Director, Medicare Programs - Product Focused - Sugar Land, TX - 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) 

  Primary Responsibilities: 

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  Assist internal and/or external business partners with completion of tasks and resolution of issues and problems with program implementation 



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  Review, create, and/or maintain workflows to ensure they are up-to-date and operationally efficient 



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  Provide guidance, expertise, and/or assistance to internal and/or external partners (e.g., claims; call center; benefits; sales; quality; clinical) to ensure programs and strategies are implemented and maintained effectively 



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  Perform analyses to help drive product strategies (SWOT analysis, competitive positioning, etc.) 



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  Monitor project performance against internal and/or external service level agreements 



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  Analyze budget performance and variances throughout the fiscal year, and recommend and/or make necessary adjustments and corrections 

Required Qualifications:   

• Bachelor's Degree


• Critical thinking; analytical skills


• Minimum of three years of Medicare or Long Term Care experience


• 7 years of leadership experience


• Health insurance or government programs or non-profit (such as A.A.A.) experience


• Management experience in a health plan or functional area (Marketing/Product/Operations) experience

Preferred Qualifications:   

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. 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, 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.

Job Keywords: medicare, medicaid, healthcare operations, managed care, SNIP, Sugar land, TX, Texas, product, medicare product, long term care, LTC, DSNP