Senior Director of Medicaid Clinical Program Development and Operations

Remote, USA Full-time Posted 2025-02-21

Description

At UnitedHealthcare, we?re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Join us to start Caring. Connecting. Growing together. United Healthcare Community & State is looking to hire three Sr. Director, Medicaid Clinical Program Development and... Operations (West Region, Central Region, and East Region). Each position will report to the VP, Medicaid Clinical Strategy, Program Development and Operations. Each position is remote and can be based anywhere in the US, with the ability to travel up to 25% to support our regional health plans.

Company Culture and Environment

UnitedHealthcare fosters a culture of collaboration, innovation, and commitment to community health. By working with diverse teams and stakeholders, employees have the opportunity to impact health outcomes positively and support equity in healthcare.

Career Growth and Development Opportunities

You?ll be rewarded and recognized for your performance in an environment that will challenge you and provide clear direction on what it takes to succeed in your role. There are opportunities for personal and professional development.

Detailed Benefits and Perks
? Comprehensive benefits package
? Incentive and recognition programs
? Equity stock purchase
? 401k contribution
? Flexibility to work remotely
? Travel opportunities up to 25%

Compensation and Benefits

The salary range for this role is (122,100 to )234,700 annually. Pay is based on several factors including local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable.

Why you should apply for this position today

This role offers a unique opportunity to shape healthcare programs that impact diverse populations positively. By joining UnitedHealthcare, you will contribute to an organization dedicated to improving health equity and community well-being.

Skills
? 7+ years of experience in Medicaid
? 7+ years in designing and implementing clinical/quality programs in a Medicaid health plan environment
? 5+ years leading and/or managing people
? 5+ years in a matrix organization
? 3+ years of clinical management experience within a managed care environment
? Expert negotiation and problem-solving skills
? Ability to lead change and innovation
? Strong communicator with excellent presentation skills

Responsibilities
? Own the end-to-end development of clinical strategy and programs
? Partner with Regional CEOs and market leaders to manage clinical programs
? Drive clinical program implementation within a population health framework
? Customize national clinical programs for specific markets
? Lead a team managing program portfolios to enhance performance
? Oversee large-scale initiatives for Medicaid populations
? Collaborate with key stakeholders to obtain input for new clinical programs

Qualifications
? Demonstrated successful leadership skills in program execution and people management
? Expert at strategic conceptualization within a national organization
? Proven experience in scoping projects and developing schedules
? Solid communicator and effective negotiator
? Proven cross-functional influence and relationship-building skills

Education Requirements
? RN, LCSW, or LPN/LVN license preferred
? Relevant degree in a related field preferred but not required

Education Requirements Credential Category
? Medical or Healthcare-related credentials preferred

Experience Requirements
? 7+ years of experience in Medicaid and clinical program implementation
? 5+ years of experience in people management and working in a matrix organization
? Solid knowledge of NCQA, CMS, or state guidelines

Why work in Minnetonka, MN

Minnetonka offers a vibrant community with access to nature, recreational activities, and cultural experiences. The area is home to a variety of amenities and a strong commitment to health and wellness, making it an attractive place to live and grow professionally

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