Assistive Services, Waiver Transitions and Physical Disability Program Manager - Remote in Overland Park, KS

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.

Clinical Program Managers (CPMs) are responsible for the ongoing administration and management of clinical programs. This includes providing support to clinical teams implementing the program such as development and revision of program policies and processes, training on program requirements, consultation and program performance monitoring. The position may involve direct supervision responsibilities. CPMs may be required to travel occasionally to attend State or health plan onsite meetings.

Schedule: This is for a full-time (40 hours/week). Schedule is Monday through Friday 8am-5pm.

Location: Remote in the state of Kansas or within 50 miles of the border

If you reside in KS or within 50 miles of border, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

This position will be responsible for overseeing the following programs: Assistive Services, Waiver Transitions and Physical Disability (PD) Waiver.

• Assistive Services: Responsible for reviewing requests for Minor Home Modification Services (HEMS) to ensure that they meet HCBS Waiver criteria. Responsible for obtaining and reviewing providers bids for HEMS requests. Responsible for promoting HEMS provider capacity and maintaining relationships with HEMS providers. Responsible for reviewing Vehicle Modification Services (VEMS) requests to ensure that they meet HCBS Waiver criteria. Responsible for obtaining and reviewing provider bids for VEMS requests. Responsible for promoting VEMS provider capacity and maintaining relationships with VEMS providers. Responsible for reviewing requests for Specialized Medical Equipment and Supplies (SMES) to ensure that they meet HCBS Waiver criteria. Responsible for obtaining and reviewing providers bids for SMES requests. Responsible for promoting SMES provider capacity and maintaining relationships with SMES providers
• Waiver Transitions: Act as primary point of contact for KDADS Transitions Program Manager. Review and submit all requests for Institutional and Waiver-to-Waiver transitions. Work with care coordination teams to address any issues related to Waiver transitions
• PD Waiver: Act as primary point of contact for KDADS PD Waiver Program Manager. Work with care coordination teams to address any issues related to Members on the PD Waiver. Review and submit any requests for Crisis Exception to the PD Waiver
• Develop and maintain program-specific policies and processes. Regularly review processes to look for CQI opportunities
• Provide training to clinical teams on program requirements
• Provide consultation to clinical teams on the application of program requirements to specific Member situations
• Act as a central point of contact with the State for the assigned program
• Apply program requirements and criteria to evaluate the appropriateness of services in collaboration with the Health Plan CMO and LTSS Medical Director
• Communicate and collaborate with service providers regarding program requirements and criteria
• Participate in quality reviews such as State contract compliance reviews, State performance reviews and NCQA accreditation reviews
• Utilize reporting and data to monitor the effectiveness of programs and lead/participate in quality improvement initiatives

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

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:

• Undergraduate degree in Health or Human Services Field
• 3+ years of Health or Human Services experience
• Previous program management, leadership or managed care experience
• Intermediate level of proficiency with MS Word, Excel (create, edit, save documents), Outlook (email and calendar management) and the ability to use multiple web applications
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Ability to travel occasionally to the State, health plan and provider meetings
• Reside in the state of Kansas

Preferred Qualifications:

• Graduate Degree in Health or Human Services Field or RN License
• Experience with services utilizing adaptive equipment and/or environmental modifications
• Experience with home and community-based waivers
• Previous quality management/quality improvement experience
• Previous experience interacting with health and human service providers
• Advanced skills in MS Word, Excel and Outlook

Soft Skills:

• Strong oral and written communication skills
• Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work
• Excellent customer service skills
• Excellent interpersonal and problem-solving skills
• Attention to detail, as observed in day-to-day work
• Excellent time management and prioritization skills
• Ability to always maintain professionalism and a positive service attitude
• Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn
• Strong team player and team building skills
• Able to handle sensitive issues with members and providers in a confidential manner
• Demonstrates initiative in achieving individual, team, and organizational goals and objectives
• Creative problem-solving skills

*All Telecommuters 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.

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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