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Position includes responsibility for strategy development and directing all aspects of Midwest Region Wraparound Services operational policies, objectives, and initiatives. Includes day to day site operations, management leadership internal and external to organization, accountable for financial and non-financial results (budgets and actuals). Works within a matrixed environment partnering with employed provider groups, payer partners, Care Value, Quality, and Client Services Teams, various vendor partners, as well as Business Development Teams, etc. Develops policies and procedures for operational processes in order to ensure optimization and compliance with established standards and regulations. Management of the P&L of the clinical operations. Manage daily operations of multiple levels of staff and multiple functions/departments across one or more business units. Project management and implementation, staff management.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Directs the development of the infrastructure that supports the daily operations of Midwest Region Wraparound Services employed provider clinics (virtual, at-home, and brick and mortar, etc.), providing leadership and direction in facilitating the attainment of the organization’s objectives while meeting clinic’s site level business requirements
- May include establishing new locations, investigating and implementing new technologies, sourcing and evaluating vendor partners, etc.
- In conjunction with physician dyad partner, evaluates patient population needs and develops and implements strategic long and short range plans, in alignment with the organization’s business plan and changing healthcare environment, to ensure attainment of strategic initiatives
- Leads efforts to achieve key market-wide value based care performance, including risk adjustment, care value, and STARS/HEDIS quality measures
- Provides leadership in the design and implementation of new healthcare initiatives and programs such as transition of care, longitudinal care, population health, coordinated care, comprehensive wellness programs, home care, behavioral health and managed care as these concepts evolve and the healthcare industry transitions the way medical care is delivered
- Scale successful local programming to a regional level including both established markets and expansion markets
- Create business case for desired new programs in collaboration with appropriate team members
- Create and provide comprehensive reporting to inform senior leadership and key stakeholders of implementation and standardization efforts
- Develops and presents financial analysis together with Financial Operations for the medical group, utilizing a variety of techniques to give physicians, managers and practice managers/site Administrators a clear understanding of where the individual practices and the organization as a whole are performing
- Establishes a system of controls together with Financial Operations by designing and enforcing checks and balances to minimize the risk of financial loss and ensure organizational integrity, including cost containment and affordability
- Represents and interacts with regulatory agencies, payer partners, and other strategic partners as needed, ensuring the organization’s adherence to and compliance with all healthcare industry rules and regulations, as well as Federal/State and local regulations
- Consults and advises the President, making recommendations concerning budget, cost, and financial matters to assure the cost effectiveness and optimal performance of clinics
- Develops strategic educational initiatives to ensure that the medical group’s leadership and frontline staff are continually improving in all areas of performance, including productivity, quality of service, quality of medical outcomes and cost controls
- Mentors and guides the professional development of team members
- Serves as a strategic member of leadership providing guidance and mentorship to directors, managers, and staff. Works with the leadership team to create an environment that will encourage the recruiting and retention of qualified employees in all areas of responsibility
- Performs other duties as assigned
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
- 8+ years clinic operations experience, with at least 5 years in a leadership role and 2+ years managing a multi-site, multi-specialty medical practice
- Experience planning and executing new clinical programs and strategies in new markets and expanding services across multiple states
- Experience driving standardization and documentation of operational process and procedures
- Experience reviewing financial reports and interpreting results that inform business planning
- Experience in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures
- Experience leading clinical and operational team members
- Experience evaluating results and presenting to C-suite leaders in performance meetings
- Knowledge of current trends and developments in value based care within the Healthcare industry
- Ability to travel up to 15%
Preferred Qualifications
- RN licensure (former or current)
- Experience in value based care include Medicare Advantage, ACO, Medicaid and/or SNP
- Experience with Patient Safety and Regulatory Compliance
Physical Demands
- Rarely (Less than .5 hours/day), Occasionally (0.6 - 2.5 hours/day), Frequently (2.6 - 5.5 hours/day), Continuously (5.6 - 8.0 hours/day)
- Standing-Occasionally
- Sitting-Frequently
- Walking-Occasionally
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The salary range for this role is $150,200 to $288,500 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.
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.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
