OVERVIEW OF POSITION:
Responsible for planning, directing, coordinating and supervising the functions and activities of the community of Group Model sites at OptumCare. Develops and monitors goals, implements and manages budgets, oversees enrollment growth and retention, patient satisfaction, program development and implementation and education. Also assists the Senior Vice President, Operations in the overall administrative direction of the region and standardization of programs and services across the communities within the region. Collaborates with medical leadership to maximize performance and implement and monitor new programs and services.
Consistently exhibits behavior and communication skills that demonstrate OptumCare commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
Develops, implements, monitors and ensures adherence to policies and procedures for OptumCare and its Group Model sites and regionally based programs.
Implements and manages budgets for all accountable departments and functions. Researches and monitors budget variations.
Assists the Senior Vice President, Operations in the development, coordination and implementation of the regional budget, business plans and operational activities.
Works closely with the Regional Accountable Team (RAT) to monitor and report metrics such as resource utilization, patient satisfaction, HCC, PFP and STAR and enact plans to improve efficiencies and reduce expenses.
Works closely with the RAT to enhance regional provider satisfaction, productivity and performance.
Implements plans to continually enhance services provided by accountable departments and functions.
Evaluates opportunities, makes recommendations and oversees expansion projects within the region and in surrounding communities
Provides input and feedback to the RAT as it relates to initiatives and programs that promote excellence in the Group operational services and implements those that are approved.
Directs and coordinates community group operations activities within the region.
Works closely with central departments to ensure that issues impacting that region that involve central departments are resolved effectively and timely.
Identifies opportunities for improvement within the Group Model Sites and brings forward proposals to the RAT incorporating solutions.
Collaborates with the physician leadership of the Group Model to garner support for operational initiatives and get their feedback as to what initiatives will be most successful. Works closely to implement and monitor programs.
Manages direct reports to ensure that they are meeting performance expectations and performs coaching and counseling as necessary. Provides guidance in professional development activities and goals.
Assists, facilitates and leads committees, teams and projects at the direction of the Senior Vice President, Operations.
Works to promote teamwork, collaboration, implementation of best practices across all communities within the region.
Collaborates with colleagues in other regions to improve performance and coordinate activities to ensure goals of OtumCare are met.
Develops, implements and measures adherence to policies and procedures.
Uses, protects, and discloses OptumCare patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Performs additional duties as assigned.
Bachelor's degree from a four-year college and/or a professional certification requiring formal education beyond a two-year college.
Master's degree in Health Care Administration, Business Administration or Nursing preferred.
Over 4 years management experience in health care.
Medical group or IPA operations management experience.
Experience in managed care organizations
KNOWLEDGE, SKILLS, ABILITIES:
Proficient in Microsoft Office applications.
Proven leadership abilities.
Excellent verbal and written communication skills.
Ability to work cooperatively with peers and subordinates.
Ability to act professionally under pressure.
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. 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. Here you'll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.(SM)
Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.