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Healthcare Operations Consultant - telecommute travel required - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Minnetonka, MN Minnetonka, Minnesota |
About this job
Health Plans face a number of unique environmental pressures that affect the way they will conduct business today and in the future - among them a need for increased privacy and security, an intense focus on risk management, access to capital, efforts to consolidate and streamline IT functions, the launch of new consumer-driven business models, managing chronic diseases through medical management practices, maximizing e-business-driven platforms, implementing health plan-specific customer relationship management tools and complying with increasing financial and transactional legislation. Our healthcare professionals can help clients address these and other challenges in today's complex health care environment.
Our group currently has openings for a variety of skillsets:
Government Programs
We are seeking candidates who have consulting experience as it relates to Medicaid, Medicare Advantage, and Medicare Part D.
PBM
We are seeking candidates who have consulting experience relating to third party administrator of prescription drug programs, pharmacy, administration of claims and benefits, drug utilization, distribution, disease management, and volume purchasing.
Clinical
We are seeking candidates who have consulting experience as it relates to payor disease and utilization management, HIN, ICD10 business processes, technology assessment, planning, remediation and compliance.
Core Administer Delivery / Program Management
We are seeking candidates with consulting experience involving cost containment, process improvement, provider contracting, project management and Health Care Reform.
Product Development
We are seeking candidates with consulting experience within health plans for market assessments and sizing competitive intelligence, sales management and distribution, network development, and vertical integration.
We are seeking smart, motivated, practitioners with [healthcare industry experience or consulting background to the insurance industry] who wish to specialize in helping execute business strategy through implementation. If you have a passion for tackling complex, heart of the business issues, joining us will give you a challenging environment in which to apply and grow your skills.
Experienced Consultants will provide technical, project management, business process redesign, analytical support, and strategic advisory services in a consulting environment to our Health Plan Consulting sector clients. The job functions include the following:
- Provide management consulting advisory services to executives in the insurance industry across business functions such as underwriting, claims, IT, finance and accounting
- Lead project work streams and engagements including the management of staff
- Support clients' most strategic business transformation projects including: issue analysis and business case development, process redesign, technical and functional requirements design assistance, and operational improvement
- Lead in Project management of complex projects consisting of diverse practitioners across Technology, Strategy & Operations, and Outsourcing
- Coordinate with other professionals across Optum in delivering comprehensive solutions for clients
- Lead practice management opportunities (e.g. people management, service offering development, etc.) for the Health Plan Consulting practice
Requirements
- Bachelor's Degree (BS or BA) and/or Master of Business Administration preferred
- 8 or more years of experience in an Healthcare insurance company
- Willingness to travel up to 80% of the time **see note
- Strong consulting experience required either with external or internal consulting
- Must have experience in Government Program (Medicaid, Medicare Advantage, and Medicare Part D) and/or PBM and/or Clinical and/or Core Administer Delivery / Program Management and/or Product Management
- Operational experience across various insurance functions including claims, underwriting, distribution, reinsurance, and finance or consulting experience with a major firm having delivered projects to healthcare industry clients
- Project experience in business process improvement and re-engineering, new technology/systems deployments, strategy and planning
- Quantitative ability to analyze data
- Quick learner that enjoys a stream of new challenges
- Ability to maintain a flexible work schedule
- Strong knowledge of Microsoft Office products with a focus on PowerPoint and Excel
- Strong oral and written communication skills
- Ability to effectively work in a team environment and as an individual
- Strong work ethic and desire to help clients improve their businesses
**Typical travel for this position is to fly out early on Monday and fly back late on Thursday, working from your home office on Friday or any day you are not physically at the client site. Travel is typically weekly.
Careers with OptumInsight. Information and technology have amazing power to transform the health care industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.SM
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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