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Vice President Medicaid Solutions - Telecommute

UnitedHealth Group

Falls Church, VA
Job Code:
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Job Details

Vice President Medicaid Solutions - Telecommute(Job Number:699833)

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)

The health care markets are evolving in many different ways and the role and impact of the Medicaid is becoming increasingly important as health plans and providers look for new ways to grow and manage risk. In particular, the ability to manage medical cost through care management interventions or network management strategies is critical to the success of these organizations. Optum is seeking a senior consulting leader to provide thought leadership and expertise in the Medicaid market. This position is responsible for the identification of consulting opportunities and development of Medicaid- focused consulting solutions in the areas of LTSS, HCBS, Duals Population, Complex Care, Population Health, and provider sponsored organizations taking on risk for the most complex Medicaid populations. 
Primary Responsibilities:
Medicaid Market Planning and Thought Leadership (25% Time Allocation):

  • Industry thought leader around LTSS, Dual Eligible, Complex Care, Population health and provider sponsored organization strategies and analytics in the Medicaid market
  • Provide thought leadership and insight to clients around the CMS and state specific regulations, guidelines and policies etc. around waiver programs and requirements
  • Define Medicaid states market needs and gaps to current capabilities (matrix with Marketing and Sales teams)
  • Define Points of View for best practices and develop key performance indicators to show value
  • Work with government relations to understand regulatory opportunities/risks and align government relations with long-term marketing and delivery plan
  • Identify and develop consulting offerings, products, services solutions that align with key market needs and or client initiatives
  • Determine pricing models and options for new solutions

 Sales Support (25% Time Allocation):

  • Develop proposals and statements of work for client specific engagements
  • Participate, support and complete RFI, RFP and sales process
  • Complete financial analysis for proposed solutions
  • Build Medicaid Marketing and Sales Collateral
  • Attend and participate in oral presentation

 Program Oversight & Service Delivery (50% Time Allocation):

  • Direct responsibility for the oversight, hands on participation and delivery of large scale Medicaid consulting projects/programs; large scale programs are defined as high cost, high complexity and/or high risk
  • Ensure utilization rate and billable revenues are attained annually
  • Facilitate development of business segment and enterprise level planning and program objective setting
  • Participate in program funding and prioritization decision processes
  • Provide strategic input to the development of program roadmap and timelines 
  • Create a team oriented work climate that enables professional development and encourages creative solutions and strategies
  • Support the management of resources within programs
  • Support program communication plan and execution
  • Require that quality assurance methods are implemented within the program
  • Provide status updates and review of programs to senior leadership
  • Provide coaching and mentoring of project team with the goal of developing and retaining talent within the organization
  • Establish trusted partner relationships to expand the Payer Consulting footprint at designated clients
  • Work with client to lay out strategic roadmap for consulting solutions
  • Provide financial and data analysis to support ROI for project funding
  • Obtains high client satisfaction scores (>90%)
  • Develop and maintain clients references

Job Bus Advisory & Tech Cnsltng
Primary Location US-VA-Falls Church
Other Location 
Organization Ops Consulting
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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