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Partner Data Integrity Director Provider Data - Telecommute

Company: UnitedHealth Group
Location: Hartford
Posted on: June 25, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)This is a leadership position that's all about leveraging your experience, skills, and potential towards solving bigger opportunities with enterprise and industry impacts. -In this role, you will not only lead core data operations teams, but also drive innovation through strategic collaboration that improves the experiences of our employees, providers, and members. -We're achieving higher levels of service and quality in how provider data is managed and performs in our systems - join us and you'll play a key role in helping healthcare professionals focus on taking care of patients instead of data administration. This role will put you on a team of incredibly talented business professionals with the resources, backing, and opportunities you need to succeed.Reporting to the Vice President of National Provider Relations, Operations, and Strategy, the Partner Data Integrity Associate Director Provider Data is the senior leader over three core partner data functions with 50+ employees that manage contract/demographic update processes, rate sharing, and overall data accuracy on behalf of our network value-based contracting arrangements and delegation partners such as Accoutable Care Organizations (ACO), OptumCare, and WellMed. -In this high-impact, high-profile role, you'll be responsible for making business decisions that will broadly affect the organization, enterprise, and industry. -You will direct provider contract and demographic data priorities and operational performance for over 1.6M healthcare professionals within our current United Healthcare (UHC) network. -You'll also lead operational and data service business strategies and ensure that capacity models and financial forecasts are in alignment with department inventory demands for new market, product, and regulatory initiatives.The Partner Data Integrity department is comprised of region/partner-aligned data analysts who perform various activities in maintaining our provider network including contract and demographic data analysis, platform load and/or maintenance activities leveraging systems like IMPACT, ServiceNow, Examiner, Emptoris, CLM, NDB, NICE, CSP Facets, COSMOS, Pulse, and USP. -The Associate Director guides the individual functional/partner teams with developing and maintaining consistent standards for process governance, data integrity, and quality assurance as well as coordinating resolution and executive communication on high-priority escalations as appropriate. -This role collaborates with senior leaders within Provider Market Operations (PMO) and across UHC, UHN, and Optum including UHN & Optum Contractors/Network Managers, PMO & Optum Provider Advocates, UHC PDO Physician Production Operations (PPO), UHC PDO Provider Contract and Rate Loading (PCRL), and UHC Provider Operations change management and quality control support teams. -You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. -Primary Responsibilities: -

  • Accountable for delivering the core aspects of the overall Provider Market Operations (PMO) business plan and strategic roadmap related to provider data performance and quality for Partner Data Integrity across all regions
  • Sets appropriate expectations for department scope/performance and delivers on them in a highly matrixed environment with shifting priorities and variable stakeholder engagement; adapts self and team to changing internal or external dynamics as the operating model and partner needs evolve
  • Motivates and inspires team members and ensures positive employee engagement through intentional and consistent survey action plans, team building, talent development, and change management/communications. -Works with leaders to identify and remove obstacles to employee and department success
  • Clearly communicates goals, provides feedback, and holds others accountable for their duties both within the department and with key partners; intentionally develops self and employees/team for continued growth and career mobility
  • Builds relationships and leverages a network of customers, partners, and experts to drive innovation and enhance performance across PMO and partner/provider data functions. -Generates excitement behind positive change and eagerness to experiment; invites and explores potential for new ideas while identifying organizational risks and key success factors
  • Champions/owns specific key provider data strategic initiatives with both direct/indirect leadership for large, complex programs to ensure core strategies are effectively implemented and maintained within our partners, PMO, UHN, and PDO. -Negotiates assignment of self/leaders/staff to key strategic initiatives, ensuring that the employees assigned are qualified and have sufficient availability to meet the project's needs
  • As needed, drives planning activities including tactical planning and timeline development through applying structured project management standards, approaches, methodologies, tools and templates. -Informs and influences key executive stakeholders on progress, alternatives, risks, and mitigation strategies
  • Demonstrates strong business / financial acumen and effectively quantifies benefits for our strategic initiatives. -Conducts data analysis to guide strategies and plans; incorporates complex analysis into business plan development and operational impact assessmentsYou'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:
    • 6+ years experience with UHC provider data or claim systems with holistic knowledge of how they impact other aspects of the E2E provider/member experience
    • 4+ years of progressive leadership experience in provider data operations, service, or network management
    • 2+ years experience leading complex, cross-functional programs and delivering enterprise value
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodationPreferred Qualifications:
      • BA/BS degree
      • Internal UHC candidate with established network of relationships/references with senior operations/network leaders and partners -To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employmentCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $97,300 to $176,900. The salary range for Connecticut / Nevada residents is $97,300 to $176,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/AffirmativSe 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.

Keywords: UnitedHealth Group, Hartford , Partner Data Integrity Director Provider Data - Telecommute, Executive , Hartford, Connecticut

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