Associate Director, Care Transformation - El Segundo, United States - Optum

Optum
Optum
Verified Company
El Segundo, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
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.


This position will be an integral member of the Institutional Clinical Value team, responsible for providing operations support for DRG, ED Safe Discharge and Institutional MedEx program deployments, optimization and sustainability.


This role will require direct collaboration with program leadership and market team members for optimal delivery of utilization and unit cost programs, as assigned.

This role is critical to deployment operations, supporting performance monitoring, analysis and market operator's satisfaction.

With responsibility in partnership with team Senior Leadership team for deployment and sustainability functions related to the operational management and impact, this position is accountable for the timely, effective and comprehensive support of program needs.

Scope - Product, service or process decisions to impact entire functions of markets/facilities/sites.

You'll enjoy the flexibility to work remotely
- from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:


  • Support clinical and operational programming alongside program Directors for defined set of facilities or markets based on member volume or scope of opportunity.
  • Works with Directors to inform and develop functional, market level and/or site strategy and new program opportunities by providing supportive diligence (e.g., background research, obtaining data, etc.)
  • Owns end to end process for assigned MedEx program including tracking, dashboard analysis and performance improvement support to assigned market stakeholders
  • Perform preengagement preparations for assigned markets such as identifying and connecting with stakeholders, understanding their population, key players, and prepares materials with those specific nuances inmind
  • Supports design and implementation efforts by analyzing business processes, systems and operations in existing market capabilities/systems and informing workflows, arranging/supporting trainings, content production, creating and monitoring trackers
  • Participates in development of business strategy for supported programs
  • Has a detailed understanding of the status of each program rollout by assigned region/market, and continually leverages internal program plans to ensure plans are ontrack.
  • Identifies and anticipates risks related to each program implementation and clearly communicates/engages Directors to address concerns and mitigate
  • Collect and evaluate data/information to identify Clinical Best Practices and improvements
  • Works collaboratively with the CDI/ED CM teams to ensure optimal workflows are in place to ensure effective and efficient outcomes
  • Maintain and monitor implemented programs and processes
  • Works collaboratively across pillars to inform performance management, reporting and outcomes for national reporting
  • Demonstrate proficiency in elements of healthcare operations and strategy, with a strong preference for expertise in mechanisms to reduce total cost of care
  • Quantitatively assess gaps in program delivery and build or customize solutions that address those gaps Prevalence and benchmark analysis, performance monitoring, ad hoc analysis to measure ROI and opportunity
  • Demonstrate high levels of EQ while engaging stakeholders and colleagues
  • Interact with senior management by providing thoughtful analysis on key decision points to drive initiatives forward


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:


  • 5+ years of relevant experience (e.g. consulting, strategy, healthcare operations, medical group, health plans, program evaluation, data analytics, data science)
  • Supervisory, coaching and mentoring experience
  • Demonstrated proficiency in consultative skills when addressing complex inquiries from clients, vendors and customers
  • Proven aptitude for and facility with change management and care transformation processes
  • Willing and able to travel up to 50%

Preferred Qualifications:


  • Proven ability to recognize interdependencies of process and how changes impact overall integration efforts
  • Demonstrated ability to create, refine and manage new business processes; demonstrated business expertise
  • Prov
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