Vice President, Medicare and ACA Risk Adjustment Strategy - Full-time / Part-time

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

Vice President,  Medicare and ACA Risk Adjustment Strategy

Positions in this function develop strategy regarding  business opportunities and new targeted customers or groups, but do not have primary responsibility for closing sales.

• Establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and existing customers.


• Works closely with sales and marketing groups to translate business development strategies into specific initiatives, additional market research projects, and selling activities.


• Management positions in this function may work closely with finance and operations teams to communicate high level service requirements and growth goals.


• Industry thought leader.


• Practice SME in risk adjustment and Medicare Advantage required


•  Knowledge of ACA market desired.


• Develops solutions that transform the industry.


• Utilizes risk adjustment expertise


• Presents and facilitates meetings

• Undergraduate degree or equivalent experience.


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  7+ years of experience as Practice SME in risk adjustment


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  Medicare Advantage required.


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  Knowledge of ACA market desired.


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  Develops solutions that transform the industry.


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  7+ years  experience working for or in support of Medicare Advantage  Managed Care Organizations, or working with ACA markets


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  Demonstrate knowledge and experience  of Medicare and ACA  risk adjustment, including risk models, risk-improvement strategies and the Medicare/ACA regulatory environment


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  Demonstrated ability to create and define services from idea to executable service 


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  Ability to lead cross-functional efforts in matrixed environment


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  Ability to be self-directed and accomplish deliverables within timeframe

Preferred Qualifications:

Prefer prior knowledge of retrospective and prospective risk adjustment and quality programs

Experience with bringing new services to market

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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, 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.