Oncology Clinical Program Director, Value Creation - Remote

Overview

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable.

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Growing together.

This Clinical Program Director is part of the Value Creation - Oncology, Genomics, and Laboratory Team, and will report directly to the Category-Lead National Medical Director. The Value Creation Team is responsible for comprehensive affordability strategy development, direction, and execution within the fields of Oncology, Hematology, Genetics/Genomics, and Laboratory, as well as other Internal Medicine specialties. The team focuses on cost, utilization management, value-based arrangements, quality improvement, revenue maximization, and improved provider and member experience.

The Oncology Clinical Program Director works with a team of Program Managers and analysts who support project plans, meetings, IT build, financing, and savings opportunity assessment. This role will engage organizational partners to execute on a comprehensive Value Creation strategy for the team\'s initiatives. The role requires a solid working knowledge of oncology clinical practices, along with strategic and critical thinking, the ability to handle multiple priorities, and the capability to drive implementation of initiatives with support from Enterprise executive leaders to operational support teams.

Telecommuting from anywhere within the U.S. is available.

Primary Responsibilities

• Initiative Implementation and Oversight: Oversee comprehensive ideation, development, and implementation in partnership with internal and external partners
• Partner with Medical Directors and key individuals to drive the development of clinical strategies
• Manage resources including a flexible pool of Program Managers, assign projects and move them through the project lifecycle end-to-end
• Apply knowledge of reimbursement models and value-based arrangements
• Build and develop relationships across teams to ensure effective support and feedback loops and that deliverables are met
• Drive performance excellence, promote best practices and seek solution-oriented initiatives
• Use problem-solving skills and make decisions to move implementation forward
• Review, evaluate, and document business requirements and facilitate discussions with operational and technology partners for IT-related projects
• Ensure compliance with financial goals

Partnership Skills

• Develop and maintain strong relationships with executive leadership of internal teams and external vendors
• Partner with executive leadership from all LOBs to achieve mutual success on targets
• Develop and maintain strong relationships with provider groups/facilities for collaboration on clinical pilots and programs

Quantitative Analysis

• Lead critical thinking and creative problem solving
• Develop cost-benefit analyses and business cases for clinical programs
• Develop and analyze KPIs for clinical programs for each line of business to define timelines and documentation necessary for financial compliance and performance
• Interact with HCE and LOB Finance teams to verify and report on aggregate program performance
• Solve complex financial performance barriers
• Work with program managers and predictive analytics teams to model performance expectations and set realistic financial goals
• Provide guidance to program managers in evaluating data from analytic teams to relate affordability to operational reality
• Research skills and ability to analyze and present innovative ideas for program implementation
• Research and resolve provider/member/network inquiries related to Value Creation programs; collaborate with claims, operations, provider relations and clinical services to resolve issues

Presentation Skills

• Speak clearly on complex problems across diverse audiences
• Provide regular updates on the implementation process and clinical programs for Joint Operating Committees, Team Leadership, and Executive Sessions
• Create and participate in senior management presentations as requested

Critical Skills

• Ability to work independently and systematically analyze complex issues, draw conclusions, and implement solutions
• Evaluate current business processes to identify re-engineering opportunities and support process improvements and technical capability enhancements
• Adaptable and innovative; contribute ideas to achieve positive results
• Strong teamwork and interpersonal skills; ability to influence and collaborate across diverse groups
• High accountability, attention to detail, and ownership of tasks and quality results
• Excellent time management and ability to balance multiple priorities while maintaining accuracy
• Self-starter, initiates work independently and prioritizes with minimal oversight

Note: You\'ll be rewarded and recognized for your performance in an environment that provides direction on what it takes to succeed, with development opportunities for other roles you may be interested in.

Required Qualifications

• 6+ years in a leadership/management role
• 5+ years of healthcare experience with operational accountability
• 3+ years of claims systems and/or reimbursement methodologies experience
• Demonstrated experience and working knowledge of utilization management and value-based contracting
• Superior data analysis skills and knowledge of legal, regulatory healthcare requirements and financial performance reporting
• Strategic, analytical, and critical thinking skills with the ability to use data to inform program design and measure outcomes
• Proven ability to build relationships and partner across multiple business groups
• Ability to design, build and implement IT support for clinical programs with partner teams
• Effective written and verbal communication at multiple levels in large organizations
• Negotiation skills to achieve mutually beneficial outcomes
• Proven ability to manage others and influence in executive settings
• Proficiency with MS Office (Excel, Word, PowerPoint, SharePoint)
• Ability to travel up to 10% for team meetings as needed

Preferred Qualifications

• 5+ years of healthcare experience with operational accountability in oncology or oncology-adjacent specialty
• Experience with UHC business processes and data systems
• Knowledge of Oncology clinical domain, prior authorization programs, and value-based care reimbursement models
• Strategic thinking with ability to communicate a vision and drive results
• Creative problem-solving skills
• Self-starter, initiates work independently
• All employees working remotely must adhere to UnitedHealth Group\'s Telecommuter Policy

Compensation and Benefits

Pay is based on factors including local labor markets, education, work experience, and certifications. In addition to salary, benefits include a comprehensive package, incentive programs, equity stock purchase and 401k contribution (subject to eligibility). Salary range: $134,600 to $230,800 annually for full-time employment. We comply with all applicable minimum wage laws.

Application Details

Application Deadline: This posting will be available for a minimum of 2 business days or until a sufficient candidate pool is collected. Listings may close early due to volume of applicants.

EEO and Policy

At UnitedHealth Group, we are an Equal Employment Opportunity employer. Candidates will be considered without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status. UnitedHealth Group is a drug-free workplace; a drug test may be required before employment.

All employees remote work must adhere to telecommuting policies.