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UnitedHealth Group Clinical Workforce Planning Consultant - Telecommute in Minnetonka, Minnesota

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Clinical Workforce Planning Consultant will serve as an important connection between the UnitedHealthcare Community & State, National, Clinical, and local Health Plan Clinical Operations teams to support best-in-class care management operations and ensure financial viability of the programs. This individual will support clinical staffing models to evaluate and monitor clinical staffing levels using data-driven reporting, identification of variation and opportunities for productivity enhancements. They will build a comprehensive market-specific clinical staffing model for each Health Plan and execute a change control process to account for regulatory changes, affordability project and/or vendor or innovation solutions. Through this work, this individual will identify process improvement opportunities and work in close partnership with the Health Plans as well as Clinical Operations, Adherence Advancement, Training, Capabilities and Medical Economics teams to drive success.

The successful candidate will be knowledgeable of clinical operations and care management, basic project management skills and working knowledge of time studies and organizational structure optimization.

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

Primary Responsibilities:

  • Evaluate staffing ratios, stratification of care, overtime, agency usage, or level of position to effectively manage labor expenses

  • Consult on standard time measures; manage work study and work analysis, analysis of work samples, and developing methods of measuring work performance

  • Analyze business process information (e.g., metrics; analytics) to identify key issues, trends, and potential root causes (e.g., training issues; lack of understanding by user community) that point to improvement opportunities

  • Recommend methods for improving utilization of personnel, deployment of technology, and tool development

  • Track and monitor progress on all potential efficiencies identified with a prioritization process that helps focus limited resources on those potential efficiencies that have larger impacts or potential for multi-market impact and control ROI reporting of all potential opportunities

  • Generate local, regional, and national reporting on current versus expected clinical staffing levels

  • Understand the impact of contract changes, affordability projects and/or vendor/innovation solutions on the base staffing model and the associated administrative costs

  • Propose and obtain approval for capital expenditures for medical and clinical operations

  • Develop and deliver presentations to C-Level audiences

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:

  • 3+ years of healthcare work experience including Managed Care experience, healthcare administration and/or healthcare consulting experience

  • 2+ years of experience with designing or evaluating clinical case management program staffing design

  • Experience within healthcare operations, clinical services, network, products, and benefits

  • Demonstrated ability to translate strategic objectives into action plans and lead / motivate teams to execute plans effectively; flexibility to adapt and change direction as needed

  • Experience with managing work study and work analysis, analyzing work samples, and developing methods of measuring work performance

Preferred Qualifcations:

  • C&S Health Plan clinical experience

  • Excellent communication, time/project management, problem solving, organizational, and analytical skills

  • Proactive ability to find and define problems, understand business impact, identify solutions and provide recommendations for corrective action

  • Ability to adapt and excel as a team player in a fast-paced and change-oriented environment

  • Customer-focused; proven ability to handle complex situations, resolve conflicts and issues effectively. Sensitive to how people and the organization function

  • Experience with LEAN, Six Sigma or similar methodologies

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare Community & State . Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut / Nevada residents is $90,500 to $161,600. 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 Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.