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Associate Director - Medicaid Member & Provider Services - Eden Prairie, MN or Telecommute

UnitedHealth Group

Eden Prairie, MN
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740616 Associate Director Medicaid Member Provider Services Eden Prairie MN or Telecommute

Associate Director - Medicaid Member & Provider Services - Eden Prairie, MN or Telecommute (740616)

Position Description

Here, your performance, your ideas, your unique analysis will combine with a rich assortment of contributors to understand and shape the health care system. At Optum, you'll work with a team that has the creativity and passion to help build new health care solutions that meet emerging market needs. You'll get the opportunity to work with an elite team that goes beyond the usual analysis. They dig deeper knowing our goal is nothing short of transforming health care.


As an Associate Director on our Government Solutions Implementation Team, you'll have the opportunity to lead the implementation of Member & Provider solutions for our state offerings for Medicaid operations. This is a position that affords you the ability to implement significant state initiatives, drive processes and improvement opportunities. By working with a your cross functional implementation team and utilizing your Medicaid experience and project skills to fulfill the needs of the business and/or clients, you will have an impact on making the health care system work better for everyone, especially those who need it most. This is a challenging role that creates an opportunity to grow and develop while doing your life's best work.(sm)


We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.

Primary Responsibilities:
  • Lead the Constituent Services implementation workstream for specific state implementations, defining key business needs, issues and/or gaps and implementing solutions for flawless operations execution
  • Work with leveraged Optum Operations areas to implement member and provider servicing processes to support Medicaid solutions
  • Partner with product owners, operations, and technology for you and your team to develop business deliverables for new / enhanced capabilities
  • Ensure buy-in of implementation processes and solutions from key State owners, operations, and technology partners / leadership
  • Work with Implementation and Operations teams to plan and execute User Acceptance and Operational Readiness Testing
  • Manage project risks and issues, adhere to project timelines and budget
  • Ensure timely and effective execution of all deliverables
  • Perform other dues as assigned by Implementation team leadership
  • Support RFP design and development as needed

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Required Qualifications:
  • 5 or more years of experience in business analysis and/or operations process development and execution
  • 5 or more years of Healthcare experience  
  • 2 or more years of deep knowledge of State Medicaid Provider process experience
  • 2 or more years of experience with State based Medicaid systems
  • Experience working on large, complex Implementation teams to successfully deliver business value on time and within budget
  • Experience in working with BA’s and customers to develop requirements for customized solutions to specific business needs
  • Experience in User Acceptance Testing processes and coordination
  • Experience with project methodology (requirements, design, development, test and implementation)
  • Up to 25% travel (variable depending on the client) 
Preferred Qualifications:
  • Bachelor’s degree
  • Knowledge of current Optum Provider operations and support processes
  • Knowledge of Affordable Care Act
  • Facets Claim experience
  • Experience in working with agile / scrum methodology
  • Experience and working knowledge of CA Agile Central (formerly known as Rally)
Soft Skills:
  • Strong communication and influencing skills
  • Strong client relationship and partner management abilities

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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:  State Medicaid Provider process experience, Provider, Implementation, Claims, business analysis, operations process development, Eden Prairie, MN, Minnesota, Telecommute, Remote, Work from Home


Job Details

  • Contest Number740616
  • Job TitleAssociate Director - Medicaid Member & Provider Services - Eden Prairie, MN or Telecommute
  • Job FamilyBusiness Operations
  • Business SegmentOptumInsight

Job Location Information

  • Eden Prairie, MN
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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