Senior Project Manager, Regulatory Operations - Remote

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care.

Join us to start Caring. Connecting. Growing together.

This role is the primary driver of shared services transformation and supporting operational design and milestones and is highly collaborative across corporate and market-level operations, leveraging existing subject matter experts (SMEs) to aid in decision making.

Initially the work will be highly focused on an in-flight initiative with our DHMC Strategy & Operations team which interfaces with most of Optum CA shared services and clinical operations teams as well as external regulators.

The ideal candidate will be highly motivated, organized, process-oriented, and self-directed. This individual will have a successful track record of designing and executing against major operational implementation programs and business initiatives within health plans and across healthcare operations.

Provides regulatory interpretation to internal stakeholders, develops reports and tools to support regulatory requirements.

Knowledge of Federal and State regulations applicable to health plans and IPAs required. The Senior Manager will report to the Executive Director, DMHC Strategy & Operations.

You’ll enjoy the flexibility to work remotely

from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

• Partners with business leaders to develop and execute shared services integration plans by ensuring key milestones are met and dependencies managed
• Conducts research, develops work plans and action steps and carries them through to meet internal and external stakeholder expectations
• Leads select governance meetings and planning sessions with senior cross-functional leaders
• Manages relationships with senior business leaders to provide regular updates on progress, identify barriers and risks, recommend path forward, and influence alignment on solutions
• Provide status updates and regular reports to stakeholders
• Identifies process standardization opportunities, leads the implementation of adoption of best practices and process improvement efforts
• Manages complex, cross-functional workstreams to achieve operational readiness
• Develops and applies decision frameworks to reach discrete outcomes with broad impact on the business
• Drives work independently, determines next steps, highlights risk and barriers, and develops mitigation plan without extensive oversight
• Maintain knowledge of current and impending regulations and legislation
• Participate in the development of strategy in accordance with business goals for regulatory engagement and operations
• Provide regulatory interpretation to internal stakeholders, develop and manage work plans to meet company goals, including periodic monitoring and reporting, for adherence to regulatory requirements
• Provide regulatory expertise and guidance to internal stakeholders, answer questions with operationally relevant research and information
• Translate highly complex concepts in ways that can be understood by a variety of audiences
• Resolve highly complex business problems that affect clinical and operational processes and functional requirements
• Prepare documents and develop Executive level updates and reports
• Initiate and advance innovative recommendations for cross-functional / cross CDO process improvements

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 :

• 5+ years with health care regulatory and compliance matters, current knowledge of managed care operations and industry drivers
• 3+ years of direct experience leading designing, coordinating, and implementing complex work plans with short timelines and involving multiple contributors
• Proven excellent communication skills with the ability to engage, influence, and inspire partners and stakeholders to drive collaboration and alignment
• Proven ability to drive cross-functional teams to deliver operational compliance
• Able to accommodate and manage ambiguity, to work on abstract problems across functional areas and conceptualize / implement solutions
• Ability to multi-task in a fast-paced, rapidly changing environment
• Ability to speak effectively before groups of customers or employees of the organization
• Adept at understanding complex concepts and situations presented by the business environment
• Objective, collaborative approach. Ability to adapt in a dynamic and high-growth environment
• Superior analytical, organizational, and problem-solving skills
• Experience managing multiple projects / tasks. Proven history of successful results in managing issues and driving strategic program initiatives

Preferred Qualifications :

• Supervisory experience, accountability for the performance and coaching of others
• Direct experience in health plan operations
• Experience leading and facilitating work plans and the efforts of multidisciplinary teams
• Ability to read and interpret CMS, DMHC, DHCS regulations and direct experience meeting expectations
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. Residents Only : The salary range for this role is $88, to $, annually.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

UnitedHealth Group complies with al minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and k 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.

Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected.

Job posting may come down early due to volume of applicants.

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 : OptumCare is an Equal Employment Opportunity / Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.