners to eliminate identified barriers to creating new and maintaining existing reference accounts Be a trusted resource for the local Health Plan and assure that every State requirement, process, project and service has an owner within the matrix that will be most effective in execution Identify opportunities for innovation, productivity improvement and savings Perform special projects as assigned by Leader or Health Plan Success Factors: Proven ability to influence course of action when others are directly accountable for outcomes Ability to manage multiple tasks and priorities in a matrix environment, strong problem solving skills and attention to detail Demonstrated experience to drive Performance Excellence and Accountability change level projects from the start to finish Demonstrated ability to interface and succinctly present to senior management effectively Demonstrated ability to anticipate and tie operational issues to financial outcomes in order to minimize unexpected hits to Health Plan's bottom line Excellent collaboration and drive for results and organizational excellence Excellent communication skills, both written and verbal Required Qualifications: High School Diploma or GED 5+ years demonstrated experience working in a highly matrixed environment 3+ years in-depth managed care health plan operations experience (including claims, member/ provider call center, enrollment and/or eligibility, provider operations, etc.) 3+ years experience managing multiple projects/ tasks to meet contractual deadlines or other time sensitive commitments 3+ years demonstrated experience managing and driving team performance Proficiency in MS Office: Outlook, Excel, Word, Project, PowerPoint, SharePoint, Visio Able to travel locally up to 25% Live within a commutable distance to Albuquerque, NM Preferred Qualifications: Prior Account Manager Health Plan Performance experience Bachelor's degree Medicaid, CHIP, long term care or government health plan experience Careers with UnitedHealthcare.
Let's talk about opportunity.
Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution.
Now, add your energy, your passion for excellence, your near-obsession with driving change for the better.
Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe.
We bring them the resources of an industry leader and a commitment to improve their lives that's second to none.
This is no small opportunity.
It's where you can do your life's best work.(sm) 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. Job Keywords: Albuquerque, NM, New Mexico, Phoenix, AZ, Arizona, Salt Lake City, UT, Utah, Denver, CO, Colorado, Dallas, TX, Texas, Health Plan Performance Manager, Medicare, Medicaid, managed care, healthcare operations, 89b92217-b18b-4316-9cb7-4fbbe19b4bce
Account Manager, Health Plan Performance, Community Plan - Albuquerque, NM New Mexico-Albuquerque 681447