LosAngelesRecruiter Since 2001
the smart solution for Los Angeles jobs

Manager, Clinical Programs Review - Telecommute

Company: UnitedHealth Group
Location: Los Angeles
Posted on: November 22, 2021

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)Manager Clinical Program ReviewThis position is part of the Value Creation Clinical Program Review Team. The Clinical Program Review (CPR) Process provides governance structure and oversight for all clinical programs across UHC. The role of the CPR is to ensure UHC clinical programs are data driven and represent our best opportunities to improve members health while reducing cost.The CPR Process is made up of three key components:

  • The Ideation Front Door- a clinical program ideation support and management process
  • CPR Committee meetings - in depth review of each program's clinical model and performance by UHC leaders
  • Clinical Program Monitoring and Evaluation- centralized program performance reporting (score cards) and robust evaluation of select
  • The CPR process is engineered to ensure program owners are fully supported in their effort to create high value clinical solutions and that line of business leaders have the reliable and complete information necessary to make informed clinical investment decisions.The Manager of CPR will partner with the CPR Sr. Manager and the Director to manage, refine and support refinement of the CPR processes. The manger will join a team of 4-6 others to ensure the process runs smoothly and deliverables reflect the needs of our customers - the lines of business leaders and executive leadership.The incumbent will ensure smooth operation of the Program Ideation Front Door, timely delivery of clinical program performance reports (scorecards). The manager will support CPR committee meetings as needed. The incumbent will collaborate with the CPR Sr. Manager to support the Clinical Program Evaluation team. The manager will work closely with clinical program owners across diverse clinical categories and program partners, including the lines of business teams and internal/external program operations teams.You'll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.Primary Responsibilities:
    • Work with CPR Sr. Manager and Director to maintain a disciplined process for program operation, documentation, and communication
    • Support continuous CPR process improvement by seeking and routinely incorporating feedback from stakeholders into process and product refinements
    • Manage assigned CPR functions such as the Ideation Front Door process, Program Scorecard production and CPR committee meetings, in close collaboration with stakeholders: program owners, Lines of Business leaders, HCE, the Clinical Analytics and Development Team
    • Support CPR leadership with project plans, progress tracking, meeting oversight and document management
    • Actively seek, address, and anticipate stakeholder and program owner needs; develop solutions to meet them
    • Help ensure that the team follows up with clinical program owners and operations teams regularly to ensure CPR recommendations are implemented (or understand why not)
    • Support development of communication on performance of the CPR process including both quantitative and qualitative data
    • Support the development and maintenance of program management plans including written specifications of tasks, expected timelines, and deliverables consistent with the team deadlines
    • This role will challenge your ability to work on a complex program where deadlines and scope shift frequently. You'll need flexibility, agility, and the ability to adapt to change while staying organized and maintaining strong relationships with stakeholders in a highly cross-matrixed environment.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:
      • Bachelor's degree or equivalent work experience
      • 1+ years of project management experience, collaborating with a variety of teams and using data and information to make business decisions
      • 1+ years working in a health care setting, preferably in a managed healthcare company
      • Proficiency with MS, Excel, PowerPoint, and SharePoint
      • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliancePreferred Qualifications:
        • PMP Certification
        • Process Improvement certification
        • Experience interacting with leaders across disparate parts of a business
        • Clinical background or previous experience in a clinical setting
        • Track record of successful, collaborative teamwork and creative problem solving
        • Excellent written and oral communication skills
        • Excellent time management and organization skills - -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 with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 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)Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $79,700 to $142,600. The salary range for Connecticut / Nevada residents is $87,900 to $156,900. 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 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.Job keywords: Manager, Clinical Programs, Value Creation, Clinical Programs, Clinical Services, Minnesota, Telecommute, Work From Home, Governance, Health Plan Innovation, UHC, UHG, Unitedhealth Care, Remote, Data Evaluation, Minnetonka, MN, Minnesota, Dallas, TX, Texas, Hartford, CT, Connecticut, Atlanta, GA, Georgia, Chicago, IL, Illinois, Los Angeles, CA, California

Keywords: UnitedHealth Group, Los Angeles , Manager, Clinical Programs Review - Telecommute, Executive , Los Angeles, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Los Angeles RSS job feeds