Associate Director Care Advocacy - Optum Hi Remote

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.

The Associate Director, Care Advocacy will be responsible for the State of Hawaii Care Advocacy department, including all Clinical systems, staff, and operations and will provide management, supervision and strategic direction. In addition, this fully Administrator role offers an exciting opportunity to make an impact on care delivery across the state of HI.

If you are located in O'ahu, HI, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Set and monitor departmental quality and performance standards for clinical and administrative supervision functions of staff
• Oversee hiring, training, and job evaluations of departmental staff
• Plan, implement, and monitor operational systems for departments
• Chair and participate in committee and task forces involving departmental staff and with health plan staff
• Provide leadership for staff groups as needed
• Write policies and procedures as needed
• Represent Managed Care functions in intra and interdepartmental committee and problem focused groups
• Participate with other Directors and Managers within the region to implement strategic initiatives, policies and procedures
• Coordinate and participate in the sales, marketing, and implementation of new accounts as needed
• Ensure adequate communication between Regional Care Advocacy and other departments, divisions and regional offices
• Monitor and manage activity to meet utilization target and participate in development and analysis of outcome activities
• Request and distribute appropriate reports that have bearing on Managed Care service delivery
• Adhere to annual budgets, anticipate potential variances and review with
• Understands the business metrics used to measure the business segment’s performance
• Uses data to identify trends, patterns, issues and opportunities that have an impact on the business
• Gathers and analyzes data to identify root causes of issues, successes and trends
• Develop reports, metrics, scorecards used to manage impacts on the business and make appropriate decisions
• Facilitates a shared vision and urgency for changes by clarifying how the change will help the organization meet business goals and by articulating the benefits of change
• Motivates and involves stakeholders to help implement and support change
• Develops and executes change management plans, including communication strategies, in support of business change
• Challenges to identify root causes of problems
• Utilizes appropriate resources to ensure timely integrated and effective solutions to business needs
• Participates with network team in efforts to identified network gaps within a specialty or geographically
• Participates in community events or meetings with network team to engage providers and facilitate contracting
• Provides face to face meetings with facilities or agencies at the request of network or due to Utilization Management or workflow issues

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:

• R.N., M.A., M.S.W., or Ph.D. in clinical area with licensure must be non-restricted in the state of HI
• 7+ years clinical behavioral experience in broad range of settings
• 3+ years clinical supervisory experience with multiple disciplines addressing broad range of diagnostic issues
• 2+ years of work experience in Managed Care or Utilization Review
• Proven ability to significantly manage responsibilities including experience managing at a manager level
• Ability to travel occasionally to other Islands
• Located on the island of O'ahu

Preferred Qualifications:

• Six Sigma
• Experience in developing creative, innovative solution based programs and initiatives
• Experience within a multidisciplinary setting, such as working with medical staff, MDs, RNs and community agencies
• Knowledge of local service systems, agencies, facilities and providers
• Knowledge of Hawaii State systems such a DOH, AMHD, CAMHD, etc
• Familiar with computerized clinical data systems
• Computer skills familiar with most common applications for analysis/problem resolution
• Demonstrated leadership ability
• Demonstrated project management skills

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Hawaii Residents Only: The salary range for Hawaii residents is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.

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