24 days old

Director Optum at Home Affordability

Eden Prairie, MN 55344
  • Job Code
    867611

The Optum at Home (OAH) Director, Affordability is responsible for the development and execution of cross-functional medical expense leadership with primary responsibility in identifying and implementing affordability strategies that result in measurable medical cost savings for the assigned market(s). Savings would be achieved through a variety of methods, including leveraging and collaborating with Product, Clinical, Network, Operations, Sales and other enterprise resources to maximize savings. This role requires working in a highly matrixed environment with a strong bias towards strategic thinking, measurement, action, and delivering results.


Primary Responsibilities:
  • Medical Cost Leadership
    • Track and report on key medical expense metrics
    • Maintaining clear lines of communication with all matrix partners to ensure effective identification & implementation of national, regional and local priorities
    • In conjunction with Finance assist in medical expense  and metric goal setting
    • Engaging with external stake holder to design solutions (provider, member, employers)
      Working in partnership with other UHC stakeholders to ensure success of key performance-based contracted providers through identification and coordination of viable initiatives and programs
    • Attaining a deep understanding of specific market nuances & represents assigned market interests driving performance of project teams across enterprise
    • Acting as a trusted strategic leader and thought partner to product, clinical, HCE and finance leadership on affordability management
  • Affordability Management:
    • Setting up, analyzing, and managing trend reviews with HCE and affordability meetings
    • Driving affordability process, including (in process order, not by priority):
    • Aiding in identification of local affordability needs and opportunities
    • Challenging clinical and health plan leadership to consider new/different affordability opportunities & implementation strategies
    • Working closely with Optum Finance & HCE to ensure rigorous, reliable processes for validation, measurement and forecasting of opportunities and results
    • Prioritizing affordability pipeline based on strategic and financial assessment
    • Converting meeting follow-ups and pipeline initiatives into data-driven action plans
    • Ensuring execution of strategic action plan while tracking measurable outcomes
    • Providing regular reporting and explanation of affordability results for the market
    • Assist with HCE in estimating initial and  final initiative medical expense value

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Posted: 2020-06-18 Expires: 2020-07-18

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Director Optum at Home Affordability

UnitedHealth Group
Eden Prairie, MN 55344

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