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As part of the recently approved 1115 waiver in New York, the Department of Health has published its waiver documents outlining a new environment of Value Based/Health Equity reform projects including the establishment of the Social Care Network (SCN) to address Health Related Social Needs (HRSN), the expansion of Making Care Primary and other CMMI programs and Global Budgeting for distressed hospitals. First to launch is the SCN laying the foundation to ultimately move HRSN screenings to at risk Managed Care dollars by 2027. The SCN Request for Application and associated operations manuals outline the need for dedicated point of contact for SCNs to utilize at each MCO. This person will be responsible to triage all incoming requests and navigate United Health Plan and supports to come to a resolution that is expeditious and compliant.

If you reside within the Northeast region of the U.S. and are able to travel to New York state 10% of the time, you’ll enjoy the flexibility to work remotely * as you take on some tough challenges.

Primary Responsibilities:

• SME on 1115 waiver Social Care Network project, Making Care Primary & Global Budgeting Initiative

• Oversee the relationship with all NY Regional Social Care Network Lead Entities in support of the priorities within the New York Health Equity Reform Waiver

• Operationalize SCN, MCP and GB requirements ensuring UHC rollout is timely and compliant. Ensure interdepartmental alignment on key 1115 Waiver Requirements in support of the Social Care Network build and Health Related Social Needs (HRSN) Services

• Engage cross-organization business teams to identify key issues, gaps, strategic needs, and priorities

• Develop, maintain, and track project plans, roadmaps, schedules, priorities, and other core project management deliverables to ensure the success of the HRSN program both during and after the Waiver demonstration period

• Summarize and communicate proposed processes and/or changes to address highest priorities. This includes demonstrating needs through data, assessing impacts or risks, cost/benefit and expected outcomes

• Provide program updates to an executive level audience

• Review and measure deliverables to ensure requirements and quality standards are met

• Recommend and take necessary actions to direct the analysis and solution of problems

• Develop & maintain relevant policies, procedures, job aides and training materials

• Highly skilled communicator, both written and oral

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:

• 5+ years of combined experience across Program Management, Healthcare or Managed Care Analytics and/or Provider Network

• 3+ years proven project or program management experience successfully managing one or more major projects which integrate with multiple business areas or systems

• 1+ years of proven Leadership and matrix partner collaboration skills

• Advanced experience defining and tracking program deliverables including but not limited to project plans, roadmaps, status, tasks, milestones.

• Advanced user experience with MS Office Suite (Word, Excel, PowerPoint, Teams and Visio)

• Demonstrated ability to meet commitments, build consensus, negotiate resolutions, and garner respect from other teams

• Demonstrated to exhibit diplomacy with solid negotiation and conflict resolution skills

• Ability to travel within New York state up to 10% of the time

Preferred Qualifications:

• PMP, Six Sigma or other certification programs

• Networking Management or Contracting experience

• New York State Medicaid experience

• Medicaid Managed Care experience

• Social Determinant of Health Program Management experience

• Proven history of successful process improvement

• Proven solid ability to partner with cross-functional teams

• Proven excellent communications skills, including the ability to write clearly, succinctly and in a manner that appeals to a wide audience

• Proven excellent time management, organizational, and prioritization skills with ability to balance multiple priorities

• Independent, self-directed, executive level relationships

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

Connecticut, New Jersey, New York, or Rhode Island Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.