Optum NJ- Manager of Network Partnerships Hybrid Role

Optum in the tri-state region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group) offers an interconnected network that enables us to work collaboratively to better coordinate care among our doctors and care teams. Together, we offer you and your family access to more than 2,100 providers, representing 70 specialties, working in 360 medical practices and more than 55 urgent care locations across New York, New Jersey and Southern Connecticut.

We’re a dynamic and growing health care organization, offering a wide range of employment opportunities. We are seeking professional and dedicated individuals to be part of our team, where integrity, respect, accountability, and collaboration are among our core principles. Work with the largest care delivery organization in the world and start doing your life's best work.(sm)

This role is responsible for the performance management of Optum Care Network of New Jersey (OCNJ) network participants (Health systems, ASCs, SFS, etc.) in global-risk contracts. This position will support the development of relationships with OCNJ network participants and work to align stakeholders to execute on the risk, quality, and overall population health performance goals of the contract. This role reports directly to the Director of Network Partnerships for OCNJ. This role will collaborate with a multi-disciplinary team of clinical and business stakeholders across all core value-based care capabilities: Network Development, Population Health Analytics, Quality measure performance, HCC/Risk Adjustment, Provider Engagement/Change Management, Medical Management, and EMR/data integration. This position will be responsible for directly engaging network partner operational counterparts, developing, and communicating tactical plans, sharing performance reports, and collaborating on improvement opportunities. The position requires solid project management, problem solving, and content development and communication/presentation skills.

Primary Responsibilities:

• Supports the Director of Network Partnerships with developing solid operational relationships with network participants
• Develop materials and content to support external c-suite level performance JOCs and operational workgroup meetings and manages up to ensure milestones are met
• Project management of multiple cross-functional work streams (IT, Clinical Operations, Quality, Risk Adjustment, Population Health Analytics, and Marketing) to ensure the delivery of high quality, strategically prioritized quality, risk adjustment and clinical initiatives to drive OCNJ program performance
• Review and interpret analytics deliverables to support network partners in performance management and improvement opportunities
• Ensure delivery of network participant reporting in timely and organized fashion
• Identifying, escalating and problem solving the day-to-day operational needs of network partners
• Support development and delivery of education to network participants
• Facilitates partner meetings and coordination of deliverables
• In partnership with the Director of Network Partnerships, develops and consolidates key documentation of operational programs

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 in Business, Health Administration, or related field
• 2 years of direct business experience in managed care operations at a health insurance company, healthcare consulting firm, integrated delivery system or population health services company
• Value Base Care experience
• Experience working in client/external-facing role
• Advanced knowledge of Microsoft PowerPoint; proficiency in Microsoft Excel and Word
• Understanding of healthcare value-based concepts, payment methodology, and fee for service reimbursement methodologies across various specialties and facilities

Preferred Qualifications:

• Payor contract experience
• Models’ concepts of continual learning and willingness to be a thought partner with other members of the Optum team
• Proven excellent organization skills with an ability to multitask across projects in a variety of subject matter areas and manage up to ensure milestones are met
• Proven excellent organization skills with an ability to multitask across projects in a variety of subject matter areas
• Proven exceptional written and oral presentation skills with the ability to engage external audiences, build credibility and trust
• Proven self-starter with solid analytical, critical thinking and problem-solving skills, able to work with minimal supervision
• Demonstrated ability to develop contextually rich presentations to clearly communicate complex concepts

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

CareMount Medical, ProHEALTH Care Associates, and Riverside Medical Group (the “Practices”) are all physician owned and led practices having complete authority for all medical decision-making and patient care through their physicians and other licensed professionals. Optum, through its management organizations (“Optum”) provides non-clinical administrative services to support the Practices and their physicians. Neither Optum nor its management companies employs, engages, or supervises physicians or other licensed professionals, or determines or sets the methods, standards, or conduct of the practice of medicine or health care provided by the Practices or by any of their licensed professionals. “Part of Optum” reflects that the Practices are part of Optum’s effort to support forward-thinking physician practices in helping their patients live healthier lives.

New Jersey Residents Only: The salary range for New Jersey residents is $67,800 to $133,100. 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.?

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.