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Senior Implementation Project Manager - Complex Renewals - Remote

Company: UnitedHealth Group
Location: Las Vegas
Posted on: March 18, 2023

Job Description:

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)

The Implementation Project Manager serves as a liaison between clients, client management, and OptumRx during the implementation phase. To support the organization's strategic direction and growth in the PBM industry by applying a clearly defined project management approach to all client implementations.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. -The requirements listed below are representative of the knowledge, skill, and/or ability required. -Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Manage and lead client (all sizes) implementation projects, including Commercial, Medicaid, Medicare, EGWP and Exchange lines of business
  • Demonstrate a successful Implementation based on client and internal partner feedback, utilizing direct client/internal partner communication, as well as the external Implementation Satisfaction Survey responses. Lead all assigned implementations with command and poise
  • Develop detailed work plans, schedule estimates, resource plans, status reports, and implementation priorities
  • Direct and coordinate the teams of operations, business, product and technical contributors to ensure the on-time, within budget, successful delivery of properly scoped high quality project requirements
  • Identify and document any scope changes throughout the implementation phase, obtain approvals and engage appropriate internal stakeholders to adjust timelines for accounted changes
  • Ensure factual, timely, and quality implementation tracking, analysis, reporting and communication strategies are utilized using established policies & procedures
  • Proactively manage client expectations & performance guarantee commitments by partnering with all internal & external project stakeholders. Support the Sales process with client RFP responses, pre finalist support, and represent Optum Rx Implementations at finalist meetings
  • Serve as Lead communicator for overall project status, with regard to issues, risk, & mitigation strategies for clients, OptumRx, & Optum IT. Provide OptumRx readiness reporting & Optum Elevate readiness reporting
  • Ensure Service Now automated workflow tool updates are timely and meet QA standards to ensure 100% accuracy per timeline for each implementation. Manage internal team updates to the client SN implementation case to ensure completeness
  • Provide technical, business, analytical, and strategic guidance to entire ORX implementation team. Attend all IT development meetings to ensure contractual obligations are met and meet regularly with IT lead on progress and obstacles to deploy
  • Review deliverables and ensure adherence to quality standards, implementations and team performance measurements
  • Obtain signoffs on all deliverables from key internal & external project stakeholders. Make timely and appropriate decisions to ensure implementations are on track for successful service and go live readiness
  • Recommend and take necessary actions to direct the analysis and solutions of problems; escalate when needed. Ensure developed solutions match Client requirements
  • Partner with Account Management to ensure all implementation items are tracked, documented and closed, in agreement with the client intent
  • Lead cross-functional quality initiatives centered on improving the implementation process, & post go live lessons to learn reviews with clients and executive leaders
  • Complete special projects when assigned

    Peak Season Responsibilities:
    • Partner with the Vendor Transition Team to manage the end-to-end Vendor Transition Process for select client implementations
    • Work with clients to gather and define data file requirements necessary to execute the transfer of data from incumbent PBM or third parties to OptumRx
    • Data files necessary for the vendor transition process may include, Claims History, Prior Authorization, Continuation of Therapy, Open Refill File
    • Determine data requirements necessary to deliver on disruption analysis and disruption mail campaigns
    • Ensure mapping requirements to load Prior Authorizations and continuation of therapy are accurate and meet client expectations
    • Manage, track and mitigate any issues/risks associated with the VT process and escalate to leadership as necessary
    • Attend regular/established team meetings and provide necessary updates regarding VT status
    • Work in ServiceNow to open and manage cases, tasks and subtasks
    • Coordinate deadlines and timing of files and requirements with clients, internal team and operational areas. And ensure timelines are established, tracked and documented in the overall implementation project plan
    • Provide updates as needed to leadership, internal teams, client and operational areas as necessary
    • Establish regular working sessions, internal/external, in order to gather and execute requirements
    • Partner with cross functional teams to ensure required testing, quality assurance and validation of data and data loads are completed successfully

      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:
      • Bachelor's Degree or equivalent experience
      • 2+ years of experience in the PBM, health care, and pharmacy industry
      • 2+ years of experience in Implementation or large healthcare project management -
      • Solid experience in influencing internally and externally with soft power, driving cross - functional collaboration, and negotiating win - win solutions
      • Effective skills for navigating and driving results across operations, network, and clinical domains in a highly complex, matrix environment
      • Willing to work through year-end holiday season (Christmas week/NYE/New Year's Day) as necessary to address client go-live issues and support cross-functional teams
      • Ability to travel up to 25%

        Preferred Qualifications:
        • Master's Degree
        • Experience OptumRx implementation or account management
        • Excellent written, oral, and active listening communication skills. Demonstrated ability to message, position, and present information for maximum customer impact and influence
        • Independent contributor with the ability to multi-task, work with leaders and ensure client satisfaction
        • Proven ability to ascertain client needs through active listening skills, and consultatively work with clients to achieve business objectives

          Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

          California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

          ---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.

Keywords: UnitedHealth Group, Las Vegas , Senior Implementation Project Manager - Complex Renewals - Remote, Executive , Las Vegas, Nevada

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