- Risk Adjustment Coding Operations: Lead and enable the risk adjustment coding solutions for our markets and our business partners as well as the Home and Community business line. This would include retrospective chart review, submissions, medical coding and data analytics.
- MA Quality Performance: Deliver supportive, consultative and operational services to the Optum Health care delivery organizations with a focus on improving patient/member experience and compliance rates of HEDIS and medication adherence measures which result in 4+ Star performance ratings across Optum Health.
- Diligence, Growth and Strategy: Partner with Optum Health leadership across regions and businesses to consult on driving programs that will push the clinical performance drivers while focusing on overall enterprise value. Create strategies and solutions while consulting with regions through clinical diligence, risk transfer and enhancing clinical investment disciplines.
- Network Enablement: Engagement and performance enablement of Clinical Networks of care delivery
- Clinical Quality and Patient Safety: Enabling the reporting on patient safety and clinical quality metrics, building onboarding and training and managing performance on these metrics
- Financial Alignment: Drive alignment across the Office of the Chief Medical Officer with a focus on value delivered through clinical programs, ensuring accurate reporting of overall return on investments made and manage clinical vendor contracting to ensure consistency across pillars
- Technology Enablement: Lead and enable consistent clinical performance across priority areas of Optum Health through partnership, process and technology that drives ongoing delivery of the highest clinical value and evidence aligned care. Driving national strategy for clinical platform development.
- Workforce Planning: Lead and implement effective staffing strategies for current and projected work within the Office of the CMO by partnering with each of the pillars to establish effective predictive models to indicate staffing shortages based on program. Also work in partnership with our People Team on recruiting governances and justifications required to open positions.
- Talent Development: Provide mentorship, guidance and support to various levels of leadership within the company, fostering an environment of continuous learning and growth. Recruit and develop high performing talent and build a high-performing team culture.
- Represent/Partner/Communicate as an Operations Leader of Optum Health - internally and externally:
- Ability to establish and maintain effective working relationships with employees, managers, healthcare professionals, physicians and other members of senior administration team and the general public
- Ability and willingness to travel both locally and non-locally as determined by business need
- Strong collaboration skills with business & clinical leaders
- Strong speaking skills with ability to know the measures & share with operations, business, national leaders, market presidents and finance
- Ability to bring large groups together, creating innovative efficiencies
- Strong collaborative, relationship building and trust building skills are critical
- Strong transformational and change management skills
- Ability to assess and react to the external environment and competitive threats
- Work with both Optum and UHC Leadership to foster clinical and business excellence across UHG
- 10+ years of leadership experience in a large health care system or managed care business
- Previous experience managing Medicare Advantage risk
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Senior Vice President, Clinical Operations, Health - Eden Prairie, United States - Optum
Description
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.
As the Senior Vice President, Clinical Operations, you will play a pivotal role in advancing high-quality and cost-effective care for Optum Health, to better serve our patients and our clinical communities, while fostering the highest standards of medical care, and ensuring the well-being of our patients, employees and customers. In this executive leadership position, you will be responsible for leveraging your strategic thinking, extensive knowledge of clinical operations, leadership skills and innovation to shape the future of healthcare within our organization. In this role you will serve as the operations dyad partner to several executive level positions including our Chief Operations Officers as well as our Chief Clinical Officer in supporting strategic initiatives across the organization.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
o Ability to collaborate effectively across diverse businesses to develop and implement clinical strategies that drive enterprise value
o Represent Optum Health and its programs to external audiences, including the investment, medical and government/regulatory communities
o Identify and establish pro-active and collaborative relationships with physicians and other key leaders
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:
A minimum of 15 years of industry experience including leadership experience leading clinical operations initiatives. Demonstrated ability to manage projects to completion, prioritizing tasks and delivering on deadlines with high-performance standards and attention to detail. Demonstrated ability to collaborate and influence successfully with multiple functions in a highly matrixed organization. Must be able to successfully articulate the clinical, medical affairs and regulatory policy strategies to a wide range of audiences including the CEO, CMO, the Board of Directors, clinicians, employees, partners, the investor community and other stakeholders. Must have strong people skills and proven skills as an effective team player who can engender credibility and confidence within and outside the company. Must have outstanding executive presence, presentation skills and communication skills. Effective leadership, people management and a team-builder management style are essential. Results-oriented work ethic and a positive attitude. Must have the highest integrity and ethical standards.
Skills/Abilities:
Experience:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New York, Rhode Island, or Washington residents is $XXX to $XXX per year. 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.
