Clinical Program Director Laboratory

2 days ago

Phoenix, Arizona, United States UnitedHealth Group Full time
At UnitedHealthcare, we're working to make the healthcare experience simpler. The work you do here impacts the lives of many people in a positive way. The Clinical Program Director, Laboratory will develop clinical programs within the Laboratory & Genomics Team, as well as in collaboration with the Oncology and Specialties Teams, leveraging a cross-disciplinary team of program managers and analysts who will support the project plan, meetings, IT build, financing, and savings opportunity assessment.

Purpose of Job:
  • Develop, implement, and oversee clinical programs within the Laboratory & Genomics Team, as well as in collaboration with the Oncology and Specialties Teams.
  • Build Collaborative Relationships with Laboratories and Specialty Societies.
  • Partner with Payment Integrity and UHNetworks Teams to navigate billing, coding, and claims complexities of the laboratory space.

Responsibilities:
Initiative Implementation and Oversight
  • Manage resources including a flexible and agile pool of Program Managers, assign projects and efficiently move them through the project lifecycle from end-to-end.
  • Oversee effective implementation of programs that have a variety of approaches and requirements in partnership with internal and external partners.
  • Build and develop relationships across teams to ensure effective support and feedback loops and that deliverables are met.
  • Ensure Program Managers complete implementation activities needed to efficiently move programs through the project lifecycle.
  • Use problem-solving skills and make decisions to move implementation forward.
  • Expert in reviewing, evaluating, and documenting business requirements and facilitating discussions with operational and technology partners, based upon business requirements for IT-related projects.
  • Ensure compliance with financial goals are being met.

Payment Integrity Partnership
  • Lead efforts to understand and solve for the complexities of coding and reimbursing laboratory services.
  • Ensure alignment with published guidelines and Society recommendations.
  • Use problem-solving skills and negotiation skills to resolve discrepancies.
  • Represent UHC Value Creation Laboratory and Genomics team in internal and external discussions.

Partnership Skills
  • Develop and maintain strong relationships with executive leadership of internal teams and external vendors.
  • Partner with executive leadership from all LOBs to achieve mutual success on achieving/exceeding targets.
  • Develop and maintain strong relationships with provider groups/facilities for collaboration on clinical pilots and programs.
  • Oversee frequent cadence of communications to allow deeper understanding of shared objectives, emerging issues.

Quantitative Analysis
  • Develop cost-benefit analyses and business cases for clinical programs.
  • Develop and analyze Key Performance Indicators for clinical programs for each line of business to define timelines and documentation necessary for financial compliance and performance.
  • Interacting with HCE and LOB Finance teams to verify and report out on aggregate program performance.
  • Solve complex financial performance barriers.
  • Work with program managers and predictive analytics teams to accurately model performance expectations to set realistic financial goals.
  • Provide guidance to program managers in evaluation of data from analytic teams to correlate the expected affordability to the operational reality of the program.

Research Skills
  • Ability to search for, analyze, and present innovative ideas regarding implementation of clinical programs in pipeline.

Presentation Skills
  • Speak clearly on complex problems across a wide range of audiences.
  • Provide regular updates regarding the implementation process and clinical programs for Joint Operating Committees, Team Leadership, and Executive Sessions.

Required Qualifications:
  • 5+ years of healthcare experience with at least 3 years of laboratory/genomics experience.
  • 4+ years in a leadership/management role.
  • Superior data analysis skills and knowledge of Legal, Regulatory Health care requirements and Financial Performance reporting.
  • Solid strategic, analytic, and critical thinking skills with proven ability to use clinical, administrative, and claims data to identify opportunities, inform program design, and measure process, clinical, and financial outcomes.
  • Solid history of quickly building relationships, gaining credibility, and partnering with business leaders. Must excel at building teams and collaborating across multiple distinct business groups.
  • Ability to work with Agility team to design, build, and implement IT support for clinical programs.
  • Ability to communicate effectively and efficiently (both verbal and written) at multiple levels of large, complex organizations.
  • Solid negotiation skills; the ability to gain acceptance from others of a plan or idea and achieve a mutually beneficial outcome.
  • Demonstrated ability to manage others; ability to influence in executive settings.
  • Strategic thinking with proven ability to communicate a vision and drive results.
  • Creative problem-solving skills.
  • Self-starter, initiates work independently.

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