Vice President, Clinical Operations - Care Management, UnitedHealth Care

At United Healthcare, we?re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Vice President, Clinical Operations ? Care Management is responsible for modernizing all aspects of Care Management. This role will work with leaders across the enterprise to evaluate and design every aspect of UHC?s Care Management programs, including risk stratification optimization, care assessment development and improvement, related member interventions and care coordination with treating providers across a broad population. This role will partner with teams and leaders across Optum Health and Enterprise Clinical Services to review, evaluate, advise and drive new program innovation and program enhancements.

The role will evaluate the financial viability of program components, recommend changes, lead all program implementation efforts and will be accountable for post-deployment measurement of results to drive continuous program improvement.

The Vice President, Clinical Operations ? Care Management will require a strategic and critical thinking mindset with the ability to handle multiple priorities as well as the ability to articulate and represent both UHC and Optum?s Care Management strategy to executive leaders across the enterprise and external stakeholders. This team uses the company?s health care analytic tools, medical literature, clinical experience and provider and member feedback to identify, design and implement programs to lower cost, simplify care coordination and improve member quality and outcomes.

This position reports to the Senior Vice President of Value Creation for United Healthcare.

You?ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities: ? The Vice President, Clinical Operations ? Care Management must have a proven track of effective Care Management program design and implementation in the Payer space. ? The Vice President, Clinical Operations ? Care Management will partner closely with teams in Clinical Operations, Technology, Finance, Health Care Economics and Network Contracting to design, implement and monitor all aspects of program development. ? Regularly reviews program metrics including all operational, financial and clinical outcomes.

Quantitative and Qualitative Analysis & Strategic Problem Solving:
? Evaluate data sets and/or development of research methods to measure program results.
? Work with experienced data analysts who perform the technical data retrieval and analysis.
? Direct the analytics team as they work to problem solve, innovate and summarize program results.
? Experience in financial modeling to calculate the cost and return of the programs.
? Work with financial experts on the team to assure model assumptions are accurate.

Communication Skills and Executive Presence:
? This leader is the face to external and internal customers and must possess the ability to speak clearly on complex problems with audiences ranging from small teams to more than 1,000.
? This leader will build and develop relationships across teams to ensure effective feedback loops and that key program milestones are met.
? This leader will collaborate with various members of the Clinical Leadership Team, Network and Optum leaders on top priorities and goals.

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: ? 15+ years of healthcare experience in a Payer, Health System or large Clinical Practice. ? 5+ years of management experience with a proven track record designing and implementing large scale Care Management programs. ? Demonstrated ability to understand program performance data, program (inclusion & exclusion criteria),?

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