Senior Vendor Implementation Manager - National Remote

Company: UnitedHealth Group
Location: Hartford
Posted on: May 28, 2023

Job Description:

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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 and start doing your life's best work .SM

The Senior Vendor Implementation Manager will work closely with key stakeholders to understand and operationalize project requirements. They collaborate with the Vendors to ensure that requirements are vetted and implemented appropriately to ensure adherence to commitments. Additionally, they are accountable for the general implementation strategy, framework and tools, general reporting and communication, project leadership, process improvements and developing and implementing best practices. This role may support implementations for Medicaid growth and/or regulatory.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

Read, understand, and assess RFP responses and materials, with the goal of identifying and documenting vendor operational implications

Accurately assess and interpret customer needs and requirements

Participate on RFP & Growth Opportunity preparation/readiness calls and serve as lead regarding vendors that will support the opportunity

Manage Implementation of vendors in conjunction with Project Leads, Health Plan & Functional Leads

Create and manage project plans, risk trackers, and other standard project management documentation

Collaborate with Vendor IT Operations - participate on platform readiness calls, assist with IT issue resolution/escalation for vendors, approve necessary platform requirements/solutioning documents

Participate, as necessary, in meetings/discussions with vendors regarding state/program requirements

Lead completion & approval process for vendor Service Level Agreement documents

Build & maintain strong working relationships with medical vendors, both internal and external

Solve complex problems and/or conducts complex analyses based on data and facts

Proactively anticipate issues and facilitate resolution

Reviews the work of others

Develops innovative approaches

Sought out as expert

Serves as a leader/ mentor

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:

High School Diploma / GED (or higher)

4+ years of vendor implementation and/or management experience

2+ years of Medical Vendor transportation implementation experience

Experience with delegated subcontractor (vendor) arrangements, compliance and/or delegated subcontractor oversight

Experience in a matrixed environment on highly complex projects

Knowledge of business processes that impact claims administration, provider call center, network development and technology data interfaces.

Experience with demonstrated project management, change management, and execution skills

Experience applying and deploying processes, templates, and standards

Proficiency in Microsoft Office (Excel, Access, and PowerPoint)

Ability to work full-time, Monday - Friday from the hours of 8:00am - 5:00pm

Preferred Qualifications:

Understanding of Medicaid operational and regulatory expectations

Experience in:

Provider Network

Credentialing and Re-Credentialing

Claims Administration and Encounters Submission

Benefit Administration

Member and/or Provider Call Center

Utilization Management and/or Prior Authorization Decision Making

Appeals & Grievance support

Telecommuting Requirements:

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Ability to keep all company sensitive documents secure (if applicable)

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

Ability to work with little direct supervision and drive results with disciplined follow-though

Ability to communicate effectively with various levels of leadership

Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / New Jersey / New York / Washington / Rhode Island residents is $85,000 - $167,300. 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.

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.

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.

#RPO #YELLOW

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