Director of Provider Services and Operations - Hybrid - Washington DC

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.

The UnitedHealthcare Community Plan of DC proudly serves the Dual Eligible Special Needs (D-SNP) population in the District of Columbia and is excited to recruit for our Director of Provider Services and Operations.

If you are located in or near the District of Columbia, you will have the flexibility to work in a hybrid model (2-3 days a week in office located in Washington, DC.) as you take on some tough challenges. Expect to spend about 10% of your time in local D.C. market.

Primary Responsibilities:

• Provider Services and Network Strategy and Management, including:
  
  
  
  
  • FQHC, HCBS and other Core Providers Strategy, Management and Partnerships
  • Encounters/Claims Oversight & Management
  • Network Adequacy Oversight & Management
  
  
  
  
• Operations Management, including reporting/audit accountability, MMIS and IT support and supporting the Chief Operating Officer on business priorities
• Enrollee Enrollment/Eligibility, including oversight of reporting requirements, process improvements, issue resolution, etc.
• People Management, including managing and developing staff and driving performance

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 in Healthcare Operations
• 3+ years of experience in Provider Services and/or Network
• 3+ years of experience in Claims/Encounters Systems and/or Reporting
• 3+ years of experience in Medicaid and/or D-SNP Programs
• 3+ years of experience in People/Team Management
• Intermediate level of proficiency with MS Excel and Data Reporting & Analysis
• Ability to travel up to 10% within the local market
• Commuting Distance from DC Office (655 New York Avenue NW, Washington, DC 20001)

Preferred Qualifications:

• Deep knowledge/experience of the District of Columbia and/or its Healthcare Agency
• Demonstrated skillset in project/program management
• Demonstrated ability to proactively problem-solve and resolve issues timely in a fast-paced, changing environment
• Demonstrated ability to navigate and build relationships within a matrixed, large organization
• Demonstrated ability to communicate (verbally/written) effectively with different stakeholders, both internal and external

*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 all 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.