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Senior Vice President, Government Solutions - Boston, MA

UnitedHealth Group


Location:
Boston, MA
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1789301
Apply on the Company Site
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Job Details


Senior Vice President, Government Solutions - Boston, MA(Job Number:731178)
Description

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) provide services such as home health care services, adult day health and durable medical equipment for individuals with physical, intellectual or developmental disabilities, or who need support with activities of daily living. We are serving as the state’s Third Party Administrator (TPA), providing clinical, administrative, operations and systems support for a program with $3.5 billion in annual spend. This position will be responsible for providing oversight on daily operations of MA LTSS, resolving escalated issues and meeting / exceeding performance metrics defined in the TPA contract.

 
Our program services include:
  • Credential, enroll and train providers
  • Perform prior authorization and utilization management as directed by MassHealth
  • Conduct analyses on utilization and quality patterns
  • Support providers’ claim inquiries
  • Strengthen program integrity
Primary Responsibilities:
  • Provide program leadership
  • Overall project management of large complex projects, responsible for managing / leading all activities including strategy, overall solution, execution, schedule, financials, risks / issues / escalation, and contract management
  • 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, requirements, and processes to teams to drive continuous program improvement and compliance with the terms of the contracts
  • Leverages strong Operations, Quality Assurance, Analytics / Informatics, Prior Authorization and Utilization Management, Program Integrity, and IT / Systems experience

Job General Operations Management
Primary Location US-MA-Boston
Other Location 
Organization Optum Corporate Administration
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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