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Sr. Implementation Manager - Specialty - Telecommute

Company: UnitedHealth Group
Location: San Jose
Posted on: September 24, 2022

Job Description:

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) - The Senior Implementation Manager manages the new business Specialty implementation process for assigned customers to deliver consistent customer satisfaction by collaborating with client teams, multiple business units and with customers to ensure project deliverables are consistent with client service agreements, appropriate service levels are achieved, project timelines and deliverables meet client requirements, issues are identified and resolved timely, and client satisfaction is achieved throughout the implementation process. - Daily responsibilities include planning implementation processes, conducting research to improve implementation strategies, creating detailed project plans, and maintaining an open line of communication between relevant departments. -This position identifies and documents all project parameters required for implementation of pharmacy services and serves as the primary point for client teams, pharmacy operational teams and customers during the implementation phase. -Role acts as a subject matter expert in specialty for external and internal stakeholders and handles ad hoc, non-traditional implementations and strategic projects as business needs arise. - You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

  • Managing Specialty implementation for new complex clients [health plans, coalitions, Third Party Administrators (TPAs), non-Optum Rx Pharmacy Benefit Managers (PBMs), physician groups, employer groups] and existing clients with benefit changes, including terminations
  • Assisting with new highly complex renewals for health plans, coalitions, TPAs, non-Optum Rx PBMs, physician groups, employer groups
  • Acting as outward-facing resource lead for assigned accounts, typically with direct client contact
  • Acting as a single point of contact for Specialty pharmacy clients during implementation phases and working alongside relationship/account managers -
  • Building client relationships by ensuring appropriate levels of service and operational support during the implementation process, including establishing clear rules of engagement and roles and responsibilities for implementation success
  • Representing client internally and coordinating with other functional areas to implement client systems, complete projects, and addressing ongoing service needs
  • Ensuring all pharmacy program parameters required for implementation are accurate, complete, and supportable before committing to services with client
  • Collaborating with marketing for specific collateral needs
  • Ensuring thorough documentation and communication upon completion of all implementation duties with special emphasis on custom (non-standard) components such as Performance Guarantees, reports, process documentation
  • Utilizing organizational skills to plan, prioritize and ensure timely deliverables, high levels of quality, and efficient use of resources to achieve operational readiness
  • Communicating internally with specialty operational team impact of change to confirm operational readiness
  • Tracking open items, managing risk point escalation, and bringing closure in a timely manner to ensure client expectations are reasonable and understood
  • Tracking post-go live activities to completion
  • Monitoring new patient transition to Optum integrated pharmacy approximately 30-45 days after Go-Live date
  • Working with other departments to develop operational solutions and recommendations -
  • Analyzing reports with account management to determine client trends, recommendations, and implementing programs appropriate for the client
  • Transitioning client to account management for ongoing service once implementation phase is complete
  • Maintaining client database/documents for new plan set-up and/or plan changes
  • Identifying areas of improvement post implementation with implementation process or gaps in service with Optum operational teams so the customer experience is optimized
  • Participating in Implementation improvement or strategic projects and may be responsible for project execution and training
  • Reviewing and writing Request for Proposal (RFP) responses to represent Specialty implementation processes, upsell opportunities, identify red flags and guide less senior team members in writing RFP responses
  • Assisting with finalist meetings either by attending or providing information and materials during finalist presentation, set appropriate expectations for delivery of service based on capabilities and expertise in transition process
  • Developing and implementing strategies and policies related to implementation and may develop Standard Operating Procedure (SOP) to accommodate department and operational procedures
  • Ensuring department leadership is kept informed of project/implementation performance, critical issues, and achievement of major milestones
  • Leading cross-functional partnership to ensure that programs are implemented consistently with contractual commitments, on time and on budget You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:
    • 5+ years of Pharmacy Benefit Management or Specialty pharmacy or Healthcare Account Management experience -
    • 2+ years Project Management experience (implementation)
    • 2+ years working in a client facing role and experience presenting to clients
    • Experience presenting to clients and/or senior leadership
    • Assesses and interprets customer needs and requirements -
    • Anticipates and interprets customer needs and requirements and proactively develops solutions to meet them
    • Identifies solutions to non-standard requests and problems
    • Solves complex problems and/or conducts moderately complex analyses
    • Coaches, provides feedback, and guides others and serves as a resource for others with less experience
    • Intermediate knowledge of Microsoft Office Excel and PowerPoint
    • Ability to problem solve / formulate solutions from experience or research -
    • Ability to travel 25% or less of the time for training and/or travel to client site or OptumRx service centers to provide consultative services and recommendations
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifcations:
      • Bachelor's Degree (or higher) in any major
      • Online reporting database experience
      • Intermediate knowledge of Microsoft Office Vision
      • Works well under pressure and is a highly motivated with the ability to self-direct and prioritize
      • Ability to multitask to resolution / completion -
      • Ability to work cross functionality with individuals at all levels of the organization Soft Skills:
        • Possesses excellent organization skills and attention to detail
        • Works with minimal guidance and seeks guidance on only the most complex tasks
        • Translates concepts into practice
        • Provides explanations and information to others on difficult issues
        • Reviews work performed by others to provide recommendations for improvement
        • Forecasts and plans resource requirements
        • Authorizes deviations from standards
        • May lead functional or segment teams or strategic projects
        • Provides explanations and information to others on the most complex issues
        • Motivates and inspires other team members
        • Proficiency with time management and flexibility to travel
        • Flexible and have the initiative to thrive in a dynamic environment of rapidly changing needs
        • Ability to work remotely with limited supervision To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm) Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut / Nevada residents is $90,500 to $161,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, San Jose , Sr. Implementation Manager - Specialty - Telecommute, Executive , San Jose, California

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