Associate Director Complex Pediatric Clinical Strategy - Remote

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

United Healthcare Community & State is looking to hire Associate Director Complex Pediatric Clinical Strategy. This role will support development and deployment of differentiated pediatric clinical model.

You will serve as a key team member, reporting to the Director of Complex Pediatric Strategy. Responsibilities include the

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

Primary Responsibilities:

• Develop and manage a differentiated portfolio of clinical programs and capabilities that achieve the highest quality outcomes for the markets in their region
• Customize national clinical capabilities for state-specific needs in partnership with the health plan clinical leaders in their markets to meet new clinical requirements or help achieve growth or quality goals
• Develop new state-specific clinical program when no national solution exists including using data on the population, designing and operationalizing the program in partnership with the health plan, and measuring the results
• Review performance of current clinical programs in their markets based on quality outcomes, member experience and ROI and identify opportunities to improve and evolve programs for their markets
• Manage program portfolio for each of their markets to improve competitive position and optimal performance
• Ensure the market teams have the clinical tools and resources available to meet/exceed all goals

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:

• 3 years of experience working with pediatric populations in a healthcare setting of HCBS/LTSS, primary care, NICU, or PICU
• 2 years of experience operationalizing clinical programs
• 1 years of experience working in Medicaid Managed Care
• Solid communication skills, including written, spoken, and presentation communications
• Ability to motivate business unit leaders and strategic partners and work within teams effectively using influencing skills to drive to efficient and effective decision-making and building a collaborative culture
• Highly collaborative individual with the ability to build strong professional relationships at all levels and across business lines
• Solid planning and problem-solving skills to quickly identify and resolve issues
• Operates well with ambiguity, self-starter, can operate in the unknown
• Experience overseeing day-to-day operations of clinical programs, ensuring adherence to quality standards and regulatory compliance
• Solid demonstrated ability to lead business initiatives to a successful outcome

Preferred Qualifications:

• RN, LCSW, or LPN/LVN license and 3 years of experience in a related field preferred, including clinical or quality experience in a managed care setting; or any combination of education and experience, which would provide an equivalent background

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

The salary range for this role is $106,800 to $194,200 annually based on full-time employment. 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.