About UHG

Careers at UnitedHealth Group


We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Medical and Clinical Operations



Approximate Salary:

Not Specified

Position Type:

Full Time

Clinical Project Manager Analyst - Telecommute

UHG - Warwick, Rhode Island

Posted: 12/12/2018

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

This national HRA (Health Risk Assessment) team is part of the UCS organization and seeks to promote the business standardization and clinical integrity across all line of business including M&R, C&S, and E&I.

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

Primary Responsibilities:
  • Support the national strategy to standardize health risk assessment tools, administration, and reporting across C&S, E&I, and M&R markets
  • Conduct oversight and monitoring of HRA program operations and reports in relation to CMS regulations, contractual provisions, and Stars requirements
  • Analyze and interpret detailed reports and present results/recommendations for multiple stakeholder audiences
  • Conduct root cause analysis and research solutions to individual and systemic problems that impact HRA completion rates
  • Develop Visio workflows that depict HRA processes and data flows
  • Identify specific program/process requirements for each market  
  • Manage and lead process improvement projects with multi-disciplinary teams
  • Secure buy-in from key stakeholders on new strategic concepts and methods that enhance the HRA program results
  • Provide operational or subject matter expertise to train others on program or process components
  • Conduct data analysis to identify viable solutions that support program expansion, detect and remediate risks, and ensure continuous improvement
  • Participate in regulatory program audits
  • Lead strategic discussions with national and local stakeholders to drive improvements in HRA Stars ratings
  • Ensure timely communication with all levels of stakeholders within the organization
  • Share key lessons learned and best practices from process re-engineering projects
  • Study current literature on HRA process improvements and identify relevant HRA benchmarking data
  • Share best practices from within and outside the organization / industry / domain and provide recommendations for implementing them
  • Develop and implement effective/strategic business solutions through research and analysis of data and business processes

Required Qualifications:
  • Bachelor's Degree or equivalent related experience ( 8 years of related experience)
  • 4+ years of experience in enterprise-wide business process improvement, quality management, project management and/or business analysis
  • 3+ years of experience in healthcare industry
  • Proficient with MS Excel and PowerPoint
  • Excellent project management skills in situations that involve cross functional stakeholders
  • Experience working with the Agile process
  • Strong analytical skills and problem solving approach
  • Able to run reports, interpret results, draw conclusions, and make recommendations
  • Proven record of consulting on projects/programs using Lean Six Sigma principles, tools, and methodologies
  • Experience in analysis of business processes and workflows, and providing evaluations, benchmarks, and process improvement recommendations
  • Able to identify and deliver new ideas to address key business issues
  • Self-motivated with the ability to define, structure, and prioritize work for self
  • Strong communication and persuasion skills with the ability to think quickly and package ideas
  • Able to be multifunctional, to work with appropriate departments for the development of reporting and monitoring needs
  • Excellent customer service skills
  • Excellent written, verbal and presentation skills
  • Highly detail oriented
  • Identifies opportunities to increase efficiency
  • Able to work in a rapidly changing environment by being adaptable and flexible
Preferred Qualifications:
  • PMP Certification
  • Business Analysis Certification
  • Six Sigma Black Belt or Green Belt Certification
  • SharePoint 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)
*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: HRA, E&I,C&S, RN, Clinical, Project Management, Managed Care, Sigma Six, Healthcare, Healthplan, PMP, Analysis, Reporting, Data Analysis, Visio, Health Risk Assessment

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