Program Integrity Director Jobs in Massachusetts

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
Our mission is to help people live healthier lives. This mission is grounded in our core values of integrity, compassion, innovation, inclusion, performance, and relationships.
Optum provides critical services across the entire health care ecosystem. Government agencies, hospitals, physicians, commercial health plans, life science companies, and other organizations that comprise the health care system rely on Optum.
Government officials count on Optum to improve access, efficiency, and quality in their Health and Human Services programs to promote improved outcomes. Our depth and breadth of experience give us a unique perspective and an unmatched ability to transform program performance and improve outcomes for the people we serve.
Within our State Government Solutions business unit, we support State Medicaid and Health and Human Services agencies by delivering a broad array of complex health services, including advanced analytics, policy and program consulting, operational capabilities, program integrity, and health information technology modernization solutions.
The Vice President of Business Development serves as the lead representative for Optum State Government Solutions within their designated territory. This role influences and executes sales efforts for Optum's core capabilities for Direct to State opportunities. The Vice President of Business Development is responsible for developing strategies aligned with State goals and coordinating multifaceted teams across Optum to deliver solutions that best meet customer needs.
This is a quota carrying position with primary emphasis on new business growth and customer satisfaction.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:

• Quota carrying role with a primary focus on net new business
• Qualify and maintain a predictable sales pipeline of Optum opportunities within the designated territory
• Develop solid, trusted relationships with State Health and Human Services (HHS) agency personnel, State CIOs, and State leadership
• Lead, influence, and execute sales efforts for Optum's core Direct to State capabilities, including:
  • Data and analytics
  • Medicaid Management Information Systems (MMIS) modules
  • Eligibility and program integrity enterprise solutions
  • Business outsourcing for State HHS programs
• Coordinate multifaceted teams within a complex organization to execute the end to end sales process, including participation in State RFP responses

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:

• 10+ years of experience leading business development with State Human Services agencies, including Medicaid, with a demonstrated record of meeting or exceeding quota targets
• Experience selling business outsourcing and technology solutions to State government customers
• Experience with Medicaid programs and policy
• Experience with State Human Services programs and policy (e.g., SNAP, TANF, Child Welfare, Child Care, Child Support Enforcement)
• Proven ability to work in a cross functional environment and lead complex sales pursuits
• Ability to travel a minimum of 50% (travel schedule is self managed; home on weekends)
• Driver's License and access to reliable transportation

Preferred Qualifications:

• Experience selling data and analytics solutions, eligibility and enrollment solutions, Medicaid operations solutions, and other State government offerings
• Proven sales track record specific to State government clients
• Proven established, trusted relationships within State government, including Medicaid and other Health and Human Services departments

Why Optum
You'll join a mission driven organization with unmatched scale and capabilities, where your work directly supports State agencies in improving access, efficiency, and outcomes for the people they serve.
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $195,000 - $215,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.