UnitedHealthcare · 1 day ago
Senior Clinical Program Consultant - Oncology - Remote
United States
Full-time
Remote
Mid, Senior Level
$113K/yr - $193K/yr
7+ years expUnitedHealthcare is simplifying the health care experience, creating healthier communities and removing barriers to quality care. The Senior Clinical Program Consultant is responsible for assisting with the development and implementation of oncology clinical affordability programs, collaborating with various stakeholders to ensure projects align with core strategies.
FitnessHealth CareWellness
Responsibilities
Create or assist with creation of an overall program/process framework based on research (e.g. purpose, mission, goals, and objectives)
Define specific program/process requirements and expectations (e.g., who, what, when, where, why)
Evaluate workflows, efficiencies, and best practices to determine program/process specifications
Obtain input and feedback from stakeholders during program/process development
Identify technology needs to support programs/processes (e.g., systems for use of the program) and provide or coordinate system and reporting requirements)
Ensure program compliance with state and federal regulatory requirements; collaborate with regulatory and compliance teams to develop and implement new regulatory and compliance requirements
Support multidisciplinary teams in business requirement assessments for new/existing programs, advance enhancements to drive efficiencies, address system deficiencies and/or facilitate corrective actions
Coordinate, facilitate and actively participate in operational meetings with internal and external stakeholders; ensure customers, vendors and senior management are provided relevant and timely information on program status, risks and mitigation strategies
Collaborate with internal subject matter experts to research ad hoc system and technology-related program issues; identify root cause and implement proactive solutions; Monitor implementation plan against milestones and/or IT release dates to ensure successful delivery of solution
Actively participate in multidisciplinary teams to achieve program deliverables; Foster and promote collaborative relationships with matrix partners/stakeholders; Establish trust and credibility at all levels of the organization; Work independently and as a team member
Solve unique and complex problems with broad impact on the business; translate highly complex concepts in ways that can be understood by a variety of audiences
Create & participate in senior management presentations, as requested
Independently lead multiple large, highly complex initiatives by defining scope, risk identification, project methodology, resource allocation, cost-benefit analysis, process flows, facilitation and other areas of expertise based on established project management techniques
End to end owner of project management responsible for completing all implementation activities assigned
Qualification
Required
7+ years of healthcare industry experience with accountability for business results
2+ years of experience working within oncology (clinical oncology practice, oncology practice operations, oncology clinical program development and/or management or oncology value-based care models)
Solid experience with data analysis and interpretation; ability to identify errors/anomalies
Experience collaborating with supporting organizations within a company
Proficiency with Microsoft Office (Excel, Word, PowerPoint)
Preferred
3+ years of experience in clinical operations
Managed care health plan management experience
Experience with UHC business processes and data systems
Project management experience
Knowledge and/or experience with claims systems and/or reimbursement methodologies
Knowledge of, and experience with, process improvement initiatives focused on IT/System enhancements
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
UnitedHealthcare
UnitedHealthcare helps people live healthier lives by simplifying the health care experience.
10001+ employees
H1B Sponsorship
UnitedHealthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (48)
2024 (26)
2023 (45)
2022 (61)
2021 (60)
2020 (68)
Funding
Current Stage
Late StageLeadership Team
Beth Soberg
CEO West Region, Local Markets
Bobby Gregoire
Medicare Health Plan CEO, Iowa & South Dakota
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