Sr Product Manager
$112.7k - $193.2kUnitedHealth Group
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Primary Responsibilities:- Client/Customer and Community Facing - Representing all MBH and Optum departments with the customer
- Lead behavioral health benefit management for MN Medicaid
- Stay informed of all MN DHS benefit and process changes. Ensure implementation of the changes
- Be involved and stay informed with MN Legislature & Federal changes that impact Medicaid and MN DSNP LOB. Lead efforts to ensure Optum is compliant with state laws
- Lead MN DHS annual contract review and ensure implementation of the changes
- Interface with Payer Performance Channel
- Interface BH Ops and ECS including reporting, work groups, ad hoc requests and presentation expectations
- Participate in strategic initiatives and program planning withing BH Ops as related to MN Medicaid
- Participate in MBH Team leadership group
- Ensure Optum is compliant with Medicaid Contracts and meeting state benefit requirements
- Coordinate and collaborate with Client Management/Account Management, Network Management and Product Sales
- Participate in strategic initiatives and program planning with Product/solutions and with the client especially around contract renewals or RFPs.
- Promote Medica and Medica Behavioral health in the community via coordinate marketing efforts and attendance community and state meetings
- Collaborate with Optum and Medica Compliance teams
- Support all things MN Medicaid: Contract review, report requirements, claims inquires, and audits
- Reviews the work of others
- Develops innovative approaches
- Sought out as expert
- Serves as a leader/ mentor
- Possess an independent, current, and unrestricted Minnesota License in the field of behavioral health with a minimum of five years' experience
- Experience with and understanding of Minnesota's overall behavioral health system that includes mental health, alcohol and drug addictions, and developmental disabilities services
- Experience with managed care principles, models, and financing
- Experience in public sector mental health or non-profit community mental health, with extensive knowledge of the Medicaid populations
- Proficient data analytic skills; ability to identify gaps, trends, and mitigation strategies
- Proficiency with computers, including proficiency with Microsoft Word, Excel, PowerPoint, Teams at a minimum along with an understanding of web-based applications
- Experience building solid and effective teams, facilitate staff working together collaboratively, and grow and retain top talent
- Driver's License and access to a reliable transportation
- Reside in Minnesota
- Travel as needed
$70k - $140k
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