UnitedHealth Group
Overview
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
This role receives direction operationally from the Associate Vice President of Clinic Operations and will work closely in collaboration with Primary Care physician leadership to improve quality, cost and patient service and the financial and operational performance of the organization. It will be the responsibility of this individual to ensure a positive and productive relationship with internal and external business partners as well as patients and providers.
Primary Responsibilities
Serves as a Lean Leader - Ensuring clinic operational efficiency
Monitors division performance metrics; develops and implements action plans/corrective actions to address operational issues/concerns
Leads the execution of various special projects/task forces/business improvement initiatives as requested by senior leadership
Formulates strategic and operational plans for assigned project(s)
Project management: Partner with internal and external stakeholders to accomplish goals and distribute work appropriately
Ensure internal and external stakeholders are informed of progress, deviation from project plans and risks
Supports objectives, strategic improvements, detailed plans, and KPI's
Serves as a leader or contributor to performance improvement initiatives; Responsible for successful implementation and achieving required metrics
Serves as a change champion for all organizational initiatives (Operational / Patient Experience)
Ensures performance improvement goals are achieved and sustained processes
General oversight of day-to-day operations
Serves as a subject matter expert for clinic operations
Responsible for establishing partnerships with internal / external stakeholders for successful operations
Sets, recommends, and achieves project timelines, appropriately manages, and reports on projects supporting larger operational goals
Leverages tools and resources to effectively manage numerous large to small scale projects and successfully meets timelines, KPI's and expected outcomes
Ensures patient care is of the highest quality and meets company standards
Supports division administrator in developing positive employee/clinician relations
Accountable for success of HEDIS, CAHPS, HOS measures within assigned region
Responsible for achieving divisional and market goals and census growth
Implement plans and processes to maintain productivity and profitability
Identifies business trends that will affect the market, division, or clinics
Ensures excellent customer service and satisfaction while achieving organization-specific financial goals
Supports patient experience efforts, projects and is responsible for ensuring all C-I-CARE initiatives are implemented, adopted, and measured
Responsible for CAHPS / HOS / BURKE data and results evaluation, and action plan development
Regularly reviews patient experience initiatives that support continued improvement of scores
Identifies opportunities to improve patient experience and partners with division administrators to develop tactics to improve patient experience
Ensures financial success for assigned clinics
Ensure financial reporting is fully utilized within each assigned clinic
Supports annual budget development, volume forecasting and capital needs within assigned division/region
Regularly reviews financial reporting, identifies opportunities for improvement and works with clinic leaders and AVP on improving financial outcomes
Management and oversight of revenue cycle for assigned region/division of clinics - specifically managing clinic influenced issues such as denials, eligibility, co-pay, etc.
Partners with ancillary departments (billing/coding) to identify opportunities for improvement
Provides leadership for Division Administrator, Operations Managers and/or Supervisors
Supports division leadership team to ensure clinics achieve goals outlined for operational success
Supports the recruitment, retention, and promotion of outstanding staff
Responsible for developing and growing leaders within the assigned division ensuring turnover remains below identified threshold
Supports practice leaders in meeting / exceeding their professional and operational goals
Ensures best practices are followed and resolves incidents where the clinic is out of compliance
Facilitates and maintains organization culture and values
Accountable for:
Performance management
Year-in-Review (Annually)
Talent acquisition/ turnover management
VOICE survey results, action plans and ensuring success with creating a positive work environment
Ensure leader/team member rounding is completed each month and included in monthly reporting
Create regular 1:1 meetings with practice leaders to remain connected to clinic operations
Provides training courses, articles, and other materials to support practice leader growth
Supports teams with achieving/meeting goals and timelines
Supports and influences the development of MAP goals; ensuring the goals support the continued growth and development of assigned clinics
Ensures the team achieves the approved MAP Goals and works to implement best practices for overarching goal success
Supports the development of 90-day plans each quarter to ensure practice leaders meet goals
Partner with multiple departments to provide staff with Education, Trainings, and resources that promote better understanding, improved skills, and growth
Ensure 100% Compliance with all required MyLearning training as well as all Health and Safety required training and compliance
Participate in physician and APC panel interviews with AVP and appropriate dyad clinician partner
Facilitate clinician candidate site tours for clinics in their division
Partner with recruitment, clinician leaders, and clinic manager or supervisor for successful onboarding of new clinicians
Responsible for monthly divisional reporting & presentation related to performance
Reviews and interprets financial reporting and dashboards to optimize clinic/regional operations
Leverages monthly reporting guidelines to report on culture, finance, business/strategic and quality metrics to enhance and optimize operations
Development of "action plans" for operational areas requiring improvement (CAHPS, Voice Survey, Financial, Access, etc.)
Ensuring organization best practice workflows and procedures are implemented and fully adopted. This includes developing and managing an audit process to ensure sustained compliance
Regularly reviews and reports on observations, areas requiring improvement and actions to ensure 100% alignment with best practices
Supports the development of best practices, ongoing training and ensuring assigned clinics (region) embraces a value-based care organization
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 in Health Care Management or related field; and/or equivalent and relevant experience in lieu of degree (10+ years of experience in lieu of degree)
5+ years of experience in medical practice management, health plan operations or Medical Management in management positions with successive promotions
5+ years of thorough knowledge of capitation, physician recruitment, contracting managed healthcare systems, medical quality assurance, quality improvement and risk management
Knowledge of (or ability to learn and apply to job function) state and federal laws, regulations, and compliance issues applicable to operating units
Knowledge of ICD-10 / CPT / HCPCS and medical terminology
Sound knowledge of financial and accounting concepts
Well-developed knowledge of managed care principles and customer service best practices
Proficient in Microsoft Office, Excel, OneNote, and Powerpoint
Ability to travel among multiple assigned Primary Care Clinics
Preferred Qualifications
Master's degree in Health Care Management or related field
Proven bilingual Spanish/English
Proven analytical skills using SQL
Demonstrate ability to lead groups successfully coupled with sound interpersonal, excellent oral and communication skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you\'ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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This role receives direction operationally from the Associate Vice President of Clinic Operations and will work closely in collaboration with Primary Care physician leadership to improve quality, cost and patient service and the financial and operational performance of the organization. It will be the responsibility of this individual to ensure a positive and productive relationship with internal and external business partners as well as patients and providers.
Primary Responsibilities
Serves as a Lean Leader - Ensuring clinic operational efficiency
Monitors division performance metrics; develops and implements action plans/corrective actions to address operational issues/concerns
Leads the execution of various special projects/task forces/business improvement initiatives as requested by senior leadership
Formulates strategic and operational plans for assigned project(s)
Project management: Partner with internal and external stakeholders to accomplish goals and distribute work appropriately
Ensure internal and external stakeholders are informed of progress, deviation from project plans and risks
Supports objectives, strategic improvements, detailed plans, and KPI's
Serves as a leader or contributor to performance improvement initiatives; Responsible for successful implementation and achieving required metrics
Serves as a change champion for all organizational initiatives (Operational / Patient Experience)
Ensures performance improvement goals are achieved and sustained processes
General oversight of day-to-day operations
Serves as a subject matter expert for clinic operations
Responsible for establishing partnerships with internal / external stakeholders for successful operations
Sets, recommends, and achieves project timelines, appropriately manages, and reports on projects supporting larger operational goals
Leverages tools and resources to effectively manage numerous large to small scale projects and successfully meets timelines, KPI's and expected outcomes
Ensures patient care is of the highest quality and meets company standards
Supports division administrator in developing positive employee/clinician relations
Accountable for success of HEDIS, CAHPS, HOS measures within assigned region
Responsible for achieving divisional and market goals and census growth
Implement plans and processes to maintain productivity and profitability
Identifies business trends that will affect the market, division, or clinics
Ensures excellent customer service and satisfaction while achieving organization-specific financial goals
Supports patient experience efforts, projects and is responsible for ensuring all C-I-CARE initiatives are implemented, adopted, and measured
Responsible for CAHPS / HOS / BURKE data and results evaluation, and action plan development
Regularly reviews patient experience initiatives that support continued improvement of scores
Identifies opportunities to improve patient experience and partners with division administrators to develop tactics to improve patient experience
Ensures financial success for assigned clinics
Ensure financial reporting is fully utilized within each assigned clinic
Supports annual budget development, volume forecasting and capital needs within assigned division/region
Regularly reviews financial reporting, identifies opportunities for improvement and works with clinic leaders and AVP on improving financial outcomes
Management and oversight of revenue cycle for assigned region/division of clinics - specifically managing clinic influenced issues such as denials, eligibility, co-pay, etc.
Partners with ancillary departments (billing/coding) to identify opportunities for improvement
Provides leadership for Division Administrator, Operations Managers and/or Supervisors
Supports division leadership team to ensure clinics achieve goals outlined for operational success
Supports the recruitment, retention, and promotion of outstanding staff
Responsible for developing and growing leaders within the assigned division ensuring turnover remains below identified threshold
Supports practice leaders in meeting / exceeding their professional and operational goals
Ensures best practices are followed and resolves incidents where the clinic is out of compliance
Facilitates and maintains organization culture and values
Accountable for:
Performance management
Year-in-Review (Annually)
Talent acquisition/ turnover management
VOICE survey results, action plans and ensuring success with creating a positive work environment
Ensure leader/team member rounding is completed each month and included in monthly reporting
Create regular 1:1 meetings with practice leaders to remain connected to clinic operations
Provides training courses, articles, and other materials to support practice leader growth
Supports teams with achieving/meeting goals and timelines
Supports and influences the development of MAP goals; ensuring the goals support the continued growth and development of assigned clinics
Ensures the team achieves the approved MAP Goals and works to implement best practices for overarching goal success
Supports the development of 90-day plans each quarter to ensure practice leaders meet goals
Partner with multiple departments to provide staff with Education, Trainings, and resources that promote better understanding, improved skills, and growth
Ensure 100% Compliance with all required MyLearning training as well as all Health and Safety required training and compliance
Participate in physician and APC panel interviews with AVP and appropriate dyad clinician partner
Facilitate clinician candidate site tours for clinics in their division
Partner with recruitment, clinician leaders, and clinic manager or supervisor for successful onboarding of new clinicians
Responsible for monthly divisional reporting & presentation related to performance
Reviews and interprets financial reporting and dashboards to optimize clinic/regional operations
Leverages monthly reporting guidelines to report on culture, finance, business/strategic and quality metrics to enhance and optimize operations
Development of "action plans" for operational areas requiring improvement (CAHPS, Voice Survey, Financial, Access, etc.)
Ensuring organization best practice workflows and procedures are implemented and fully adopted. This includes developing and managing an audit process to ensure sustained compliance
Regularly reviews and reports on observations, areas requiring improvement and actions to ensure 100% alignment with best practices
Supports the development of best practices, ongoing training and ensuring assigned clinics (region) embraces a value-based care organization
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 in Health Care Management or related field; and/or equivalent and relevant experience in lieu of degree (10+ years of experience in lieu of degree)
5+ years of experience in medical practice management, health plan operations or Medical Management in management positions with successive promotions
5+ years of thorough knowledge of capitation, physician recruitment, contracting managed healthcare systems, medical quality assurance, quality improvement and risk management
Knowledge of (or ability to learn and apply to job function) state and federal laws, regulations, and compliance issues applicable to operating units
Knowledge of ICD-10 / CPT / HCPCS and medical terminology
Sound knowledge of financial and accounting concepts
Well-developed knowledge of managed care principles and customer service best practices
Proficient in Microsoft Office, Excel, OneNote, and Powerpoint
Ability to travel among multiple assigned Primary Care Clinics
Preferred Qualifications
Master's degree in Health Care Management or related field
Proven bilingual Spanish/English
Proven analytical skills using SQL
Demonstrate ability to lead groups successfully coupled with sound interpersonal, excellent oral and communication skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you\'ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#J-18808-Ljbffr