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ACO Program Manager- Hybrid in Worcester, MA - 2218008

Optum

Optum

Operations
Worcester, MA, USA
Posted on May 31, 2024

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Position in this function is responsible for oversight and management of operational activities and functions of the ACO programs including, but not limited to, application and certification requirements, provider list maintenance, creation and distribution of reporting, responding to compliance audits, or other requests for information and data.

Supports ACO performance management by identifying opportunities for improvement in collaboration with Director. Responsible for planning and implementation of interdepartmental initiatives developed to support ACO performance. Assigns project sub-tasks to cross-functional partners and monitors deliverables. Tracks project timelines to ensure deadlines are met. Oversees project budget and expenses, as applicable.

Primary Responsibilities:

  • Oversight and management of operational activities and functions of the ACO programs including, but not limited to, application and certification requirements, provider list maintenance, creation, and distribution of reporting, responding to compliance audits, or other requests for information and data
  • Supports ACO performance management by identifying opportunities for improvement in collaboration with Director. Responsible for planning and implementation of interdepartmental initiatives developed to support ACO performance. Assigns project sub-tasks to cross-functional partners and monitors deliverables. Tracks project timelines to ensure deadlines are met. Oversees project budget and expenses, as applicable
  • Ability to organize, manage, and execute multiple projects at once. Solves problems that may be vaguely defined, complex, and involve consideration of multiple issues
  • Proactively stays current with changing ACO requirements and programs. Enhances professional growth and development through educational programs, seminars, etc.
  • Interacts effectively and professionally with all departments at Reliant Medical Group, as well as all patients and vendors
  • Develops specialized electronic reporting tools, as needed. Maintains files and records in alignment with program and regulatory requirements
  • Leads or participates in status update meetings, information sessions, and training initiatives through conference calls or in-person meetings. Ability to take direction and work effectively with others in both small and large group settings and meetings
  • Schedules and coordinate meetings, as needed. Ability to take meeting notes and summarize content into minutes and disseminate to participants
  • Ability to meet assignment deadlines and adapt to changes in duties and timelines
  • Complies with health and safety requirements and with regulatory agencies
  • Complies with established departmental policies, procedures, and objectives
  • Enhances professional growth and development through educational programs, seminars, etc.
  • Attends a variety of meetings, conferences, and seminars as required or directed
  • Regular, reliable and predictable attendance is required
  • Performs other similar and related duties as required or directed

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 experience working in managed care environment with clinical staff
  • 3+ years of experience working with accountable care organizations or similar programs under the Centers for Medicare and Medicaid Services
  • Operational and project management experience
  • Proficiency with various software applications such as Microsoft Word, Excel, Outlook, etc
  • Proven excellent organizational, communication, and interpersonal skills

Unless certification, licensure or registration is required, an equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed in this description, may be substituted for the above requirements.

Physical Requirements

Physical health sufficient to meet the ergonomic standards and demands of the position.

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment