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Associate Director, Clinical Consultant - Telecommute

Company: UnitedHealth Group
Location: Saint Paul
Posted on: November 17, 2021

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:

  • Associates Degree or Bachelors Degree
  • Current Active Registered Nurse license
  • 5+ years in managed care environment with previous experience managing delegated relationships and clinical (UM/CM/DM) requirements
  • In depth knowledge of CMS, NCQA and URAC accreditation and regulatory requirements, across varied product lines
  • Advanced level ability to deliver training on clinical topics/trends/processes to various audiences
  • Advanced level ability to communicate findings and determinations and evaluate the impact to business outcomes
  • Advanced level ability to work with internal & external businesses or facilities to explain and promote recommended process & system improvements
  • Advanced level ability to manage, support and provide subject matter expertise to internal project initiatives (e.g., risk management, process improvement, delegation)
  • Advanced level ability to provide ongoing consultation, guidance & support to businesses during implementation of improvement recommendations
  • Advanced proficiency in Microsoft Word & Excel
  • Available to travel up to 30% of time or as business needs dictate
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliancePreferred Qualifications:
    • Masters Degree in Business, Healthcare or Nursing
    • Certification in Quality, Utilization Management, or Case ManagementAlready Fortune 5, 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. 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. To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $94,500 to $171,700. The salary range for Connecticut / Nevada residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: Associate Director, Director, Clinical Consultant, Director of Health Services, Director of Clinical Services, Director of Clinical Care Delivery, Director of Medical Management Programs, Director of Nursing Management, Director of Clinical Analysis, Director - Clinical Regulatory Adherence, Medical & Clinical Operations, HEDIS, Clinical Analysis, Clinical Consulting, SNP, CMS, NCQA, URAC, Accreditation & Regulatory, Managed Care, Management, Director, Health Care Services, Audit, Compliance

Keywords: UnitedHealth Group, St. Paul , Associate Director, Clinical Consultant - Telecommute, Healthcare , Saint Paul, Minnesota

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