Market Manager - Phoenix, AZ

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: 

• Works with guidance from the Health Plan CEO to lead the development and execution of market-specific business plans, including monitoring operating effectiveness of local products/benefits, and identifying opportunities, trends and root causes to ensure operating effectiveness of local products/benefits


• Work directly with functional leads to ensure that national strategies and decisions will work effectively in the local market and/or identify adaptations needed to ensure success by representing the local market issues/viewpoints on national decisions/discussions, identifying pitfalls and concerns such as changes to a process which impacts referrals, PCP auto assignments, market risk type setup changes


• Identify opportunities with UHN leads to implement Additional Compensation Programs and other provider incentive agreements


• Assist local UHN to identify and resolve operational issues associated with incentive based arrangements including: claims issues, member eligibility issues


• Use strong local market knowledge/expertise to influence business decisions that will impact results, including benefit design, network, sales and marketing plans


• Collaborate with functional areas (e.g. Clinical, Operations, Network, Marketing, Sales) to ensure an appropriate balance between local needs and enterprise priorities and plans


• Serve as the primary interface between assigned Markets and centralized functions, triaging issues to appropriate functional leaders for resolution (Market representative on Bed Day Management meetings for example)


• Ensure awareness of functional initiatives that will impact assigned Markets and preparing assigned Markets for changes in operating processes, systems, etc.


• Build community relationships with local constituencies and organizations (members, providers, community agencies/partners) that will support our ability to achieve business objectives; this may include:
  
  
  
  • Educate local constituents on our local product portfolio/benefit designs 
  
  
  • Work collaboratively with member care/customer service on member escalation issues that cannot be resolved through normal customer service channels
  
  
  • Handle escalated enrollment issues that cannot be resolved through normal channels
  
  
  • Work collaboratively with Medicare and Retirement network and UHN on provider escalation issues that cannot be resolved through normal provider service channels 
  
  
  • Collaborate with national product and marketing to develop and execute local retention plans, including planning/coordinating local town halls and member events 
  
  
  • Develop and execute provider service, education and support plans for the local market 
  
  
  • Assist in addressing local operational issues that may impact results, for example, PCP assignment issues, Member escalated complaints, provider issues
  
  
  • Support product management functions, including: Accountable for local review and sign off of plan and member materials, including PBPs, provider directories, EOCs, ANOCs, ID Cards, etc.
  
  
  • Provider Education - Ongoing education related to product offerings, benefit changes and strategy 
  
  
  • Relates to members, providers, sales managers/agents, as well in shared services partners (e.g. UHN) and vendors

Required Qualifications:

• Bachelor's degree


• 7+ years related business experience with 3+ years in a managed care environment


• Must have strong community relationships with a working knowledge of the product line


• Strong understanding of the interdependencies across healthcare product operations (network, sales, service, systems, etc.) 


• Strong organizational skills that will allow individual to manage multiple tasks simultaneously to meet aggressive local goals and objectives


• Strong business acumen


• Strong communication skills, both verbal and written


• Ability to display a high level of discretion, trustworthiness, honesty, compassion and passion in their business dealings with internal and external customers


• Demonstrated competence in community/public relations


• 7+ years of experience in a large matrixed organization


• Analytical skill set


• Strong Microsoft Office experience (Office/Excel/PowerPoint)


• Self-motivated, goal driven

Preferred Qualifications:

• Master's degree


• 3+ years of project management experience


• Experience in process management with a strong understanding of root cause analysis, etc.

Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time 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: Market Manager, Phoenix, AZ, Arizona