12 days old

Optum CCM Executive Director, Institutional Programs - MidAtlantic Market (MD/DC/VA) - 928177

Baltimore, MD 21202
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  • Job Code
    928177

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

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The Executive Director (ED) for Complex Care Management (CCM) MidAtlanticreports to the Market Vice President. This complex multi-product/multi-state market offers Institutional and Institutional Equivalent Special Needs Health Plans (ISNP and IE SNP), a community program (Optum at Home), and Post-Acute programs. The ED will be the market leader for the Institutional programs. The ED is responsible for ensuring execution on quality and affordability initiatives relative to the institutional health plans. The role leads the execution of the day to day tactics of managing growth and profitability and manages the P&L for these health plans. The role also tracks and manages daily, weekly and monthly performance related to health plan sales, membership, STARs, HCC coding, and medical expense. The ED also works with local teams to drive growth & profitability collaborating on bid filing strategies, benefit design, and distribution.

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If you are located in MD, DC or VA, you will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Direct P&L impact including budgeting, forecasting and actual performance
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  • Responsible for ensuring execution on quality and affordability initiatives relative to the Institutional and Institutional Equivalent Special Needs Plan (ISNP, IE SNP) and Post-Acute (PAC) community products in the market
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  • Responsible for carrying out the strategic priorities in conjunction with the Product Strategy and Clinical teams
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  • Track and manage profitability and daily performance - STARs, RAF/HCC, utilization and medical expense/affordability, growth, etc
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  • Develop the appropriate product, marketing, sales, clinical, and operating strategies to maximize revenue and profit
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  • Promote a positive image of UnitedHealthcare and Optum with local providers, state regulators, and customers
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  • Ensure regulatory compliance
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  • Review expense drivers and create plans to reduce waste and increase the affordability of our products
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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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  • 5 + years of experience in the healthcare industry, preferably including Medicare and at-risk managed care
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  • Long term care experience
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  • Demonstrated successful leadership skills in program execution and teambuilding
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  • Proven leadership skills in both internal and external environments
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  • Demonstrated ability to execute to short- and long-term growth and profitability targets
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  • If you need to enter a work site for any reason, you will be 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. 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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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)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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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: ISNP, ALF; leadership; Director, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, Washington DC, VA, Baltimore, MD

Posted: 2021-05-31 Expires: 2021-06-30

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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Optum CCM Executive Director, Institutional Programs - MidAtlantic Market (MD/DC/VA) - 928177

UnitedHealth Group
Baltimore, MD 21202

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