Manager, Hospital Case Management Performance Improvement - Remote

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.

The Manager, Hospital Case Management Performance Improvement will be a part of a team responsible for solving some of the most complex issues facing health systems across the US. Our clients seek transformational solutions to managing clinical operations - including Care Management - to reduce the cost of care, improve quality and patient outcomes, and bring innovative solutions to solve complex problems. This client-facing role will lead the Hospital Case Management Audit & Compliance team, facilitate cross-team collaboration and drive improvement initiatives and results. This individual will report directly to the Director of Optum Advisory. The ideal candidate must be passionate about improving care delivery and effective at working in a fast-paced, high-energy environment and confident in their interactions with internal and external senior leaders (C-suite), Hospital Case Management operations and business partners.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Manage Audit & Compliance Program activities across multiple clients including creating and tracking deliverables, identifying and mitigating risks, managing resource plans
• Communicate clear direction and delegate responsibilities to team members when needed, providing management and coaching
• Build and manage relationships with client stakeholders, Optum business units and decision-makers, leading with influence to drive change
• Monitor achievement of Optum Hospital Case Management operational goals including compliance to regulations
• Recommend and drive action plans through appropriate project governance structures and operational escalation pathways
• Lead and collaborate with cross-functional teams on project approach, strategies, and work plans to drive workflow optimization, education and training, compliance and quality
• Oversee the of the Hospital Case Management Audit & Compliance team and operations within the scope of case management, utilization review and discharge planning
• Manage the creation of internal and client-facing artifacts and/or deliverables that effectively summarize findings, support fact-based recommendations, and provide appropriate detail to substantiate conclusions
• Lead and facilitate initiatives to support continuous improvement of the Audit & Compliance program and team’s day to day operational workflow

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:

• Experience building and creating project and/or program deliverables with the ability to manage complex work streams
• Experience translating business needs into reporting requirements in collaboration with reporting and/or analytics teams
• Experience with Hospital Case Management and Utilization Management
• 5+ years of experience in management consulting and hospital operations and/or project management in Hospital Case Management Audit & Compliance
• Team Lead and/or Management experience
• Experience analyzing business processes and workflows
• Experience in healthcare quality process improvement
• Advanced Microsoft Office expertise, specifically Excel and PowerPoint
• Bachelor’s degree in business, industrial engineering or health-related field

Preferred Qualifications:

• Proven to have excellent time management, organizational, and prioritization skills
• Experience overseeing quality and auditing for regulatory standards (federal and state) for hospitals
• Master’s degree in business or health-related field
• Proven to be a flexible team player, dedicated to contributing toward the desired outcome
• Experience working in matrixed and/or complex organizations or health systems
• Experience with data management tools and/or BI tools (e.g., Tableau, MicroStrategy)
• Proven ability to take initiative and work independently in a fast-paced environment
• Clinician
• Proven exceptional written and verbal communication skills
• Proven solid interpersonal, team, and conflict resolution skills
• Lean six sigma certifications
• Proven to be highly adept at handling ambiguity

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $101,200 to $184,000. 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.

• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.