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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start
Caring. Connecting. Growing together.
The Vice President, Care Coordination and Risk Operations will lead the development, implementation, and long-term management of the Care Coordination and Risk Operations solution for a strategic client partnership. This role is critical to fostering relationships, driving overall performance, leading strategic planning, managing operations through a matrix team and leading strategic initiatives that will focus on continuous improvement of population health and risk bearing business outcomes through an integrated Care Coordination and Risk Operations model. Working closely with client leaders as well as internal Optum business partners, the Lead will identify opportunities to improve performance using the strength of both organizations to build upon existing solutions and create new ones.
The successful candidate must be passionate about driving improvements in performance, effective at working in a fast-paced, high-energy environment and confident in their interactions with senior executives, providers, and business partners.
If you are located in East Bay of CA, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities
- Provides leadership and is accountable for the performance and direction of care coordination and risk operations services for Optum-client partnership, including Optum-delivered managed services and consulting initiatives
- Partners with client executives and key stakeholders to develop and execute strategic client plan that addresses client’s business needs (current and emerging), supports growth, provides measurable value, and increases client engagement / loyalty
- Establishes and maintains service roadmaps to develop an integrated, innovative solution across all Care Coordination and Risk Operations services
- Develops and uses clinical analytics to drive change
- Works closely with client and internal business stakeholders to establish integrated, best-in-class solution designs and translate strategies into specific initiatives that advance business goals and meet or exceed contract Service Level Agreements
- Participates in project governance and relevant client committees
- Supports service deployment and closely monitors performance, working with finance and operations to ensure financial viability and operational excellence
- Guides others in resolving business problems through risk mitigation to ensure seamless service execution and high level of patient experience
- Builds a collaborative culture of partnership between Optum and client leaders, acting as an advisor and influencer with senior leaders
- Drives clear, concise lines of communication with all partners including internal and client partners to ensure efficient and effective implementation of service priorities
- Leads efforts to continuously innovate the solution design and delivery in partnership with client and internal Optum business leaders, incorporating market and competitive perspectives into the strategy development
- Reviews and addresses concerns on performance measures and overall financials across all care coordination and risk operations services
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 health care industry experience, including experiences with a health system or large provider organization
- 7 + years of program management under care Coordination experience
- Consulting and business process experience within a hospital organization
- Advanced level knowledge of Discharge Planning, Transition of Care, and 2 of the following: Ambulatory Care, Utilization Management, Care Management, or Nurse Advice Line
- Advanced level knowledge of care coordination, population health solutions, and risk bearing entity operations
- Ability to influence critical stakeholders utilizing advanced clinical analytics to drive major initiatives across complex organizations
- Demonstrated self-starter with strong planning organization, analytical and problem-solving skills
- Proven track record of building relationships with external and internal executives and stakeholders, as well as leading, influencing and managing a large matrix workforce
- Solid presentation, written and verbal communication skills, including well-developed interpersonal skills
- Knowledge of California healthcare market, rules and regulations
- Willing and able to commute to the East Bay to work onsite in the office as needed (Remote in CA)
Preferred Qualifications
- Proven application of change management methodologies
- In-depth knowledge of Optum service delivery model and operations
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California Residents Only: The salary range for this role is $147,300 to $282,800 annually. 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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
