Optum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
As an individual contributor you will be part of the local leadership team working with internal and external partners to support the successful strategic definition, delivery and maintenance of Information Systems that support the United Healthcare Medicaid business. You will also be part of a broader team of individual contributors who provide thought leadership and strategic alignment across the Medicaid technology organization. The successful candidate with have demonstrated experience in leading matrixed teams, proven skills ensuring successful implementation of programs and initiatives, experience in working with senior leadership and strategic planning in the healthcare industry.
This role requires excellent communication, problem solving skills, curiosity, and the ability to be both a doer and a leader.
The quality candidate can leverage their business knowledge in the healthcare industry to support daily efforts, innovative IT efforts, and must excel in high impact and escalated crisis situations. This position will be a key contact for IT efforts and will work with the appropriate delivery areas for IT projects for our New Mexico business. The overall goal of this position is to provide executive oversight and leadership in a strong matrix environment, so the IT needs of the business and state partners are met, and contractual compliance are achieved.
Primary Responsibilities:

• Relationship Building:
  • Build and improve state, Health plan, IT and service unit partnerships to build long-lasting transparent and trusting relationships
  • Represents UnitedHealthcare at State meetings; interacts with Community & State senior health plan and shared services leaders
• Leadership:
  • Influence, negotiate effectively, and provide recommendations to arrive at win-win solutions with our state partner, Health plan, IT and business service partners related to IT initiatives
  • Lead change and innovation by demonstrating emotional resilience, managing change by proactively communicating the case for change and promoting a culture that thrives on change
  • Influence Health Plan, Business Service units, State partners, IT teams employees by fostering teamwork and collaboration, driving employee engagement and leveraging diversity and inclusion
  • Provide leader oversight and direction to ensure that the IT applications and operations are working effectively, through high levels of engagement with Health Plan leaders and service units
  • Develop and mentor others while also building awareness to your own strengths and development needs
  • Active participant in local/regional health plan leadership, operational leadership group, business goals and strategic initiatives
  • Be a strategic leader contributing to the growth agenda
• Regulatory and Growth Effectiveness:
  • Provides SME (Subject Matter Experience) on business capabilities, such as claims, member, clinical, provider, X.12 transactions, etc. to provide a translation of business need into technical requirements for both Growth and regulatory IT initiatives
  • Strategize and review with business leaders to identify and frame their IT needs, mapping them to strategic plans and prioritizing them
  • Drive high-quality execution and operational excellence by communicating clear directions and expectations
  • Play an active role in implementing innovation solutions by challenging the status quo and encouraging others to improve overall effectiveness
  • Support Program and Project Managers to ensure that programs / projects are delivered on-time, on-budget, on benefit and on-quality and intervene to resolve issues as required
  • Represent United at mandatory state meetings and influence the design and timeline of state requirements through written recommendations, questions and clarifications, and open feedback forums
  • Collaborate with other MCOs (Managed Care Organizations) to drive common processes and timelines for state deliverables
• Performance & Satisfaction:
  • Accountable for compliance with state requirements for transaction loading (834, 837, 820, provider files, etc) and compliance on our technology platforms with state needs
  • Drive sound and disciplined decisions that drive action while effectively using IT and Healthcare business knowledge
  • Provides leadership to and is accountable for the State and Health Plan satisfaction as it relates to IT initiatives and performance
  • Partners with leaders to determine funding and budget requirements, timing, and resources for projects
  • Leverage broader SME (subject matter experiences) and knowledge to review and challenge estimates of IT tasks and drive toward efficient and timely solutions
• Innovations/ Strategy
  • Introduce and align Enterprise business and technology innovations to our markets to advance retention and growth across members and providers
  • Collaborate and provide the subject matter experience to assist with writing winning technology solutions to RFP (Request for Proposal) in support of United's growth initiatives
  • Provide designs, options, and executable solutions to existing UHC problems requiring innovative solutions
  • Provide strategic leadership, collaborate, and subject matter expertise to assist in writing winning technology responses to RFP (request for proposal) in support of UHC growth initiatives

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:

• 10+ years of professional experience in the IT domain or product management
• 5+ years of experience in leading and influencing in a matrixed organization
• 2+ years director level experience
• Health care industry experience
• Experience in working with senior leadership and strategic planning

Preferred Qualifications:

• Graduate Degree in a related field (such as healthcare administration, information technology, or business administration)
• Experience working in the Medicaid industry or other government-sponsored healthcare programs
• Experience with regulatory compliance requirements and audits
• Solid understanding of emerging technologies and trends in healthcare IT

Technology Careers with Optum. Information and technology have amazing power to transform the health care industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.(sm)
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.
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.