Sr. Director, Medicare Advantage Product or Benefits

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.Position Summary:The Optum Health Enterprise Payer Team is responsible for owning, driving, and optimizing Optum Health's payer portfolio to achieve sustainable value-based care relationships. The Senior Product and Benefits Director will play a critical role in developing strategies to successfully position Medicare Advantage products within Optum Health value-based care arrangements including benefit design and planning, sales distribution relationships, identifying best practices, and AEP/OEP/SEP payer performance.This individual will be expected to:Be the subject matter expert for Medicare Advantage benefits and products including product management, product definition, risk identification, standard benefit models, and financial and regulatory impactsOwn the Optum Health strategic analysis of Medicare Advantage benefit design and planningProvide quantitative and qualitative interpretation of AEP payer performance to help advance Optum Health goalsUnderstand CMS required deadlines and quality requirements for Medicare Advantage products and programsUnderstand the scope and strategy for bid submission, including defining standard benefit models and alignment to product strategyFoster relationships with cross-functional partners to solve critical business initiativesProactively identify problems and develop recommended solutionsThis individual will need to be able to function in a diverse environment with varying level stakeholders across internal and external stakeholder groups, abstract and fluid environments, and simultaneous deadlines. The position requires an ability to comprehend Medicare Advantage, local markets' strategies while demonstrating awareness of broader systems across the enterprise, both strategically and tactically. Organizational agility will be required - building meaningful relationships and facilitating decision-making to continue achieving Optum Health's value-based care agenda.Primary Responsibilities:Lead end to end benefit strategy for all payers across Medicare Advantage plansCreate solid relationships with payer product teams to align membership strategies with enterprise financial performance targetsAnalyze benefit performance/ROI and develop investment recommendationsPartner with Health Care Economics and Actuarial teams to ensure MACVAT data is completed and correct prior to socialization with key regional partnersConduct in-depth analysis and strategic summary of AEP resultsIdentify key benefit battleground states and areas of greatest risk and opportunity along with key market insightsEnsure cross functional collaboration with finance and HCE to quantify benefit decision impactPartner with local growth and marketing teams on broker/partnership strategy and execution, to unify capabilities where possible and create a cohesive approachDevelop and socialize specific AEP strategies with leadership and provide market feedbackDevelop executive materials for overall benefit strategies and approachCollaborate with care delivery and Optum at Home to build risk programs that strengthen overall market positioning and advance Optum's value prop to further differentiate for consumers and partnersSynthesize market, competitor, regulatory, financial, and operational intelligence to inform priorities, decisions, and future innovation opportunitiesYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:10+ years of experience in healthcare strategy, Medicare, product management, innovation, or consulting5+ years of health plan or Medicare Advantage experienceExpert knowledge of Medicare Advantage benefits and products including product management, product definition, risk identification, standard benefit models, and financial and regulatory impactsExperience with Medicare Advantage bid filingsDemonstrated ability to achieve high performance by utilizing resources in a matrix environmentDemonstrated ability to work with and communicate with all levels of the organizationProven solid analytical skillsPreferred Qualifications:Knowledge of Medicare Stars, HEDIS, value-based care models, provider incentives, care gap closure, supplemental data exchange, pharmacy quality, affordability/utilization, and provider engagement operationsExperience working with Actuarial and Underwriting teamsProven ability to achieve superior results in a performance-oriented environmentProven ability to work with all levels of management across all functions and business partnersDemonstrated problem solving, analysis, and resolution at strategic and functional levelsDemonstrated ability to manage competing priorities and a rapidly changing business environmentDemonstrated excellent written and verbal communication skillsWillingness to travel up to 20% Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 - $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.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.