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UnitedHealth Group

UnitedHealth Group is looking for a Capability Manager – Delegation Capitation Support – Agile / Telecommute  #PagosaSpringsJobsHiringNow #JobSearchPagosaSprings #ManagerJobsPagosaSprings

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)Join us to conduct, manage and drive projects and resources that result in successful implementation of a variety of Government Operations global risk capitation, PCP capitation or other value-based arrangements, including claims and clinical delegation between UHC and OptumCare or other external entities. Develop your business knowledge of Medicare and Medicaid products, contracting practices, and Federal or State regulations while coordinating activities across more than 20 departments involved in a common purpose to serve our Medicare as well as Community and State beneficiaries.The selected candidate will be responsible to draft capabilities, coordinate features and user stories, and organize and support end to end and integration testing for capitation/delegation projects and other risk based contracting inititives.  He or she will be viewed as a trusted partner for Government Operations teams, delivering with clarity, speed, quality and transparency. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities: Lead activities for assigned Delegation or Capitation initiatives for COSMOS, NICE or CSP Facets Ensure alignment and understanding of program/project scope and objectives with the organization’s strategic objectives, in consultation with applicable stakeholders Document and groom capabilities for delegation/capitation IT projects, with ability to elicit, understand  and articulate customer needs.  This may include drafting and oversight of the accuracy of features and/or user stories in CA Agile and/or AHA Develop and write capabilities, contribute to creation of features and user stories for delegation Maintain a standard suite of delegation related test condition information, helping guide selection of most appropriate production data and scenarios for end to end testing Identify and remediate gaps and drive process improvement for year over year  capabilities testing processes for delegation Research and create Cost Benefit Analysis where required Participate or lead project meetings related to delegation related IT projects.  Discussions may include claim highway components, enterprise claim routing, provider setup, benefits, ID cards, claims, portals, member services, provider services, enrollment, encounters, mis-directed claims process or other.  Coordinate with SMEs to address task sequencing and to help obtain information necessary to project success.     Develop project plans that define key tasks and milestones for your function, taking feedback from SMEs and stakeholders.  Content includes suggested target dates and identifying responsible applications and business team(s)/SME(s).   Modify plans and customize as needed over time.  Facilitate and manage mid size workgroups, enabling a culture of collaboration, trust and disciplined accomplishment of tasks and target dates.  Probe at and document issues and set up calls outside the formal workgroup where needed to resolve open items; escalate critical issues quickly when needed Completes weekly status, monthly stakeholder and other applicable reports or dashboards    Establish, develop and maintain effective relationships with applicable project stakeholders including but not limited to project team members, delegated entity teams, internal customers, functional SMEs, business partners, application partners, IT developers, and leadership. Demonstrates ongoing ability to grow one’s knowledge of end to end global risk, capitation and delegation  from a process and systems function level, including knowledge  of  the business segment and related business teams involved in the  scope of work Acts as a resource for others; readily shares knowledge Ability to guide project team to enforce appropriate agile best practices Ability to delegate tasks amongst project team, SMEs, and application partners Complete recommended and optional online coursework and orientation sessions to learn and deepen knowledge on capitation, delegation, risk based contracting, Government Operations and our platforms Ensures operations is protected e.g. drives solutions that do not require significant adds to staffing, influences direction away from approaches and strategies that Operations cannot adminster Youll 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: 3+ years of project management experience including experience in successfully managing one or more major projects which integrated multiple business areas or systems 2+ years of facilitating workgroups 2+ years of experience developing tools, task plans, milestone charts, status reports COSMOS, NICE, CSP Facets experience is a plus or other Medical Claims System experience Demonstrated experience with process improvement, workflow, benchmarking and / or evaluation of business processes Intermediate or greater level of proficiency with Excel, PowerPoint, Word If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersPreferred Qualifications: Bachelors degree in Business, Finance, Health Administration or related field, advanced degree Has completed Agile training courses 1-2 years+ of Product Owner experience  Self-directed with ability to find answers / clarifications if not known Ability to effectively interact with multiple teams in a fast-paced environment Ability to prioritize in an environment of rapid change Takes accountability for decisions Willingness to handle a variety of different types of project assignments when necessary vs. a fixed role / function Excellent communication, time / project management, problem solving, organizational, and analytical skills Ability to break through barriers that impede progress Strong business partner focus Self-starter; team player; quality minded; focused; committed; work independently Ability to stay committed to long-term project goals Ability to manage through diverse opinions and personalities Capable of researching details if provided the tools and if provided the overviews of how to use themCareers with UnitedHealthcare. Let’s talk about opportunity. Start with a Fortune 7 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 Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.For more information on our Internal Job Posting Policy, click here.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: Capability Manager, COSMOS, NICE, Project Management, Process Improvement, CSP, Medicare and Retirement, M&R, Community & State, C&S, UHC, UnitedHealth Care, UHG, UnitedHealth Group, Telecommute, Telecommuting, Telecommuter, Remote, Work from Home, Minnetonka, MN, Minnesota Recommended SkillsBenchmarking (Project Management)Best PracticesBusiness ProcessCoordinatingSelf MotivationUser StoryRecommended JobsInformation TechnologyAtlanta,GaInformation Technology, Atlanta,GaCapability Manager – Delegation Capitation Support – Agile / TelecommuteUnitedHealth GroupWork From HomeFull-TimeRemote IT Project/Program Manager – 21-03427OpptlyAtlantaCustomer Service RepresentativeAtlanta$50,000 – $70,000/Year

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