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Program Manager (Medicaid) - Schaumburg, IL strongly preferred or Telecommute maybe considered

UnitedHealth Group

Schaumburg, IL
Job Code:
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Job Details

Program Manager (Medicaid) - Schaumburg, IL strongly preferred or Telecommute maybe considered(Job Number:701392)

This position serves as a key role in the management and delivery of flawless and efficient OptumRx Government Programs. The Program Manager works extensively with internal and external stakeholders and senior leaders to meet the overall program goals in terms of scope, quality, budget, and schedule.


The Medicaid Program Manager plays a critical role and is responsible for developing the program vision and strategy of OptumRx’s external Managed Medicaid offerings.  This leader plays a key role in shaping the future vision of the product portfolio and ensuring that our products & services meet customer needs, and support business/financials growth objectives.  This means creating solutions that meet federal requirements and can be tailored to State specific requirements and/or creating State specific processes. This role is responsible for the overall planning, direction, coordination, implementation, execution, control and completion of projects that ensure consistency with company strategy, commitments and goals for the program.


Primary Responsibilities:

  • Manage large and/or complex projects specific to Managed Medicaid programs, under the direction of the Government Programs leadership

  • Review regulatory guidance and determine impact to OptumRx and our clients.

  • Meet with industry organizations and clients to understand Medicaid trends and determine strategy for new business

  • Be identified as OptumRx’s Managed Medicaid SME and coordinate internal discussions with leadership across the functional areas to discuss risks and opportunities within Managed Medicaid and propose strategies for growth

  • Identify the need for system enhancements and /or processes to meet regulatory / client needs and coordinate prioritization and submission of SR’s and processes

  • Responsible for project planning, resource planning, project schedule development and maintenance

  • Create and monitor project estimates and budget

  • Manage risks, issues and project change control in terms of scope, schedule, cost and quality

  • Overcome barriers to team/project progress and escalate to leadership as needed.  Resolve internal and external team conflict to ensure adherence to project schedule and budget

  • Identify and drive critical business decisions

  • Facilitate cross-functional work efforts within Government Programs, IT, operations, vendors and Clients

  • Support Government Programs department in development and continuous improvement efforts as needed

  • Coordinate training and awareness across the company to ensure internal partners and leadership is up to date on industry changes and understand regulatory requirements, risks and opportunities

Job Business Analysis
Primary Location US-IL-Schaumburg
Other Location United States
Organization OptumRx Government Programs
Schedule Full-time
Number of Openings 1
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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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