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ACO Contract Manager - Telecommute within East Coast (New England/NY preferred)

Company: UnitedHealth Group
Location: Hartford
Posted on: August 4, 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)

The Accountable Care Organization (ACO) Contract Manager will drive the execution of contracted ACOs. This position will be responsible for the daily management of multiple ACOs for specified lines of business and support ACO contract management.

If you are located on the East Coast (New England/NY preferred), you will have the flexibility to telecommute as you take on some tough challenges.

Primary Responsibilities:

  • Provide day-to-day management of ACO activities, including project management, problem resolution and other activities to assist in the facilitation of a successful relationship with assigned providers
  • Work effectively across lines of business and across the organization including interactions with HCE, LOB Leaders, UCS and UHN, Product & Operations
  • Operate as implementation leader for all accountable care programs
  • Tactical execution of the business plan objectives to drive success
  • Interface with Senior Leadership from ACO and Health Systems to drive issues to closure and act as subject matter expert cross line of business and cross value based programs
  • Responsible for building and maintain relationships with key individuals at ACOs
  • Support contracting efforts and interpret contract provisions, ensuring compliance with executed agreements
  • Support roster management including management of individual contractual triggers/conditions that may affect the relationship
  • Ensure timeliness of data updates and data integrity for multiple ACOs
  • Ensure performance data is shared periodically so we and ACO understand how they are performing on timely basis
  • Works internally across LOB s and externally with ACO and its Leadership to manage communication and meetings to insure ACO activation delivers maximum value
  • Act as subject matter expert for assigned ACOs and ensure availability to support all questions/issues which may arise on a daily basis (i.e., triaging questions internal and external, tracking responses)
  • Follow up on open issues including maintaining trackers and other action items
  • Participate in ACO meetings (clinical, data, legal, etc.) to ensure continuity and follow up is completed
  • Accurately and effectively communicate ACO status to contract leadership
  • Appropriately prioritize and escalate ACO issues to contract leadership in support of ongoing relationship management
  • Recommend data/report enhancements based on ACO practice clinical team feedback
  • Primary responsibility for completing the business/activation plan, working with ACO and appropriate UHC resources
  • Where Optum provides tools/services to the ACO, this position will serve as the primary point of coordination 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:
    • Bachelor s degree or equivalent work experience
    • 5+ years of experience in the healthcare industry
    • 3+ years of experience in a customer facing/client facing role
    • Prior contracting experience
    • Project management experience (formal PM not required, but able to move a project along)
    • 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 accommodation Preferred Qualifications:
      • Experience in Health Plan Operations
      • Excellent verbal and written communication skills
      • Strong interpersonal skills, establishing rapport and working well with others
      • Ability to prioritize tasks and work effectively under time constraints
      • Independent, self-starter
      • Strong problem solver
      • Solid analytical, critical reasoning and organizational skills 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 employment.

        Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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)

        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/Affirmative 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 , ACO Contract Manager - Telecommute within East Coast (New England/NY preferred), Executive , Hartford, Connecticut

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