General Manager - Medicare

Requisition Number: 2386387
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. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
The Medicare & Retirement General Manager (North Carolina & Tennessee) plays a critical role in supporting the overall performance of the Medicare Advantage business across North Carolina and Tennessee. In partnership with market leadership, this position is responsible for driving key business outcomes including CMS Star Ratings, member experience, provider engagement, risk adjustment performance, and operational readiness. The General Manager serves as a cross-functional leader, influencing strategy and execution across UnitedHealthcare and Optum partners while developing the market leadership skills necessary for future executive opportunities.
If you reside in the states of North Carolina or Tennessee, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:

• Support the development and execution of Medicare Advantage market strategies across North Carolina and Tennessee to achieve business objectives related to quality performance, risk adjustment, member experience, growth, and retention
• Partner with UnitedHealthcare and Optum stakeholders to drive performance against key market metrics, including CMS Star Ratings, HEDIS, CAHPS, HOS, risk adjustment, and provider engagement initiatives
• Analyze market performance data to identify trends, risks, and opportunities, translating insights into actionable strategies that improve outcomes and support achievement of market goals
• Build and maintain strategic relationships with health systems, provider organizations, physician groups, and community partners to advance market priorities and improve healthcare outcomes across North Carolina and Tennessee
• Influence and align cross-functional partners across UnitedHealthcare and Optum to ensure successful execution of market priorities, operational readiness activities, and enterprise initiatives
• Partner with local and national teams to enhance member and provider experience through initiatives focused on customer satisfaction, health outcomes, health equity, and access to care
• Support market execution of diagnostic coding, documentation, and risk adjustment strategies designed to improve provider engagement, compliance, suspect closure, and recapture performance
• Collaborate with product, network, clinical, service, and operations teams to support market readiness, regulatory compliance, issue resolution, and implementation of key business initiatives
• Represent the market in internal and external forums, leveraging local market expertise to influence business decisions and strengthen relationships with key stakeholder

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:

• 3+ years of progressively responsible experience in healthcare, health insurance, managed care, or a related field, including experience leading cross-functional initiatives
• Experience with Medicare Advantage quality performance, including CMS Star Ratings or HEDIS, and familiarity with risk adjustment, diagnostic coding and documentation, or value-based care programs
• Demonstrated project or program management experience, including establishing work plans, coordinating cross-functional stakeholders, managing risks and dependencies, and delivering initiatives within established timelines
• Intermediate or higher proficiency with Microsoft Excel, including pivot tables, formulas, data validation, and analysis of large datasets, and proficiency developing executive-level presentations in Microsoft PowerPoint
• Demonstrated ability to analyze large and complex datasets, identify performance drivers and root causes, and translate findings into actionable business recommendations
• Demonstrated ability to work independently, establish priorities, take ownership of deliverables, and drive initiatives to measurable completion in a matrixed environment
• Demonstrated written and verbal communication skills, with the ability to present complex performance information and recommendations clearly to executive leaders, providers, community partners, and cross-functional stakeholders

Preferred Qualifications:

• Experience building productive relationships with healthcare providers, medical groups, health systems, or provider networks to improve quality, operational, or member outcomes
• Experience leading cross-functional initiatives across healthcare operations, including network, clinical, product, sales, marketing, customer service, and technology or systems teams
• Experience applying process-improvement and root-cause analysis methods to identify operational barriers, implement corrective actions, and monitor results
• Experience developing relationships with community-based organizations, advocacy groups, or local stakeholders to support business and member outcomes
• Experience leading change in a highly matrixed environment
• Demonstrated ability to handle sensitive information and complex stakeholder matters with discretion, sound judgment, professionalism, and integrity
• Demonstrated negotiation and influence skills, including the ability to align stakeholders with differing priorities and reach workable business solutions
• Proven advanced skills in strategic planning and process improvement
• Demonstrated ability to manage competing priorities, adapt to changing business requirements, and make sound decisions when information or direction is incomplete

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.