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Chief Operating Officer - Iowa Medicaid - Des Moines, Iowa

01/30/2019Call Center
Job Location:
Des Moines, IA
Metro Area:
IA - Des Moines - Ames
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)   The Chief Operating Officer is responsible for management and administration of multiple functions and general business operations, claims, information system conversions, call center performance guarantees, state reporting, provider network strategy, and appeals & grievances.  This role provides subject matter expertise in project management, project scope definition, risk identification, project methodology, resource allocation and other areas of expertise.   The COO is also responsible for provider value-based contract oversight, meeting with providers individually as well as joint operating committees; relationship management with Optum (behavioral health, Rx, payment integrity, dental, vision, analytics); and the design, coordination and completion of operational improvement projects across various functional areas within UnitedHealthcare. The COO will review the 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 and our state partners.    This position manages daily operations of multiple levels of staff and multiple functions/departments across UnitedHealthcare.      Primary Responsibilities:   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, 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 Directs others to resolve business problems that affect multiple functions or disciplines Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff Leadership Expectations: Demonstrate Leadership and Cultural Values: 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


Required Qualifications:   Bachelor’s degree in Health Care Administration, Business or Management 5+ years of operations experience in a Medicare/Medicaid industry, at-risk managed care environment 3+ years working in a matrix organization 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 understanding of health care operations Ability to advise IT resources related to enterprise platform initiatives; provides direction on platform migration Experience, aptitude and effectiveness in matrix environment Exceptional leadership skills and operational management expertise Excellent communication skills Strong analytical and problem solving skills Working knowledge of relevant federal and state regulations and requirements In depth understanding of challenges that face health plans and health care in general Preferred Qualifications:  Master's degree NCQA experience 5+ years of  experience leading and managing people Experience with  Iowa Legislature Knowledge of Iowa Medicaid Program 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: Chief Operating Officer, COO, Iowa, IA. Des Moines
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