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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:

OptumInsight Consulting



Approximate Salary:

Not Specified

Position Type:

Full Time

Vice President Medicaid Solution Support Services, Telecommute

UHG - Eden Prairie, Minnesota

Posted: 11/12/2018

No industry is moving faster than health care. And no organization is better positioned to lead health care forward.  We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)
The health care markets are evolving in many different ways and the role and impact of the Medicaid is becoming increasingly important as health plans and providers look for new ways to grow and manage risk. In particular, the ability to manage medical cost through care management interventions or network management strategies is critical to the success of these organizations.
Optum is seeking a senior consulting leader to provide thought leadership and expertise in the Medicaid market. This position is responsible for the development of Medicaid- focused consulting solutions in the all areas of LTSS, HCBS, Duals Population, Complex Care, Population Health, and provider sponsored organizations taking on risk for some of the most complex Medicaid populations.
Primary Responsibilities:
Medicaid Market Analysis and Thought Leadership (10% Time Allocation):
  • Industry thought leader around LTSS, Dual Eligible, Complex Care, Population health and provider sponsored organization strategies and analytics in the Medicaid market
  • Provide thought leadership and insight to clients around the CMS and state specific regulations, guidelines and policies etc. around waiver programs and requirements
  • Define Medicaid states market needs and gaps to current capabilities (matrix with Marketing and Sales teams)
  • Define Points of View for best practices and develop key performance indicators to show value
  • Work with government relations to understand regulatory opportunities/risks and align government relations with long-term marketing and delivery plan
  • Identify and develop consulting offerings, products, services solutions that align with key market needs and or client initiatives
  • Medicaid Program Maturity Analysis and Growth Scenario Assessments
  • Client Medicaid RFP Support and Analysis
  • Medicaid Clinical and Quality Technology Support
Sales Support (10% Time Allocation):
    • Develop proposals and statements of work for client specific engagements
    • Participate, support and complete RFI, RFP and sales process
    • Complete financial analysis for proposed solutions
    • Build Medicaid Marketing and Sales Collateral
    • Attend and participate in oral presentation
Program Oversight & Service Delivery (80% Time Allocation):
  • Direct responsibility for the oversight, hands on participation and delivery of large scale Clinical and Quality consulting projects/programs; large scale programs are defined as high cost, high complexity and/or high risk
  • Ensure utilization rate and billable revenues are attained annually
  • Facilitate development of business segment and enterprise level planning and program objective setting
  • Participate in program funding and prioritization decision processes
  • Provide strategic input to the development of program roadmap and timelines
  • Create a team oriented work climate that enables professional development and encourages creative solutions and strategies
  • Support the management of resources within programs
  • Support program communication plan and execution
  • Require that quality assurance methods are implemented within the program
  • Provide status updates and review of programs to senior leadership
  • Provide coaching and mentoring of project team with the goal of developing and retaining talent within the organization
  • Establish trusted partner relationships to expand the Payer Consulting footprint at designated clients
  • Work with client to lay out strategic roadmap for consulting solutions
  • Provide financial and data analysis to support ROI for project funding
  • Obtains high client satisfaction scores (>90%)
  • Develop and maintain clients references

Required Qualifications:
  • Experience with Medicaid policy and CMS regulations and guidelines for waiver populations and programs
  • 5+ years management experience at the Senior Manager
  • Senior leadership experience at the Strategy, Sr. Manager, Large Program level or above within large payer organization
  • Ability to think strategically, proven experience laying out strategy, developing products and/or services from ground up that would be sold in the Medicaid market
  • Proven problem solving skills (identification of issue, causes, solution, implementation plan)
  • 3 Years of Integration / technology experience with the Altruista Platform
  • 5 Years of Integration Architecture Experience
  • 5 Years of Batch and Real-time Integration Experience
  • 3 Experience Managing Development Teams
  • Experience working with off-shore development
  • Experience running a platform support organization
  • 8 years of database design, build and reporting experience
  • 3 years of Data Architecture experience
  • Project management skills - strong project tracking, presentation and reporting skills
  • Strong ability to influence and motivate
  • Experience writing and executing business plans for new consulting solutions
  • End to End knowledge of Medicaid program implementation, migration and support
  • Ability to travel up to 80%
**Travel is required for this role and typically our associates leave out early Monday and return late on Thursday. Location of residence is flexible for this role; however, travel is a requirement.**
Preferred Qualifications:
  • Bachelor's degree
  • 4+ years of extensive Medicaid experience within a consulting or payer related organization
  • Prior experience working within a State Agency
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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: Medicaid, healthcare, consulting, payer, management, consultant, telecommute, telecommuter, telecommuting, remote, work from home, OptumConsulting, optuminsightconsulting

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