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Director, Health Plan Operations (Arizona and New Mexico) - Phoenix

08/08/2018Call Center
Job Location:
Phoenix, AZ
Metro Area:
AZ - Phoenix
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
The Director of Health Plan Operations,  Arizona and New Mexico will manage the operations of UnitedHealthcare E&I for both states.  This individual plans, executes and oversees the operations.   This role is critical to serving as the 'account manager' for relationships, driving overall performance, leading operational planning and managing operation through a matrix team. Working closely with the United HealthCare E&I Leadership Operations Team, the Health Plan Director will become familiar with the established vision, mission and strategies of the organization and will build on these to effectively define, articulate and address the current and future needs and priorities of the local market.   They will effectively lead a team that is focused on making a difference for our members and our state partners.   Primary Responsibilities:   Develop/Lead/Execute Market-Specific Health Plan Operations - Direct the operations of the health plan in providing innovative and cost effective ways to grow - Develop and execute a forward-looking multi-year operational strategy - Ensure commitment/support for health plan operations and programs from internal and external stakeholders - Build commitment and support of matrix partners on the execution of shared business/enterprise goals - Senior member of the leadership team   Drive Health Plan Efficiency, Quality and Financial Performance - Utilize stakeholder input to help shape and implement continuous improvement in operational quality and financial performance   - Utilize relevant systems and tools to identify and/or test opportunities for efficiency improvements (e.g., GoLean) -  Analyze health plan performance on relevant criteria - Work with relevant internal partners (e.g., Claims, Call Center, Information Technology) to identify resource requirements and/or create budgets and forecasts for projects - Ensure regularly scheduled and impactful Joint Operating Committee JOC reviews with participation from applicable business partners (e.g., Underwriting, Network, IT and Specialty Products, Operations, Regulatory, Product, and Marketing) - Review and assign projects/initiatives based on resource capacity, capability, and expertise - Conduct deep-dive reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement         Build, Maintain and Manage Relationships with Internal and External Stakeholders - Focus on external relationships to understand, influence and adapt to the changing landscape - Build, develop, improve, influence and expand relationships with business leaders across UnitedHealth Group to ensure positive outcomes in the local market - Represent the goals of the market to internal constituents across all lines of business to achieve solutions in the interests of the enterprise - Influence Health Plan partners on company capabilities, tools, and processes that can be leveraged to improve delivery service and quality   Drive Industry Leading Consumer, Customer and Provider Satisfaction - Model a continuous focus on maximizing the member, customer and provider experience - NPS - Drive the organization to deliver value beyond customer expectations - Drive organizational focus on customers and those who serve customers - Gather and analyze feedback from customers to identify new/emerging needs and make appropriate changes to Health Plan strategies and programs - Identify and/or pursue potential business opportunities with new and/or existing business partners to strengthen/optimize networks in order to achieve business objectives - Leverage resources from other parts of the enterprise to provide cost-effective, comprehensive customer solutions - Ensure a coordinated approach to provide a more seamless face to our customers - Seek feedback from customers to determine success of overall strategy/program management and implementation   Drive Best-in-Class Operational and Clinical Performance - Influence commitment to ensure obligations are met through data analysis and operational plans - Innovate and explore new ways to exceed member experience and operational goals while ensuring compliance

Qualifications:

Required Qualifications:  -Bachelor's degree or equivalent combination of education and experience -5+ years' experience in a senior leadership capacity, 5+ years' experience leading and managing people -5+ years working in a matrix organization -7+ years P&L experience -Experience in strategic planning and development - Demonstrated successful leadership skills in program execution and people management - Proven leadership skills in both internal and external environments - Ability to execute to short and long term growth and profitability targets   Preferred Qualifications - Master's Degree in Health or Business Administration - Previous Health Plan Executive Experience       Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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.
 
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