26 days old

Chief Operating Officer - Louisville, KY

Louisville, KY 40202
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The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Chief Operating Officer (COO) role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong project, process and operational improvement skills to serve as an advocate for the health plan. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.  The health system is moving ahead. You can too as you help us build new levels of health plan performance. Join us. Learn more about how you can start doing your life's best work.(sm)


The Chief Operating Officer is accountable for the successful delivery of the health plan's operational performance; ensuring contractual requirements are consistently met / exceeded.  This is achieved through the daily collaboration, management and oversight of matric partners, various levels of staff, as well as multiple functions / departments within the health plan.  This role will be called upon to leverage strong leadership experience managing across matrix partners to drive and ensure performance delivery.


The COO is responsible for supporting the CMO with provider value-based contract oversight and meeting with providers individually as well as joint operating committees. This role will oversee the relationship management with Optum and other partners (behavioral health, Rx, payment integrity, dental, vision, analytics); and the design, coordination and completion of operational implementation and optimization projects across various functional areas within UnitedHealthcare. The COO will oversee various departments’ performance and effect change as needed to improve service, simplify work flow and assure compliance with regulatory requirements. They will effectively lead a team that is focused on making a difference for our members, our providers, our team members and our state partners.


Primary Responsibilities:

  • Provide subject matter expertise in project management, project scope definition, risk identification, project methodology, resource allocation and other areas of expertise
  • Lead, coordinate and complete operational improvement projects across various functional areas within UnitedHealthcare
  • During implementation, verify that all new operational policies, procedures and desktops are in place according to contract requirements. Verify readiness through testing and evaluation
  • Once operational, establish operating metrics and daily, weekly and monthly scorecards to manage ongoing operations to confirm contractual compliance. Confirms all operational activities conform to contract compliance for all programs
  • Oversee and manage subcontractors and functional partners
  • Sets business direction, develops, implements and oversees operational models to meet the unique needs and business requirements for UnitedHealthcare
  • Confirms operations and service models are optimized
  • Develops collaborative relationships with and confirms business partners can execute day-to-day responsibility for operations (member services center, enrollment, claims, encounters, reporting, technology, etc.)
  • Develops collaborative relationships with Optum, across multiple service offerings
  • Informs and advises management regarding State’s current trends, problems and activities to facilitate both short- and long-range strategic plans to improve operational performance and enhance growth
  • Owns end-to-end process improvement: definition of need, project plans, status updates, reporting and achieving results
  • Owns accountability for state reporting metrics, accuracy, and timeliness
  • Owns operational accountability for the successful system conversions, where applicable
  • Identifies and resolves technical, operational and organizational problems inside and outside health plan
  • Confirms all operational activities conform to contract compliance for all programs
  • Understands and manages the State requirements and relationship related to operations
  • Provides governance on network strategy and development
  • Monitors required reporting and provides direction on findings
  • Leads teams to resolve business problems that affect multiple functions or disciplines
  • Provides leadership to and is accountable for the performance and direction with all levels of management and senior level professional staff
  • Deliver value to members by optimizing the member experience and maximizing member growth and retention                                   
  • Lead and influence Health Plan employees by fostering teamwork and collaboration, driving employee engagement and leveraging diversity and inclusion
  • Lead change and innovation by demonstrating emotional resilience, managing change by proactively communicating the case for change and promoting a culture that thrives on change
  • Drive sound and disciplined decisions that drive action while effectively using financial knowledge and data to manage the business
  • Drive high-quality execution and operational excellence by communicating clear directions and expectations
This person must reside in, or be willing to relocate to, the Commonwealth of Kentucky and will work in the Louisville, KY office.  Travel for this role will be limited and within Kentucky as needed.

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. 

Posted: 2020-09-25 Expires: 2020-10-25

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Chief Operating Officer - Louisville, KY

UnitedHealth Group
Louisville, KY 40202

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