Chief Operating Officer - Louisville, KY

Unitedhealth Group Inc. Louisville , KY 40202

Posted 2 months ago

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Chief Operating Officer (COO) role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong project, process and operational improvement skills to serve as an advocate for the health plan. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

The health system is moving ahead. You can too as you help us build new levels of health plan performance. Join us. Learn more about how you can start doing your life's best work.(sm)

The Chief Operating Officer manages daily operations with multiple levels of staff and multiple functions / departments within the health plan and across the enterprise organization to meet performance requirements. This role will be called upon to leverage strong managerial experience managing across matrix partners to drive and ensure performance delivery.

The COO is responsible for supporting the CMO with provider value-based contract oversight and meeting with providers individually as well as joint operating committees. This role will oversee the relationship management with Optum and other partners (behavioral health, Rx, payment integrity, dental, vision, analytics); and the design, coordination and completion of operational implementation and optimization projects across various functional areas within UnitedHealthcare. The COO will oversee various departments' performance and effect change as needed to improve service, simplify work flow and assure compliance with regulatory requirements. They will effectively lead a team that is focused on making a difference for our members, our providers, our team members and our state partners.

Primary Responsibilities:

  • Provide subject matter expertise in project management, project scope definition, risk identification, project methodology, resource allocation and other areas of expertise

  • Lead, coordinate and complete operational improvement projects across various functional areas within UnitedHealthcare

  • During implementation, verify that all new operational policies, procedures and desktops are in place according to contract requirements. Verify readiness through testing and evaluation

  • Once operational, establish operating metrics and daily, weekly and monthly scorecards to manage ongoing operations to confirm contractual compliance

  • Oversee and manage subcontractors and functional partners

  • Sets business direction, develops, implements and oversees operational models to meet the unique needs and business requirements for UnitedHealthcare

  • Confirms operations and service models are optimized

  • Develops collaborative relationships with and confirms business partners can execute day-to-day responsibility for operations (member services center, enrollment, claims, encounters, reporting, technology, etc.)

  • Develops collaborative relationships with Optum, across multiple service offerings

  • Informs and advises management regarding State's current trends, problems and activities to facilitate both short- and long-range strategic plans to improve operational performance and enhance growth

  • Owns end-to-end process improvement: definition of need, project plans, status updates, reporting and achieving results

  • Owns accountability for state reporting metrics, accuracy, and timeliness

  • Owns operational accountability for the successful system conversions, where applicable

  • Identifies and resolves technical, operational and organizational problems inside and outside health plan

  • Confirms all operational activities conform to contract compliance for all programs

  • Understands and manages the State requirements and relationship related to operations

  • Provides governance on network strategy and development

  • Monitors required reporting and provides direction on findings

  • Leads teams to resolve business problems that affect multiple functions or disciplines

  • Provides leadership to and is accountable for the performance and direction with all levels of management and senior level professional staff

  • Deliver value to members by optimizing the member experience and maximizing member growth and retention

  • Lead and influence Health Plan employees by fostering teamwork and collaboration, driving employee engagement and leveraging diversity and inclusion

  • 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

  • Drive sound and disciplined decisions that drive action while effectively using financial knowledge and data to manage the business

  • Drive high-quality execution and operational excellence by communicating clear directions and expectations

This position must reside in, or be willing to relocate to, the Commonwealth of Kentucky. Travel for this role will be limited and within Kentucky as needed.

Required Qualifications:

  • Bachelor's degree in Health Care Administration, Business or Management or related field

  • 7 years of operations leadership experience in a Medicare/Medicaid, at-risk managed care environment

  • 5 years of people leadership experience

  • 3 years of experience in a senior leadership capacity

  • Knowledge of and experience related to publicly funded government health care programs (e.g., Medicaid, Medicare or State health care programs for the uninsured)

  • Technical and financial knowledge of and experience with health care operations

  • Experience with advising IT resources related to enterprise platform initiatives; providing direction on platform implementation and migration

  • Experience working in a matrix environment

  • Working knowledge of relevant federal and state regulations and requirements

  • In depth understanding of challenges that face health plans and health care in general

  • Intermediate or higher level of proficiency with Excel and PowerPoint

Preferred Qualifications:

  • Master's degree in Health Care Administration, Business or Management or related field

  • NCQA experience

  • Experience leading/managing in a matrix environment

  • Experience with Kentucky Legislature

  • Knowledge of Kentucky Medicaid Program

  • Vendor and contract management experience

  • Exceptional leadership skills and operational management expertise

  • Excellent written and verbal communication skills

  • Strong analytical and problem solving skills

  • Ability to evaluate outcomes based upon qualitative and quantitative measures and adjusts accordingly

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 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.

Job keywords: COO, Chief Operating Officer, Kentucky, project manager, Louisville, Medicare, Medicaid, managed care, people manager, implementation

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Chief Operating Officer - Louisville, KY

Unitedhealth Group Inc.