The Vice President of Behavioral Value Creation is accountable for performance and results through multiple layers of management, including Director level Value Creation staff, to ensure the OBH book of business meets/exceeds optimal quality and benefit expense outcomes. This will be accomplished by executing initiatives focused on improving all areas of the triple aim: experience of healthcare, population health, improved affordability. This position directs cross functional and or cross- segment teams to identify and mitigate highly complex or unique drivers of cost of care. The Vice President drives programs that impact at the Channel, regional, product and or account levels.
The primary objective for this position is to lead a team that identifies and solves systems of care issues that drive costs, but do not add value. This includes coordination and collaboration across both internal and external teams including but not limited to; Optum, UHC, external payers and community stakeholders. The Value Creation lead will work in close coordination and provide communication to all key stakeholders to ensure understanding and alignment with Affordability initiatives. The Value Creation Vice President brings value to the products Optum services by providing leadership to:
Develop strategies that help individuals get the right care at the right time
Mitigate adverse trends
Reduce unnecessary and ineffective care
Optimize provider performance and value
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Lead and Develop People. Vice President is responsible to create an environment oriented to trust, open communication, creative thinking and cohesive team effort. Leader will leverage diversity and inclusion and drive employee engagement.
Trend and Spend Management. Ensure the regional/functional leads coordinate with HCE to conduct Monthly Deep Dive analyses for accounts. Analyses require a working knowledge and synthesis of several leading indicator and claims based reports as well as benefit and regulatory information that leads to the identification of drivers of adverse trend and or spend.
Portfolio Management. Oversight of the HVO portfolio at the Channel, Regional, Product and Account level. Position will be responsible for the management of the OBH portfolio to ensure Healthcare Value Optimization targets savings are met. Leader stays abreast of all HVO initiatives to identify if viable strategies are in place to address identified drivers of cost. If initiatives are not producing results coordinates with key stakeholders to determine the obstacles and works across teams to develop mitigation strategies.
Development of Channel, Regional and Product Initiatives. Oversees the development of Regional, Channel, Product and/or account specific initiatives when no initiatives are in place. Based on analyses, the Vice President oversees close collaboration with HCE and Product design teams to develop value models and attendant savings for HCQAIs designed to address specific adverse trends at the channel, regional, product and/or account level.
Communication of Value Creation performance. Communicate Healthcare Value Optimization activities specific to internal and external customers. Facilitate Healthcare Value Optimization management reviews at channel & market levels to communicate to stakeholders the status of accounts and progress on mitigation strategies.
Serves as the Value Creation Leader for Channel Affordability performance
Serves as a Value Creation Leader for new product development and RFPs
Resource to senior leadership
Represent Value Creation team in relevant meetings
Collaborate with key stakeholders to develop and ensure initiatives reflect Channel and Regional drivers of cost and incorporate operational, business and regulatory specifications
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.
5+ years working in a Managed Care environment
5+ years of Affordability/Health Care Economics experience
5 years Supervisory experience leading a team in large complex projects to achieve key business objectives
3+ years of Microsoft Office Suites experience and current proficiency with Microsoft Excel (data sorting and filtering); Word (create documentation); PowerPoint (import objects and create deck)
Experience working with Behavioral Health management services; account management
Working Knowledge of BH Provider Networks
Demonstrated ability to achieve goals in a complex matrix environment
Demonstrated ability to work collaboratively and manage through influence
Demonstrated strength working with product performance data-analytics, interpretation and customer reporting
Demonstrated ability to communicate effectively at all levels of the organization
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. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employee must comply with any state and local masking orders.
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve 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.
Key words: Vice President, Behavioral, Affordability, Telecommute