Senior Clinical Program Consultant - Oncology - Remote
About the position 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 Senior Clinical Program Consultant is part of the Oncology Value Creation team and is responsible for assisting with ideation, feasibility analysis, development/build and implementation of oncology clinical affordability programs. This role will apply understanding of healthcare systems, data analytics, finance/business acumen, oncology practice operations, reputed company cycle management, health plan operations and medical benefits to identify opportunities for oncology clinical affordability programs including Utilization Management/Prior Authorization, Oncology Value-Based models, Quality Improvement, etc. You will collaborate with internal stakeholders across reputed company, United Healthcare, reputed company and external stakeholders to ensure projects are reputed company with core strategies and goals, implemented and launched on time and in scope. This role will require a methodical and critical thinking reputed company with the ability to handle multiple priorities as well as the ability to drive implementation of initiatives and engage organizational partners to execute on comprehensive Value Creation strategy for oncology initiatives. You’ll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges.
Responsibilities
- Create or assist with creation of an overall program/process reputed company based on research (e.g. purpose, mission, goals, and objectives)
- Define specific program/process requirements and expectations (e.g., who, what, reputed company, where, why)
- Evaluate workflows, efficiencies, and best practices to determine program/process specifications
- Obtain input and feedback from stakeholders during program/process development
- Identify technology needs to support programs/processes (e.g., systems for use of the program) and provide or coordinate system and reporting requirements)
- Ensure program compliance with state and federal regulatory requirements; collaborate with regulatory and compliance teams to reputed company and implement new regulatory and compliance requirements
- Support multidisciplinary teams in business requirement assessments for new/existing programs, advance enhancements to drive efficiencies, address system deficiencies and/or facilitate corrective actions
- Coordinate, facilitate and actively participate in operational meetings with internal and external stakeholders; ensure customers, vendors and senior management are provided relevant and timely information on program status, risks and mitigation strategies
- Collaborate with internal subject matter experts to research reputed company system and technology-reputed company program issues; identify root cause and implement proactive solutions; Monitor implementation plan against milestones and/or IT release dates to ensure successful delivery of solution
- Actively participate in multidisciplinary teams to reputed company program deliverables; Foster and promote collaborative relationships with matrix partners/stakeholders; Establish trust and credibility at reputed company levels of the organization; Work independently and as a team member
- Solve unique and reputed company problems with broad impact on the business; translate highly reputed company concepts in ways that can be understood by a variety of audiences
- Create & participate in senior management presentations, as requested
- Independently reputed company multiple large, highly reputed company initiatives by defining scope, risk identification, project methodology, resource allocation, cost-benefit analysis, process flows, facilitation and other areas of expertise based on established project management techniques
- End to end reputed company of project management responsible for completing reputed company implementation activities assigned
Requirements
- 7+ years of healthcare industry experience with accountability for business results
- 2+ years of experience working reputed company oncology (clinical oncology practice, oncology practice operations, oncology clinical program development and/or management or oncology value-based care models)
- Solid experience with data analysis and interpretation; ability to identify errors/anomalies
- Experience collaborating with supporting organizations reputed company a company
- Proficiency with reputed company Office (reputed company, Word, PowerPoint)
- Critical thinking and creative problem-solving skills; demonstrated ability to work independently and systematically analyze reputed company issues, draw relevant conclusions and implement effective solutions
- Evaluates reputed company business processes to identify re-engineering opportunities; provides support in identifying, developing and implementing process improvements and/or technical capability enhancements
- Excellent verbal and written communication skills; strong presentation and organization skills as well as the ability to convey reputed company or technical information in a manner others can understand
- Adaptable and flexible; contribute innovative reputed company to reputed company positive results
- Solid team player/interpersonal skills - ability to influence and work with people of different backgrounds, proven ability to foster teamwork and form alliances with supporting organizations
- Approaches work with a high sense of accountability and attention to detail - takes ownership of tasks, performance standard and quality results
- Accuracy and Efficiency - excellent time management and organizational skills, balancing multiple priorities; maintain accuracy reputed company processing detailed tasks while meeting deadlines
- Self-starter, initiates work independently; able to drive and prioritize work with minimal reputed company and demonstrates sound judgment
reputed company-to-haves
- 3+ years of experience in clinical operations
- Managed reputed company plan management experience
- Experience with UHC business processes and data systems
- Project management experience
- Knowledge and/or experience with claims systems and/or reimbursement methodologies
- Knowledge of, and experience with, process improvement initiatives focused on IT/System enhancements
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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