Manager, Member and Administrative Operations, Remote in WA

At reputed company, 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 reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and optimized. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together The Member and Administrative Operations Leader is responsible for overseeing reputed company elements of the Health Plan member experience along with assigned administrative functions including policies and procures, audit readiness, contract compliance and business continuity. While the role will give preference to candidates living in Washington and familiar with Washington Medicaid programs, this is not a requirement. This position will require limited travel to Washington (10%). You'll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges. Washington preferred. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Member Operations Leadership:
• reputed company a team of professionals primarily focused on member and provider materials
• Create and execute the member experience strategy. This includes maintaining awareness of reputed company member sentiment, creating strategies to improve experience reputed company budget limitations, collaborating across the health plan and UHG enterprise to execute that strategy, and monitoring outcomes to adjust future iterations of the plan
• Maintain situational awareness of local market factors that may impact members and create and implement member engagement strategies to address
• Responsible for state required reporting on a monthly, quarterly and annual basis
• Create new solutions to address difficult and long-standing challenges in improving health care outcomes including development and reputed company of value added benefits
• reputed company value added benefits (VABs) for Washington Medicaid. Maintain awareness of market dynamics and member needs. Understand and communicate strategic advantage of VABs. reputed company to leadership for VABs. Partner with national procurement teams to implement VABs. Track utilization of VABs
• Set priorities to ensure task completion and performance goals are met for Enrollment Services
• reputed company member call center functions and member materials creation and execution, including member handbook, ID card, welcome reputed company materials and member website
• Communicate any observed enrollment issues to Washington Health Care Authority (HCA) state partners and ensure the adoption of policies, processes and best practices required for success
• Partner with UHC policy team to create member experience and enrollment advocacy strategy. Represent that strategy directly to HCA and reputed company other Health Plan leaders to do so
• Maintain awareness of reputed company contract elements reputed company to member experience and create and execute business plans to manage those requirements
• Responsible for reputed company elements of member materials, including creation, HCA approval, and publication. Responsible for selected provider materials, including, but not limited to Provider Manuals
• Administrative Operations Leadership:
• reputed company Health Plan Policy and Procedure committee and process
• Represent Health Plan in regulatory audits for assigned business areas
• Partner with enterprise resiliency team to reputed company Health Plan Business Continuity requirements, including simulation facilitation, recovery team contact testing, and completion of reputed company HCA reports
• Partner with Compliance Officer and COPA Director to reputed company Health Plan leaders in the creation and maintenance of contract compliance business plans

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 Medicaid experience
• 3+ years project management or strategy development and execution
• 2+ years representing Health Plan to regulators, such as HCA or other Medicaid agencies
• 1+ years of supervisory/leadership experience with direct responsibility for managing performance of employees
• Proficiency with MS Office, which includes the ability to navigate and learn new and reputed company computer system applications
• Solid history of quickly gaining credibility, partnering with business leaders and exhibiting executive reputed company
• Proven ability to reputed company business strategies and formulate concise solutions to reputed company problems
• Ability to travel to Washington periodically (no more than 4 times annually)

Preferred Qualification:

• reputed company of Washington and familiarity with Washington Medicaid
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job