Project Manager- Medical Policy - Remote

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.(sm)
As Manager, Project Management, you will leverage clinical, business & system knowledge to interact directly with UCS functional leaders, Project Team members & Enterprise Application teams to provide recommendations on medical policy projects, new programs and process improvements. You will provide input as to how they impact processes, workflows, systems, and regulatory compliance and performance standards. This role will drive efficiency & optimization for our business teams’ continued refinement of operational workflows.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Prefer CST or EST
Primary Responsibilities

• Collaborate with the Senior Data Analyst on timelines for reporting activities
• Ability to work in a cross-functional matrix environment
• Educate leaders regarding day-to-day obligations of clinical operations
• Engagement for all enterprise tool suite technology enhancements, as needed, providing insight & expertise to application utilization to support the UCS business process
• Drive continued process alignment & standardization, identify ongoing coaching opportunities & staffing assessments
• Support training strategy related to new and significantly revised Medical Policies, including development of educational slide presentations
• Assist with document interpretations of rules and regulations
• Assist in the scheduling and preparation for formal Medical Policy Committee Meetings
• Provide directives on projects to identify best practices, drive standardization and optimization to improve performance and/or create efficiencies
• Holistic knowledge of UCS landscape serving all lines of business to proactively participate, collaborate & influence cross-organization clinical program activities and direction in support of delivering the Clinical Services agenda in a timely manner
• Establish a standardized communication methodology for interacting with business partners, project & application teams. Ensuring consistent repeatable processes, expectations and project outputs
• Engagement to provide support and establish relationships with UCS business teams as well as other business segments (i.e. Optum, Network, Provider Relations, COSS, OCIO, C&S, M&R, M&V) to ongoing development and implementation

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

• Intermediate level of proficiency with MS Word, Excel, PowerPoint and MS Project
• BA/BS degree or equivalent experience
• 5+ years of experience in process development, tracking & planning
• Demonstrated ability to communicate ideas clearly and concisely to all levels of the organization
• 5+ years of project management experience
• Proven self-starter with adaptability
• Proven excellent time management, organizational, and prioritization skills and ability to balance multiple priorities
• 3+ years of Clinical experience
• Experience identifying improvement opportunities

Preferred Qualifications

• Experience managing staff/mentoring others
• Experience with project management technology
• PMP certification
• Intermediate level of proficiency with Visio and SharePoint
• Master’s Degree (e.g., MPH, MBA)

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, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $85,000 to $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.

• 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.