29 days old

Chief Operating Officer - Minnetonka, MN - 928257

Minnetonka, MN 55345
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  • Job Code
    928257

The Chief Operating Officer will have accountability to partner with the MN Medicaid health plan CEO to drive end-to-end formulation and implementation of business strategies and operational plans for the new MN Medicaid plan. This role provides subject matter expertise in project management, project scope definition, risk identification, project methodology, resource allocation and other areas of expertise. This role will work with the leadership team to construct measures of accountability for our business and shared partner organization performance.This position manages daily operations of direct staff and matrix partners. They will effectively lead a team that is focused on making a difference for our members and our county and state partners.

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"The COO is also responsible for the design, coordination and completion of operational improvement projects across various functional areas within UnitedHealthcare. The COO will review the departments performance and effect change as needed to improve service, simplify the workflow, and assure compliance with regulatory requirements.

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The COO is also responsible for management and administration of multiple functions and general business operations, state and community partners, provider data management and reporting. This position will drive Strategy and Operational plans inclusive of Advocacy, Health and Wellness, Chronic Conditions, Complex Conditions, health equity and supporting capabilities that enable delivery and experiences.

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The COO in collaboration with the CEO and senior leadership have a unique opportunity to build a new health plan from the ground up, reimagine with proactive efforts to prevent institutional racism and eliminate health inequities for enrollees. The MN Medicaid health plan has expressed its commitment to reaching out, being present and impacting lives of Minnesotans.

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Primary Responsibilities:

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  • Sets business direction, develops, and implements and oversees operational models to meet the unique needs and business requirements for UnitedHealthcare MN Medicaid health plan
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  • Confirms operations and service models are optimized
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  • Develops collaborative relationships with and confirms business partners can execute day-to-day responsibility for operations (member services center, enrollment, technology, etc.)
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  • Informs and advises management regarding States current trends, problems and activities to facilitate both short- and long-range strategic plans to improve operational performance and enhance growth
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  • Owns end-to-end process improvement: definition of need, project plans, status updates, reporting and achieving results
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  • Identifies and resolves technical, and operational and organizational problems inside and outside health plan
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  • Confirms all operational activities conform to contract compliance for all programs
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  • Understands and manages the State requirements and relationship related to operations
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  • Provides governance on network strategy and development
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  • Monitors required reporting and provides direction on findings
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  • Directs others to resolve business problems that affect multiple functions or disciplines
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  • Provides leadership to and is accountable for the performance of staff
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  • Collaborate with national affordability team to strategize and remediate complex care affordability projects within designated market
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  • Serve as the link between health plan requirements and national support functions, including requests for program changes, implementation, training, etc., balancing local customization with national scale and efficiency.
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  • Understand state and federal legal and contractual complex care case management regulations and requirements; translate requirements into operational metrics and protocols
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  • Drive collaboration between health plans and shared service partners to use audit and reporting metrics to ensure performance against contractual and regulatory requirements
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Leadership Expectations: Demonstrate Leadership and Cultural Values

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  • Deliver value to members by optimizing the member experience access to care, delivering person-centered care, and promoting health equity
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  • Lead and influence Health Plan employees by fostering teamwork and collaboration, and driving employee engagement and leveraging diversity and inclusion
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  • 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
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  • Drive sound and disciplined decisions that drive action while effectively using financial knowledge and data to manage the business
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  • Drive high-quality execution and operational excellence by communicating clear directions and expectations
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  • Experience within healthcare operations, clinical services, network, and products and benefits
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  • Customer-focused; proven ability to handle complex situations, resolve conflicts and issues effectively. Sensitive to how people and the organization function
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  • Demonstrated ability to translate strategic objectives into action plans and lead / motivate teams to execute plans effectively; flexibility to adapt and change direction as needed
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Youll 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.

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Required Qualifications:

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  • Bachelors degree
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  • 7+ years of related managed care operations experience
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  • 7+ years of leadership experience
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  • Knowledge of and experience related to publicly funded government health care programs (e.g., Medicaid, Medicare or State health care programs for the uninsured)
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  • Technical and financial understanding of health care operations
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  • Ability to advise IT resources related to enterprise platform initiatives; provides direction on platform migration
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  • Experience implementing large, complex programs in matrix environment
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  • Experience leading health equity initiatives
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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  • You will be asked to perform this role in an office setting or other company location.
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Preferred Qualifications:

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  • Masters Degree
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Careers at UnitedHealthcare Community & State.Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to doyour life's best work.(sm)

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"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.

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"UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: COO, Chief Operating Officer, Operations Director, Medicare, Medicaid, health equity, finance, government programs, Executive Director, CEO, CFO

Posted: 2021-05-21 Expires: 2021-06-20

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.

Sponsored by:
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Chief Operating Officer - Minnetonka, MN - 928257

UnitedHealth Group
Minnetonka, MN 55345

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