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Program Executive - - Clinical -MA LTSS - Boston, MA

UnitedHealth Group

Boston, MA
Job Code:
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Job Details

Program Executive - - Clinical -MA LTSS - Boston, MA(Job Number:700152)

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)


MA LTSS (Long Term Services and Support) includes services that people with disabilities and chronic conditions use to meet their personal care and daily routine needs. LTSS are delivered in home, community and institutional settings across the care paradigm. It includes: adult day healthcare, durable medical equipment, personal care services, home healthcare and, physical therapy amongst other things. We would be providing TPA services to 176K with $3.2B in annual spend. MA’s goal is to reduce cost and improve outcomes. There are 2,546 LTSS providers for 16 service types.  


Primary Responsibilities:

  • Client facing role with customer service excellence track record 
  • Provide executive oversight / leadership on the program 
  • Possess excellent communication skills and the ability to work with senior client teams and to manage their expectations 
  • Overall project management of large complex project, responsible for managing/leading all activities including strategy, overall solution, execution, schedule, financials, risks / issues / escalation and contract management 
  • Participate in corporate strategic planning activities
  • Manage large (100 ) program delivery organization including vendors 
  • Track record of managing $20M of yearly revenues for 3 years 
  • Monitors spending for adherence to budget, recommends variances as necessary as well as monitors and reports budgetary concerns to achieve financial and performance objectives 
  • Communicates program goals and processes to teams to ensure program continuity and compliance with the terms of the contracts
  • Leverages strong Prior Authorization and Utilization Management experience across Program Integrity, IT/Systems, Reporting/Informatics, Quality Assurance, Call Center and Customer Service


Job General Operations Management
Primary Location US-MA-Boston
Other Location 
Organization hiHealth
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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