The
Health and Social Services Manager will lead a care management team while overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets. The HSS Managers will support a team within Indiana. Responsibilities will include adherence reporting, audit oversight, process improvement, execution of clinical decision processes, and team management, to include performance management and implementation of program initiatives.
If you reside in Indiana, you will have the flexibility to work remotely* as you take on some tough challenges.
Approximately 25-50% of field-based travel in Indiana.
Primary Responsibilities:- Works with all areas of leadership across the health plan to support and execute medical and clinical program priorities and goals
- Identifies and implements opportunities to streamline processes, increase innovation, and support growth of medical and clinical operations programs
- Provides adherence reporting, audit oversight, and participates in audit activities for health plan
- Leads laterally to ensure auditing outcomes and reporting findings are successfully celebrated and addressed, as appropriate
- Selects, manages, develops, mentors and supports staff in designated department or region
- Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
- In order to meet the unique needs of our members, have an intimate understanding of the contractual requirements
- Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
- Conducts monthly audits of staff and participates in all other required audits and business monitoring
- Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
- Participates in training and coaching of direct reports as needed
- Collaborates across Optum and UHG and interacted with Medical Directors, Senior Leaders, Quality, and other stakeholders
- 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
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:- Possess one of the following:
- Indiana licensed registered nurse in good standing with 3+ years of case management experience
- Indiana Master's Social worker with 3+ years of case management experience
- Bachelor's and/or Master's degree in social work, gerontology, counseling, psychology, or nursing with a minimum of 2 years full time direct service experience with the elderly or disabled which includes assessment, care plan development, and monitoring
- 2+ years of experience providing support or care coordination for older adults
- 2+ years' Leadership Experience with responsibility for team performance OR 3+ years of experience as a UnitedHealthcare care coordinator/case manager with experience serving as a peer mentor and/or coach
- 2+ years of experience working within the community health setting in a health care role
- 2+ years of experience facilitating and working in coordination with an interdisciplinary team
- Intermediate MS Office skills, including Word, Excel, Outlook, and PowerPoint
Preferred Qualifications:- Experience with Long Term Service and Supports or Waivers Program
- Management experience in managed care setting
- Proven ability to navigate a TEAMs environment
- Experience in project management
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
#RPO, #GREEN
