UnitedHealth Group Regional Assoc Director- Tampa, FL, Las Vegas, NV, or Los Angeles, CA in Tampa, Florida
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life’s best work.
(sm) Clinical Performance (CP) is charged with effectively implementing, monitoring, and executing on clinical documentation and quality programs that promote patient health while improving the provider practice experience with a special focus on Medicare Risk Adjustment and HEDIS. CP processes on a national level by providing support in all markets served by OptumCare Delivery. This position will report into the Director of Market Relations and will be responsible for developing relationships and driving implementation of Risk Adjustment & Quality initiatives across new OptumCare Delivery organizations. The Regional Associate Director is responsible for managing the Market Relations program operations and providing market-focused support and value to the OptumCare Delivery Organizations. This includes monitoring & providing transparency to results, ensuring operational execution and assisting in issue resolution/escalation. Effective facilitation and communication with leadership, Clinical Performance internal teams, and market based or external business partners is imperative.
Primary Responsibilities: Driving local engagement across all risk & quality initiatives Assisting in the creation of program needs and goals Monitoring local performance against targets and enterprise goals, and identifying associated opportunities Incorporating best practices for targeted increase in metrics, provider/patient engagement and overall success of care deliver partners Coordinating with internal Clinical Performance teams to support and drive execution at the local level Ensure appropriate training is deployed and compliance levels are maintained Responsible for integrated assessment program oversight, process development and strategic roadmap execution Responsible for defining and implementing processes for monitoring key operational performance metrics Manages day to day operational requirements to ensure internal and market trends are meeting project timelines Leads the development of a cohesive, modular program for integrated assessment initiatives and ensures a well-planned execution plan is in place as needed Responsible for the overall execution of the integrated assessment program across all key focus areas while ensuring key metrics and timelines are met Consult with and educate clients, translating technical information into actionable solutions Ensures early detection of major risks and interdependencies & escalation as necessary Follows escalation items through resolution by engaging the right team members to recommend the best possible solutions Develops plan to retain key capabilities at enterprise level for future initiatives Ensure communication between the various stakeholders, business leaders and cross functional teams Provides updates to senior executives on program operational activity Creates dashboards and operational metrics to demonstrate program success Manages activity of cross functional teams to help support reporting capabilities Critical Success Factors: Working in a matrix environment to drive efficiencies through influence and relationships Seeks ways to improve job and operational efficiency and makes suggestions as appropriate Takes ownership of the total Clinical Performance process and provides constructive information to minimize problems and increase provider and market satisfaction Partners with Care Delivery leadership teams and Optum management across markets to coordinate execution and implementation Ensure activities are appropriately integrated into the strategic direction, as well as the mission and values of the company Required Qualifications: Bachelor's degree or equivalent experience 3+ years of experience in Medicare risk adjustment 5+ years combined experience within managed care/health insurance industry experience in government relations, network management, and/or legal / compliance 5+ years of previous experience in Program Management 5+ years of previous data analysis, process documentation, and process improvement experience 5+ years of previous experience interacting with business leadership 50% travel required Preferred Qualifications: Strong familiarity with government pay for performance programs a plus and/or consulting background Previous client facing role experience in program delivery / program management Experience in Quality with a working knowledge of Star / HEDIS Strong knowledge of CMS Risk Adjustment and ICD-10 coding requirements and regulations Lead a complex or multifunctional / multi-location team / organization Six Sigma certification and/or exposure Proven experience managing organizational growth and change Well-honed communication & presentation skills (written & verbal) Strong execution and accountability across multiple projects and programs; independent delivery Desire and ability to build strong relationships across a variety of stakeholders Demonstrate visionary thinking and emotional intelligence Proficiency with Microsoft Office Careers with Optum.
Here's the idea.
We built an entire organization around one giant objective; make health care work better for everyone.
So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.
Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential.
For you, that means working on high performance teams against sophisticated challenges that matter.
Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) 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. 840dfa13-5b20-4156-bb24-0522782ac5bd
Regional Assoc Director- Tampa, FL, Las Vegas, NV, or Los Angeles, CA Florida-Tampa 764990