United Healthcare Employment – Medicaid Growth Leader

Website United Healthcare

Job Description:

This position provides leadership for the Community and State Health Plans Medicaid products in their assigned market to support continued growth and innovation. The position is a member of the health plan senior leadership team and will work collaboratively with the CEO, COO and CFO to ensure overall strategies are aligned with the market level business objectives. This position will oversee the Medicaid community agenda and field-based outreach teams to develop market leading provider and community engagement to forge solid external relationships. This position is responsible for forecasting and has accountability in achieving growth (Acquisition and retention) targets. This is an external and internal facing role.

Job Responsibilities:

  • Drive smart Growth in membership and market share in designated market by developing solid relationships across segments and departments (Network, marketing, clinical, quality, finance)
  • Partner with local and functional teams to assure appropriate health plan benefit design and value-added services
  • Lead and provide oversight for the Field community outreach team that orchestrates member events, potential consumer events, and community-based goodwill and general awareness that make UHC the insurer of choice
  • Lead, develop and uphold accountability of Medicaid products forecasting models with complete understanding of Auto assignment algorithms, eligibility requirements, self-select, and involuntary vs voluntary term ratios
  • Develop and implement provider engagement strategies (including Field-based approaches and face to face visits Providers) in partnership with Network partners that specifically focuses on membership growth and retention and making UHC the insurer of choice for UHC
  • Manage and uphold accountability for marketing, sponsorship and outreach budgets
  • Develop and execute and continually update overall strategies for Medicaid product offering to maximize product growth, member retention, innovation and member and provider experience
  • Manage local Medicaid field-based outreach teams and work directly with M&R regional sales leaders to leverage DSNP Outreach strategies and teams across segments
  • Able to flex strategies to address local market nuances and unique requirements to assure that we are keeping healthcare “local” while maintaining a solid presence in the market
  • Represent the Health Plan at State meetings, community events, and media relations; Assist in developing new county expansions for existing Medicaid; Assist in implementing future product opportunities
  • Formulate impactful relationships that drive engagement with community-based organizations and faith-based organizations

Job Requirements:

  • Bi-lingual
  • Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance
  • Familiar with possible Medicaid referral sources (i.e. CBOs, providers, etc.)
  • Active health license

Qualification & Experience:

  • Master’s degree (MPA / MBA)
  • Experience working in Managed Care
  • Experience building analytical skills including generating ROI, business case forecasting and growth opportunities
  • Bachelor’s degree
  • 5+ years people management experience

Job Details:

Company: United Healthcare

Vacancy Type: Full Time

Job Location: High Point, NC, US

Application Deadline: N/A

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