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Company

UnitedHealth GroupSee more

addressAddressSan Jose, CA
type Form of workFull-Time
CategoryInformation Technology

Job description

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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

This position provides oversight of the Service Line operations and ongoing development, improvement and implementation of operational strategies across primary care departments; accountable for implementing growth strategy, establishing benchmarks, operational effectiveness, risk management, and reporting in areas of responsibility. This position intensively and intentionally collaborates with clinical operational leaders and regional Medical directors in respective employed groups (TEC/TPC etc.) and CDO leadership teams to drive performance of value-based initiatives to improve operational and financial performance across value and FFS functions. This position will oversee a team of highly qualified managers across multiple sites and functions.

Primary Responsibilities:

  • Engaging leaders for successful implementation of strategic plans for SL related value, risk, affordability, quality and patient engagement initiatives as aligned with Board Strategic Direction and patient-centered clinical care
  • Partner with executive leadership body and the Regional Clinical Leadership Congress (or OCMO) to get strategic guidance on regional clinical strategy, bring clinician voice, and co-create strategy & performance plans
  • Coaches and mentors' directors and managers to develop a culture of continuous feedback, recognition and improvement, driving accountability and standard work; selects and develops future leaders
  • Provides effective leadership by collaborating internally and externally, engaging care management leaders and other stakeholders to coordinate between WIC, hospital teams, Extended Care, Palliative Care and Specialty
  • Executes strategies and leads operational delivery of fee for service and value work across Service Lines
  • Directs others to resolve business problems that affect multiple departments
  • Culture: Works with leaders to ensure a patient centered approach to clinical care across all Service Lines / sites
  • Quality of Service Management: Provides support and oversight of service quality, including patient satisfaction, access, service offerings, and hours of operation, to meet patient needs and improve care model
  • Co-create with CDO, plans to meet regional performance goals around access, productivity, staffing model, cost, IOI
  • Collaborates with Medical leadership and staff in the common goals of standardization, integration and enhancement of the continuum of services available within the service line; oversees system wide evaluation of processes and practices to determine need for change to accommodate shifting business requirements
  • Monitor & communicate performance for CDOs for their service line operations and partner with and inform CDO clinical operations structures
  • Responsibility for development and annual review of in-year and Multi-Year strategic plan for service line that aligns with Optum Strategic Direction and partners with CDO medical leadership to develop implementation plan specific to each CDO
  • Engage CDO based leaders to develop glidepaths and tactics to execute on regional strategy & co-create care solutions
  • Responsible for the operational deployment, integration, and oversight of Service Line(s) care management quality improvement programs
  • Supports contracting efforts and health plan operational work groups as needed
  • Collaborates with other markets to share best practice


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:

  • Bachelor's degree from a four-year college in Finance, Healthcare, Business Administration or Economics
  • 7+ years leadership experience
  • 5+ years management experience in a healthcare setting
  • Experience in Medicare Advantage risk adjustment programs
  • Experience leading teams to develop analytics and data analysis critical to the success of the organization
  • Experience conducting root cause analysis and identifying optimum solutions
  • Intermediate level of experience with Microsoft Suite
  • Ability to effectively direct preparation of various financial analysis and data mining activities
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualification:

  • Master's degree


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

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)


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.

Refer code: 2168365. UnitedHealth Group - The previous day - 2023-01-26 15:00

UnitedHealth Group

San Jose, CA
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