Clinical Account Executive

UnitedHealth Group • Saint Louis, MO • 5h ago

Requisition number: 2373189

Job category: Medical & Clinical Operations

At UnitedHealthcare, 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 better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

UHC E&I National Accounts is responsible for ensuring our customers live healthier lives by receiving the right care, at the right time, and at the right place. This clinical position is responsible for providing direct client support to National Account customers. The position is responsible to provide clinical account relationship support including strategic planning for medical performance, consultative services, clinical analytics and recommendations for benefit design, closing gaps in care, improving outcomes and identifying medical expense management opportunities.

The position will be part of an inter-disciplinary team that will include Medical Directors and members of the National Accounts client service organization to support the clinical performance of assigned customers. This position will research, develop and present new or existing strategies to improve quality and performance, reduce variation in medical spend, ensure accurate documentation of members conditions and increase Net Promoter Scores for assigned customers.

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

** Candidates must be available to travel 50% of the time.

Primary Responsibilities:**

Provides day to day clinical account management support for assigned employer group accounts(s)

For assigned employer group account(s) is the liaison to the National Account Growth & Client Management Teams and the employer group account(s) for improving clinical performance and maximizing medical cost reduction opportunities

Provides real time data informatics and clinical insight to the Medical Director(s) for assigned employer group account(s)

Build strong relationships and partner with National Account teams, internal clinical teams (Optum, UnitedHealth Network, and United Clinical Services) and external partners to drive successful outcomes and improvement opportunities

Educate and partner with local market teams on specific needs for their business priorities

Create regular report highlighting employer group account specific performance. Highlight recommendations for performance improvement and ensure initiatives are in place to achieve goals

Negotiate priority initiatives and strategies with senior business leader for the assigned employer group(s)

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:

Unrestricted Registered Nurse (RN) or Advance Practice Nurse (APN) license or Pharmacist

5+ years of ASO experience supporting National Accounts and/or Key Accounts

2+ years of data analytics experience

Preferred Qualifications:

5+ years of external client facing account management experience

Experience in population health management

Project/program management experience

Expert knowledge of documentation and coding/risk adjustment accuracy

Intermediate to Advanced ICUE proficiency

PowerPoint Presentation skills

Proven ability to interpret complex data and make strategic recommendations with analyzing "High-Cost Claimants"

Demonstrated capacity to influence others through indirect and consultative skills

Proven ability to interact with medical practices, peers, and internal company staff at all levels

Excellent communication and presentation skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

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