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. Ready to make a difference? Join us and start doing your life's best work.(sm)

If you are residing within a commutable distance of Southfield, MI, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.

Primary Responsibilities:

• Administering initiatives and projects to align with our state pay for performance activities and state mandated performance improvement plan
• Coordination of vendor work; oversight of vendor work supporting various projects
• Attendance at state meetings representing the health plan as needed as well as various maternal-health meetings throughout the state (perinatal collaboratives and others)
• Serves as a resource to others
• Able to problem solve and make decisions independently
• Participates in a team environment supporting and respecting all members, encouraging achievement of group goals
• Maternal and infant health subject matter expert
• Meets all health plan contract compliance deliverables (i.e. low birth weight, Pediatric Sickle Cell Improvement project, Performance improvement plan and others as designated) 
• Maintains ongoing communication and feedback with customers and/or clients to support needs and resolve problems especially as it relates to the Maternal Infant Health Plans
• Supports all health plan requests in a timely manner
• Work effectively with physicians and ancillary staff, both written and verbally
• Ensures alignment and collaboration with our Healthy First Steps modernization intervention
• Support state clinical priorities and compliance deliverables
• Maternal infant health coordinator/coordination
• Other duties as assigned

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:

• Current and unrestricted RN licensure in Michigan
• 1+ years of health plan experience in a managed care organization
• 1+ years of Performance improvement experience
• 1+ years of presentation experience to large and small groups
• 1+ years of experience with project management inclusive of communication, organization, task management, scheduling, budget planning, milestones, problem-solving, deadlines, goals, cost-management and analysis
• 1+ years of experience with working in a highly matrixed organization
• Provider group experience 
• Disease management and population health experience
• Computer literate in Microsoft Word, Power Point, Excel and Visio
• Demonstrated ability to maintain timeliness for deliverables and regulator requests 
• Proven ability to synthesize information especially from meetings and provide that information to internal teams
• Proven ability to perform complex problem solving related to health care quality and maternal infant health
• Proven ability to travel as needed for meetings and provider visits

Preferred Qualifications:

• Data analytics experience
• Proven good organizational and communication skills
• Proven self-motivated with solid quantitative and organizational skill
• Proven excellent interpersonal and networking skills
• Proven ability to manage multiple tasks and projects and changing priorities; prioritize work products effectively 
• Proven ability to work independently, good critical thinking skills, excellent verbal and written communication skills 
• Proven solid ability to work effectively with physicians and ancillary staff, both written and verbally
• Proven ability to perform complex problem solving related to health care quality
• Proven ability to look at challenges as opportunities
• Proven ability to work autonomously
• Proven ability to look at challenges as opportunities

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
 
 
 
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.