Sr. Clinical Program Manager - Northeast OH Markets - Remote

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

If you reside within a commutable distance of Cleveland/Akron/Youngstown OH, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Initial assigning of CW and SRS members, processes incoming waiver referrals and entering waiver assessment request in HENS as well as waiver enrollments
• Managers mandatory training attendance as well as coordinating trainings with MMP staff and the local AAA's Is responsible for eligibility issues and runs eligibility meetings for local AAA's
• Works on Population Health projects
• Back up for State Regulatory Responses

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 Science or equivalent work experience
• 3+ years of clinical experience, or other relevant experience (clinical quality)
• Experience working in Medicaid and/or Medicare
• Knowledge of 1 or more of: clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements, and the managed care industry
• Intermediate level Microsoft office

Preferred Qualifications:

• Master's degree
• Current unrestricted RN licensure
• Health care and insurance industry experience, including regulatory and compliance
• Medical Coding knowledge / training
• Proven presentation skills (WebEx, Power Point)

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

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.