UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.

The Market Medical Director has accountability for ensuring that UnitedHealth Clinical Advancement (UCA) initiatives focusing on affordability, clinical excellence, growth and focused improvement are implemented and successfully managed to achieve targets. This position is responsible for leadership and execution of all market medical expense management and clinical quality activities. Collaborates with the market CEO, UCA staff, and other market staff to implement programs to support and meet market and national clinical operations goals, as well as market, network and sales objectives. Also responsible for direct management and oversight of local market UCA staff.

Overview of Major Responsibilities:

Affordability: Responsibilities for MEM activities include hospital data sharing, physician data sharing, managing the onsite nurses and catastrophic nurse case managers if appropriate.
Clinical Excellence: Oversee the HEDIS data collection process and drive Health Plan accreditation activities.
Growth: Deliver the clinical value proposition in support of the sales and growth activities of the Health Plan including conducting Broker/Client presentations and participating in customer consultations.
Focused Improvement: Responsible for identifying opportunities through participation in local Medical Expense Committees or Market reviews. Active participation in support of Joint Operating Committees.
Management & Other Activities: Responsible for oversight and direct management of Health Plan staff to include completion of performance appraisals, annual salary planning, time and attendance management, overall employee satisfaction.

Excellent telephonic communication skills; excellent interpersonal communication skills.

Ability to develop relationships with network and community physicians and other providers.

Strong knowledge of managed care industry.

Excellent project management skills.

Data analysis and interpretation skills.

Ability to focus on key metrics.

Excellent presentation skills for both clinical and non clinical audiences. Familiarity with current medical issues and practices.

Creative problem solving skills.

Visibility and involvement in medical community.

Strong team player and team building skills.

Unrestricted medical licensed physician; Board Certified in ABMS specialty

5+ years clinical practice experience.

Supervisory skills including clinical mentoring and coaching skills.

To apply for this position, please submit your resume to sseverson@uhc.com, phone 952-936-6499 or apply online at www.unitedhealthgroup.com/careers, req #162177.

UnitedHealth Group invests in employees through a comprehensive compensation and benefits program, 401(k) savings, retirement and stock plans, education reimbursement, and much more.

Diversity creates a healthier atmosphere: an equal opportunity employer, M/F/D/V.

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Market Medical Director (Cleveland) – Unitedhealth Clinical Advancement
Job ID 162177
Position Type Full-Time Employee
Company Name UnitedHealth Group
Location Cleveland, OH
Salary Unspecified
Experience 5-10 Years Experience
Desired Education Level Other

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.UnitedHealth Group is working to create the health care system of tomorrow.    Already Fortune 25, we are totally focused on innovation and change.  We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.   Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant – and built for speed.   Director, Human Capital Development   Contribute to a business segment's performance by designing, developing and implementing learning and development programs, solutions and interventions to equip employees, managers and leaders to drive peak performance and increase organizational capabilities and productivity. Performance consultant, expert thought leader and valued learning and development advisor to assigned business segment for creating and/or managing corporate and/or segment-specific deliverables and outcomes in the following areas of expertise: performance management to create a culture of discipline and accountability; leadership development to increase performance capability; talent management to identify, develop, and deploy key talent; organizational assessment and development to increase organizational effectiveness; and learning systems to manage development content, deliver development solutions, and oversee compliance.Voice of Learning & Development (L&D) to the business market products and services, tools and resources, assist with using core processes and programs; first point of contact for questions, requests, etc.Voice of the Business to L&D what is going on in the business; current and future L&D needs, issues and concerns, feedback and input for program development and improvementClearinghouse for resources, vendors, contemporary issues, etc.Develop, design and drive, end-to-end the Executive Development Program/Masters Series for high potential leadersConsult on and manage executive coaching assignmentsUsing the Learning Investment Portfolio approach, work with segment's functional training teams to ensure alignment and appropriate integration of training efforts across the segment as well as the fit with the enterprise view. Work with training leaders to adopt industry best practices, identify and prioritize opportunities and propose best-in-class training evaluation methods and business impact measurements. Capture L&D investments using the Learning Investment Portfolio tool.Assist the L&D team in building a strong UnitedHealth Group development brand for leaders, managers and employees that is known, supported; assist in assessing the enterprise-wise gaps and identifying ways to close the gaps. Assist with identifying key managerial and leadership skills and competencies needed to drive business strategy.  Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. Predicts emerging customer needs and develops innovative solutions to meet them.Solves unique and complex problems with broad impact on the business.Participates in the development of business strategy.Develops and manages business plans to achieve objectives.Leads large, complex projects to achieve key business objectives.Translates highly complex concepts in ways that can be understood by a variety of audiences.Influences senior leadership to adopt new ideas, products, and/or approaches.May have segment-wide impact.Directs cross-functional and/or cross-segment teams. – Post-graduate degree in applicable area of expertise or equivalent experience. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.  

Director, Human Capital Development – MN Job in Minneapolis 55401, Minnesota US

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

Ovations, a UnitedHealth Group company, is dedicated to improving the health and well being of Americans over 50. We currently serve over 3.6 million individuals across the nation, helping to address their unique needs for preventive and acute health care services, deal with chronic conditions, and access to care and services. Come to Ovations and discover the rare combination of a rewarding career and the opportunity to make a difference in people’s lives.

Isn’t it time you had some flexibility in your career? Due to an internal promotion, we seek a caring nurse like you to join our Health Services team in a unique role with tremendous rewards. There are no nights, weekends, holidays or on-call shifts in this position, and you would continue to make a positive impact on your patients. The chosen candidate may ultimately have the chance to work from home and telecommute.

Key responsibilities include:
Managing a caseload of patients at high risk for hospitalization in Pinellas, Hillsborough, Sarasota, Manatee and Charlotte counties
Contacting patients directly, and scheduling in-home assessments
Visiting patients in their homes, and developing a plan of care based on their individual needs
Implementing patient care plans through coordination of treatment, therapy and other services
Following up with patients and other healthcare personnel on various care management efforts

Only licensed Florida RNs will be considered for this role, and solid professional nursing experience is also required. Managed care and utilization management experience is a must, and a background in home health and case management is preferred. Candidates with clinical experience in geriatrics and acute care would be well equipped for this position. Familiarity with Medicare/Medicaid would be ideal, and a BSN is desired. If you meet these criteria, and you’re ready to build a satisfying career with an industry leader, please apply today!

UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.

If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.

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Clinical Care Manager – RN (Work From Home!)
Job ID 162559
Position Type Full-Time Employee
Company Name UnitedHealth Group
Location Tampa, FL
Salary Unspecified
Experience 2-5 Years Experience
Desired Education Level Other