Manager of Provider Transition and Growth - Remote within the Los Angeles Metro Area

Posted Yesterday
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Hiring Remotely in Torrance, CA, USA
In-Office or Remote
73K-130K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Lead membership movement activities for PCP departures, retirements, site closures, and provider realignments. Develop transition strategies, standardize workflows, coordinate cross-functionally, train teams, and report performance to protect continuity of care, revenue, compliance, and member retention.
Summary Generated by Built In
Requisition Number: 2379086
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
The Manager of Provider Transition and Growth, is responsible for leading and overseeing all membership movement activities associated with Primary Care Provider departures, retirements, panel updates, site closures, and strategic provider realignment initiatives across the Optum CA market. This role ensures continuity of care, revenue protection, regulatory compliance, and member retention during high impact transition events.
This position operates with significant autonomy and serves as an operational leader responsible for complex transition strategy development, cross functional coordination, workflow standardization, and performance reporting to regional and market leadership
This role directly influences membership retention, revenue continuity, provider alignment strategy, and market growth initiatives. Effective performance reduces financial leakage, mitigates compliance exposure, and supports long term strategic provider relationships.
If you are located in the Los Angeles metro area, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Membership Transition Leadership
  • Lead all membership activities related to PCP departures, retirements, site closures, panel reductions, and provider updates
  • Develop and execute transition strategies to ensure continuity of care and minimize member abrasion
  • Drive complex transition initiatives to completion, including nonstandard or high risk membership movement scenarios
  • Provide subject matter expertise on complex cases requiring strategic resolution

Strategic Problem Solving and Execution
  • Design collaborative solutions for nonstandard membership movement requests across multiple regions
  • Anticipate operational risk and proactively implement mitigation strategies
  • Ensure transition execution aligns with compliance standards, growth strategy, and retention objectives

Cross Functional Collaboration
  • Partner extensively with Operations, Provider Network, Market Leadership, Compliance, and external stakeholders to ensure accurate and timely membership movement
  • Build and maintain solid working relationships across internal and external stakeholders to protect membership stability
  • Serve as a trusted advisor to regional leadership during site closures, provider exits, and strategic realignment initiatives

Standardization and Process Development
  • Create and implement standardized workflows and best practices for PCP departures across the Optum CA market
  • Continuously evaluate and improve transition processes to enhance efficiency, reduce rework, and mitigate member disruption
  • Develop scalable frameworks to support growth initiatives and exclusivity strategies

Training and Team Development
  • Develop training curriculum and onboarding documentation related to membership activities and transition processes
  • Mentor and develop team members to strengthen operational knowledge and transition execution capabilities
  • Support organizational understanding of growth strategies and membership outreach processes

Performance Reporting and Executive Communication
  • Prepare and present regional and market level performance reports to senior leadership
  • Track and report project milestones, transition cycle time, retention impact, and operational outcomes
  • Provide executive level summaries and risk assessments for high visibility transition initiatives

Leadership Competencies
  • Enterprise thinking and cross market collaboration
  • Strategic execution and accountability
  • Operational risk mitigation
  • Stakeholder influence and relationship management
  • Growth and retention alignment

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:
  • Proven experience managing complex healthcare membership transitions or provider network changes
  • Demonstrated ability to lead high impact, cross functional initiatives to completion
  • Proven solid analytical, organizational, and problem-solving skills
  • Ability to operate independently with executive level communication capability
  • Experience developing workflows, training materials, and standardized operational processes
  • Driver's License and access to reliable transportation

*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 $72,800 to $130,000annually 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 make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Skills Required

  • Proven experience managing complex healthcare membership transitions or provider network changes
  • Demonstrated ability to lead high-impact, cross-functional initiatives to completion
  • Strong analytical, organizational, and problem-solving skills
  • Ability to operate independently with executive-level communication capability
  • Experience developing workflows, training materials, and standardized operational processes
  • Driver's license and access to reliable transportation
  • Must pass a pre-employment drug test

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Healthcare Strength Official materials highlight copay and HSA medical plan choices with in‑network preventive care at 100%, prescription coverage, and low/no‑cost virtual visits, plus company HSA contributions. Dental preventive services are 100% in network, and mental health resources include an EAP and premium Calm access.
  • Parental & Family Support Programs include six weeks paid parental leave, up to two weeks paid caregiver leave, and Bright Horizons back‑up care with enhanced family supports. Adoption assistance up to $10,000 for full‑time employees reinforces family‑oriented benefits.
  • Equity Value & Accessibility Financial benefits include an Employee Stock Purchase Plan at a 10% discount, expanding access to equity ownership.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
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Minneapolis, MN
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Washington, DC
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