UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Affordability Consultant - Cypress, CA-312180
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. Our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and rewards.
If you are interested in bringing your project management skills to a highly-visible role that offers plenty of variety and exposure to nearly all aspects of the healthcare system, apply to join us as an Affordability Consultant. In this position you would plan and implement affordability programs in the local health plan market. You would also enjoy great benefits and excellent potential for future advancement into many areas.
Key responsibilities:
- Assisting with the deployment of national programs to the regional market
- Participating in the development and implementation of local initiatives involving disease management programs, facility contracting initiatives, payment policies, vendor changes and product design changes
- Coordinating all activities to ensure successful project completion
- Building a consensus and acting as a change agent for each initiative
- Working with the other members of the Affordability team to analyze medical expenses and coordinate the results
Additional Responsibilities:
- Develop relationships with client counterparts through consulting engagement.
- Communicate effectively, collaborate to execute on affordability assessment, creation of meaningful conclusions and development of recommendations that can be delivered to achieve financial results.
- Obtain and demonstrate an understanding of the client, the industry, and critical needs to support effective current state analysis and recommend effective solutions.
- Take a broad approach to problem solving.
- Perform thorough current state analysis and effectively summarize critical findings/drivers.
- Develop pertinent and insightful recommendations and build feasible, value-added solutions.
- Collect historical population, benefit, claims, financial, clinical and performance related data from UHG data owners and customer.
- Perform retrospective and prospective assessment of cost drivers including unit cost, utilization, specialty, provider type, diagnosis/episode, high cost claimant and other analyses.
- Define historic drivers of medical expense trend and project expected levels of cost/trend as baseline for outlining potential solutions.
- Assess components of benefits and plan design for impact on medical cost management, define areas of opportunity to improve results.
- Analyze other key data that influence affordability, including employee engagement in financial decisions and health planning.
- Assess value of UHG programs on financial results and areas for improvement related to program components/design and coordination across segments/programs.
- Integrate results of analysis into comprehensive report of historical results.
- Concisely defines key drivers of medical expense spend and/or missed opportunities, including: unit cost, utilization, program/management gaps, employee engagement/education and benefit/plan design.
- Defines in an integrated fashion the value provided across UHG, along with opportunities for improvement.
- Translates data into potential future strategic actions that will positively influence expected medical costs.
- Consult with appropriate USS/UHG resources/enablers, identify potential solutions that will positively influence customer's affordability results.
- Prioritize based on expected financial impact, implementation risk and consistency with customer's benefits strategy/philosophy.
- Quantify value, risks and expected timing of implementation, along with dependencies.
- Incorporate solutions in multi-year affordability plan with intent of expanding value and presence of capabilities over time.
- Design the deliverable to precisely reflect client needs, and prioritize them to account for expected value, program complexity/risk, expected timing of return and investment required.
- Respond to the customer with a sense of urgency, practicality, accountability, integrity and respect.
- Consistently represent all segments of UHG in a positive light, while continually communicating customer issues to the Sr Affordability Consultant and SAE.
- Proactively identify and assist, as appropriate, in the timely resolution of any strategic, technical or service issues.
- Coordinate and communicate activities with engagement and management teams.
- Pursue activities to continually familiarize one with UHG programs and seek out participation opportunities in ongoing training
Positions in this function develop and drive performance improvement strategies, medical cost containment programs, and special projects that directly impact operational and financial performance.
- Develops innovative approaches.
- Sought out as expert.
- Serves as a leader/ mentor.
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career. Qualifications
The ability to manage projects in a cross-functional setting is essential, as is experience analyzing data and communicating the results. The ability to train others is required. A healthcare or managed care background is strongly preferred. Clinical experience or prior work in a hospital or on the network side of the business would be an asset. Strong Excel and Access skills will be needed; Project proficiency is desired. Bachelor's or nursing degree preferred.
- Delivers exceptional performance; strives to achieve stretch objectives; focuses on results, not efforts.
- Drives initiatives to achieve organizational targets
- Focuses on execution, removing obstacles and distractions, develops new processes that enhance efficiency and performance.
- Effectively understands use of data to effect positive change in utilization patterns.
- Fosters a competitive environment and serves as a role model to other employees.
- Self motivated.
- Maintains a high level of work quality, focuses of detail and in dependable in meeting commitments and fulfilling obligations.
- Consistently demonstrates ability to act and react swiftly to challenges.
- Builds and strengthens customer relationships.
- Finds better ways to meet customer needs.
- Acts ethically, maintaining the highest personal and professional integrity.
- Works effectively within the matrix, promoting trust and communications across the business segments; collaboratively builds strong relationships.
- Effectively understands use of data to effect positive change in utilization patterns.
- Highly effective at analyzing data and identifying and articulating opportunities for improvement and innovation.
- Effectively understands and/or uses information technology and business processes in analyzing options and making decisions.
- Networks outside and inside the organization and builds positive relationships with key individuals and groups.
- Effectively establishes credibility with market medical directors and associated staff.
- Interpret results and take action on reporting.
- Networks outside and inside the organization and builds positive relationships with key individuals and groups.
- Strong project management skills with Six Sigma training.
- 5 plus years of healthcare experience including physician office/practice management knowledge.
- Experience in an IPA, PHO or Academic Medical Center setting, or health care administration experience.
- Demonstrated effectiveness in the analysis of medical costs and presentation of clinical data to management.
- Strong negotiation skills including the ability to gain acceptance from local markets to achieve a mutually beneficial outcome.
- Strong interpersonal skills.
- Networks outside and inside the organization and builds positive relationships with key individuals and groups.
- Effectively establishes credibility with market medical directors and associated staff.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
