11 days old

Optum CCM Market Vice President - Texas and Oklahoma - 929705

Richardson, TX 75080
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  • Job Code
    929705

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 Market Vice President (VP) for Optum Complex Care Management (CCM) Texas/Oklahomareports to the Regional President (RP) of Optum CCM for South Region. The VP is responsible fordeveloping and executing the business plan and vision of the market in conjunction with the Institutional and Post-Acute Product Strategy and Clinical teams. The VP is responsible for ensuring execution on quality and affordability initiatives relative to the market. The role leads the execution of the day to day tactics of managing growth and profitability and manages the P&L in the market. The role also tracks and manages daily, weekly and monthly performance related to health plan sales, membership, STARs, HCC coding, and medical expense. The VP also works with local teams to drive growth & profitability collaborating on bid filing strategies, benefit design, and distribution. The VP owns relationship management with the UHC Medicare and Medicaid business and external provider groups in the post-acute space.

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If you are located in Texas or Oklahoma, 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 Special Needs Plan (ISNP), Institutional Equivalent Special Needs Plan (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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  • Coordinate and Collaborate across the complex matrix structure and multiple Optum teams and touchpoints (CCM, Enterprise Clinical Services, etc.)
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  • Manage the local market relationships with other lines of business, including M&R, C&S, UHN, and external provider groups in the post-acute space (Home Health, Hospitals, ACOs, etc.)
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  • Provide leadership and direction, and skill development to the local cross functional leadership team
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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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  • 10 + years of experience in the healthcare industry, preferably including Medicare and at-risk managed care
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  • Experience and success in strategic planning and development
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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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Preferred Qualifications:

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  • Degree in business administration, health care, MBA
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  • Long term care experience
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  • Previous P&L/budgetary experience
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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: VP, ISNP, ALF, executive; operational leader, Telecommute, Telecommuter, Oklahoma ; Texas

Posted: 2021-06-09 Expires: 2021-07-09

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 Market Vice President - Texas and Oklahoma - 929705

UnitedHealth Group
Richardson, TX 75080

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