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UnitedHealth Group Director of Clinical Innovations and Analytics - UHC Community Plan of Texas in Houston, Texas

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Director of Clinical Innovations and Analytics provides strategic leadership and is accountable for all Health Plan Clinical Innovations which support all products and membership served by the health plan to ensure programs meet Scope of Work and project goals. The Director of Clinical Innovations and Analytics collaboratively with the health plan Medical Directors, Director of Quality and Complex Care to support achievement of state quality initiatives and identify opportunities for initiatives to support Improvements in Members health care outcomes.

The Director of Clinical Innovations and Analytics requires experience leading Project Management data analytic teams, have the ability to negotiate vendor contracts for local initiatives, ensure workflow and evaluations are completed for reporting of Member outcomes, analyze, and identify trends.

If you are located in Houston, Austin or Dallas TX, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Management (Measured through performance metrics, Colleague Reviews)

  • Is accountable for overall Local Clinical Initiatives, strategy, implementation, and achievement of targeted affordability goals

  • Supervision of Project Managers and analysts supporting multiple varied health plan Clinical Initiatives

  • Is the local market Subject Matter Expert for all local clinical initiatives

  • Leads, coaches/develops, trains Project Management team and Data Analyst and supports health plan based clinical teams workflow

  • Keeps team current on Body of Knowledge best practices

  • Provide guidance and recommendations on the development of program or project scope statements, in consultation with applicable stakeholders (e.g., program/project charter, Statement of ---Work, Business Vision Document

  • Raise awareness of any misalignment or misunderstanding of project scope and objectives with applicable stakeholders

  • Ensure that all impacted areas are identified, and that appropriate resources are engaged and aligned to participate in the scope definition

  • Ensure stakeholder alignment and clarity of program/project scope and objectives is aligned with the organization's strategic objectives including the Voice of the Customer

  • Ensures clinical initiative is in compliance with State requirements and Scope of Work definitions by monitoring performance and project outcomes

  • Contributes to the development and execution of overall health plan strategies, Winning Priorities Key Initiatives through active participation in Health Plan Operations meetings and health plan functional meetings

  • Fosters and promotes two-way communication and information sharing necessary for successful clinical initiative program implementation. Is the Primary liaison to business partners both internal and external for Project Compliance such as external vendors, Internal line of business leads and is point of contact for reporting, troubleshooting, and project plan reviews

  • Ensure clinical vendor oversight and compliance with assigned Service Level Agreements or contractual requirements and monitors with respect to various internal matrix partners and external vendors who are sub-contracted or delegated to perform various clinical functions on health plan’s behalf

  • Review and Authorize appropriate vendor payments based on contract specifications

  • Innovation includes assisting in driving the informatics automation efforts at the local level as well as in alignment to the National health plan process and policy

  • Ensures the project management and data operations have a solid foundation of infrastructure and process to produce results that meet our goals and align with our values

  • Support multiple new Requests for Proposals (RFPs) for Texas growth, as well as timelines and executing on plans for new projects and developing relevant vendor and provider relationships in support of these RFPs

  • Conducts regular staff meetings with Project Management and Analytic staff and service partners as appropriate, to exchange health plan information/updates; address staff questions and concerns, etc.

  • Ensures timely communication of Initiative and Workflow requirements to ensure appropriate planning and implementation (including resource needs, timelines, IT needs, etc.)

  • Implements team initiatives associated with making UnitedHealthcare a great place to work, including embracing Our United Culture and sustaining a highly engaged work force as measured by the annual Voice of the Employee Survey

  • Ensures Initiatives launched achieve established performance metrics and are aligned with health plan strategies and annual operating plans

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:

  • Undergraduate degree or equivalent experience

  • Overall professional experience of 8 years or more in Project/Program Management including leading Project Management data analytic teams and the ability to negotiate vendor contracts for local initiatives

  • 2 or more years of experience in development and execution of clinical Initiatives in public sector managed care environment

  • 2 or more years of clinical initiative program compliance, functional collaboration, and meeting program goals

  • Intermediate level of proficiency with MS Project, Excel, Visio, PowerPoint and SharePoint

  • Demonstrated ability to communicate ideas clearly and concisely

  • Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities

  • Must be a resident of Texas and local to Houston foe meetings with Vendors (also Austin & Dallas as required)

Preferred Qualifications:

  • Advanced degree

  • Project Management Practitioner (PMP) and or equivalent education, certification, or experience (such as Lean Six Sigma, Change Management, etc.)

  • Medicaid Managed Care Experience

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*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: Project Management, Program Management, Analytics, Clinical, Managed Care, Houston, Austin, Dallas, TX, Texas