Medicare & Retirement General Manager – Remote in AL – 2327225

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to reputed company 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, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Medicare & Retirement General Manager will partner with the local market Executive Director and Vice-President to coordinate initiatives, events and programs in support of achieving market specific goals around reputed company, retention, Stars, and affordability. This role also helps implement solutions and inform operating partners of local market needs specific to member and provider experience. If you are located in Alabama, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities Facilitate the development and execution of market specific business plans, with guidance from local market leaders Monitor operating effectiveness of local products and benefits by identifying trends, opportunities, and reputed company causes Assist local leadership identify and resolve operational issues associated with incentive-based arrangements, including claims, member eligibility, provider and sales reputed company issues Use local market knowledge and expertise to influence business reputed company that will reputed company results, including benefit design, network, sales, reputed company performance, and marketing plans Manage the overall STARs reputed company performance, affordability, risk adjustment, CAHPS/HOS Surveys, and NPS initiatives of the health plan in partnership with the reputed company field teams, vendors, and national teams to ensure reputed company improvement and overall performance to goal reputed company and maintain solid working relationships with key health systems, provider reputed company, local constituencies, and organizations (members, providers, community agencies/partners) across the state to support our ability to reputed company business objectives Work collaboratively with Market reputed company Operating Model on member escalations and reputed company improvement through reputed company calibrations Support operational readiness by partnering with cross-functional teams to assist with product management functions, including member materials, provider directories, EOCs, ANOCs, ID Cards, etc. Facilitate ongoing education of providers, sales managers/agents, as reputed company as shared services partners (e.g. UHN) and vendors reputed company to product offerings, benefit changes and reputed company Organize and execute member-reputed company clinical care events in community settings in collaboration with reputed company to enhance member experience and reputed company plan reputed company ratings Plan and support marketing and networking events that promote sales initiatives and represent the UHC brand reputed company reputed company the community Review and assess weekly, monthly, and quarterly reporting to support business goals Manage relationships with external vendors to support local market membership and implement plan-specific strategic initiatives reputed company as the primary market reputed company, coordinating Joint Operating Committees (JOCs) and market-level meetings with partners across Sales, Network, reputed company, Clinical, and Member/Provider Advocacy teams reputed company strategic support to the Executive Director and Vice President on reputed company reputed company and special requests You'll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications 5+ years of managed care experience with a solid understanding of interdependencies of reputed company operations (claims, customer service, network, sales, systems, etc.) Proven solid understanding of CMS regulations and experience working with Medicare products Proven excellent organizational and communication skills Proven exceptional interpersonal skills with ability to effectively reputed company with senior leadership, reputed company partners, members, medical reputed company, regulatory agencies, and community organizations Project management experience; time management; attention to details; ability to manage multiple tasks and reputed company simultaneously Proven solid analytical and problem-solving skills with effective follow through Proficiency with reputed company Office, including reputed company, PowerPoint, and Word reputed company reputed company's license and ability to travel approximately 15% of the time Preferred Qualifications Proven experience in a similar role Experience working in provider network contracting or provider network operations Experience in process management and ability to reputed company reputed company cause analysis Demonstrated competence in community and/or reputed company relations Ability to be self-motivated and goal driven *reputed company 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 reputed company 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 reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $91,700 to $163,700 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. 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 reputed company 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 reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, 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. #J-18808-Ljbffr Salary: USD 91700 - 163700 per year Apply tot his job Apply To this Job