Health Plan Market Manager - Birmingham, AL

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)

Working as a team with an Executive Director (ED), the Health Plan Market Manager is responsible for local region relationships internally and externally. The Health Plan Market Manager is also responsible for relationships within the functional organizations of UnitedHealthcare to ensure operational effectiveness.

Primary Responsibilities:

• Monitor operating effectiveness of local products/benefits


• Identify opportunities, trends and root causes to ensure operating effectiveness of local products/benefits; serve as the primary interface between assigned Markets and centralized functions, triaging issues to appropriate functional leaders for resolution; serve as a division resource for centralized functions related to field review of plan documents, benefit set ups, etc.


• Partner with functional organizations (e.g. Network Access & Affordability, Product Development & Administration, Enterprise Services/service centers) to tailor enterprise-wide initiatives to address local needs and ensure appropriate interdependencies and hand-offs between functional organizations to deliver seamless service; participate on cross-functional process improvement teams; ensure awareness of functional initiatives that will impact assigned Markets and prepare assigned Markets for changes in operating processes, systems, etc.


• Work with Executive Director, identifying strategies to build and leverage partnerships in the community; assist in developing and sustaining effective relationships and alliances with community leaders and agencies; develop tactical plans to build brand awareness, educate community partners on our local product portfolio/benefit designs and systematically track receptivity, adoption, etc.; conduct provider and member outreach and benefit meetings


• Local Member Orientation and Outreach Strategies & Tactics


• Responsible for development and ongoing management of new member orientation meetings utilized to orient new members to our plan, network and services


• Responsible for facilitating ongoing member meetings - focus groups, new product validation


• Responsible for developing appropriate communications to members to announce local changes/information - expansion notice, new product rollout, network additions


• Responsible for identifying and reeducating members who are non-compliant with plan rules, i.e. out-of-network utilization


• Local Provider Relationship Management Strategies & Tactics


• Responsible for representing UnitedHealthcare Medicare & Retirement at local Joint Operating Committees


• Responsible for ongoing education related to product offerings, benefit changes and education in new expansion areas


• Responsible for the oversight of physician roll-over strategy


• Corporate Citizenship


• Responsible for building and maintaining strong relationships in the community (e.g. regulators, HICAP, Chamber of Commerce)

Required Qualifications:

• Bachelor's degree, or equivalent work experience


• 1+ years of previous experience working with Medicare


• Healthcare experience


• Intermediate level proficiency in MS Excel and PowerPoint


• 2+ years of experience conducting training and/or presenting in a professional environment

Preferred Qualifications:

• 2+ years of previous experience working in provider network contracting or provider network operations


• Previous experience working cross-functionally across health care product operations (network, sales, service, systems, etc.)


• Process management with a strong understanding of root cause analysis experience


• Experience with physician practices for STARS/HEDIS measures

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.