TRICARE Clinical Manager - Phoenix, Arizona - Full-time / Part-time

This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nation stronger. Talk about meaningful work. What an important role. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. Make your last career change one of inspiration. Find out more about these opportunities to do your life's best work.(SM)

This is a Clinical Manager role in the TRICARE Disease Management Programs.  This individual will lead disease management programs in the following areas:  heart failure, Diabetes, Asthma, COPD, Depression/Anxiety, and Cancer Screening. 

*** This is an office position located at 2222 W Dunlap Ave, Phoenix, Arizona***

Primary Responsibilities: 

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  Responsible to complete the Disease Management program plan and lead development activities prior to operations 


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  Responsible for the successful delivery of the Disease Management programs as designed for TRICARE 


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  Once operational, lead Disease Management teams and manage the day to day operations; P&L; and overall program delivery, management, issue resolution 


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  Plays lead role in setting direction and participating in developing new programs 


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  Ensures team meets established performance metrics and performance guarantees 


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  Adapts departmental plans and priorities to address business and operational challenges. 


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  Influences or provides input to forecasting and planning activities.

• Candidates must possess a current and unrestricted RN license 


• 3 -5 years' experience in successfully managing disease management programs (people, processes, tools and budget) that include heart failure, diabetes, asthma, COPD, depression and anxiety


• Proven experience in development of Disease Management products, tools, and reports for these programs


• Proven experience in disease management - report development, analysis, and implementation of program improvement based on the data with improvement in metrics


• Advanced level of Computer skills with emphasis on MS Office suite of products i.e. Excel, Word, PowerPoint,


• Excellent communication skills with the ability to interrelate with individuals at various levels and in various functional areas throughout the organization


• Develop effective business relationships across business and product teams


• United States Citizenship


• Ability to obtain favorable adjudication following submission of Department of Defense

• BSN required and Master's degree preferred


• CCM certification preferred


• Prior start up experience preferred


• Prior military health plan experience preferred