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Executive Director, Clinical Transformation and Delivery - Remote in TN

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UnitedHealthcare

Jan 14

Applications are closed

  • Job
    Full-time
    Senior Level
  • Government & Politics
    Healthcare
  • Nashville
    Remote

Requirements

  • 7+ years of healthcare management experience in a business, managed care or payer health plan setting
  • Seasoned leader with 5+ years of demonstrated progressive career accomplishments
  • 5+ years of experience developing and implementing innovative clinical strategies and programs for Medicaid and/or Medicare populations
  • Proven experience working in a cross-functional environment and well-developed relationship building skills, willing to take a leadership role driving initiatives, working across organizations and structuring approaches to new opportunities
  • Experience establishing and maintaining effective working relationships with employees, managers, healthcare professionals, physicians, executive leaders, and market leaders
  • Proven ability to develop and lead multi-level leaders
  • Proven ability to quickly diagnose and solve complex problems
  • Proven excellent influencing, negotiating, planning and decision-making skills
  • Demonstrated ability to lead business initiatives to a successful result
  • Proven ability to effectively deal with ambiguity - can effectively cope with change, can shift gears comfortably, can decide and act without having the total picture, comfortably handles risk and uncertainty in a manner consistent with UnitedHealth Group’s core value
  • Reliable transportation and the ability to travel up to 25% throughout TN
  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

  • Strategic Leadership
  • In partnership with the Health Plan’s ELT provides leadership and accountability for the design, deployment, implementation and management of integrated clinical (physical & behavioral health), SDOH, quality/affordability programs that optimize clinical and health outcomes of Tennessee Medicaid recipients
  • In partnership with the plan’s ELT, provides leadership and accountability for the design, deployment, implementation and management of integrated physical health, behavioral health and SDOH services through our PCMH provider partnerships for improved health outcomes of Tennessee Medicaid recipients
  • Drives impactful Community Giving campaigns that augment our clinical programs for improved health outcomes of Tennessee Medicaid recipients and differentiates UHC from its competitors
  • Develops effective/efficient member and provider engagement strategies through integrated PCMH, VBC, SDOH and THL communications, education and collaboratives resulting in improved provider performance and member health outcomes
  • In partnership with UHN Contracting and ELT, develops value based contracting strategies that align incentives around quality outcomes and affordability
  • Collaborates with large provider organizations to develop innovative population health and value-based compensation models that support delivery of higher quality and more cost-effective services
  • Represents United HealthCare and serves as a Thought Leader via “Outside of the Box” thinking when collaborating with State customer on member/provider engagement and improved health outcome initiatives
  • Works collaboratively across all business segments to design and develop innovative programs that result in a positive impact on Healthcare Quality and Affordability
  • Contributes to the development and execution of overall health plan innovations, strategies and key Initiatives through staying abreast of current clinical trends in technology and clinical delivery system advancements
  • Guides, develops, and trains leadership staff at various levels in their leadership skills
  • Program Management and Coordination
  • Leads health plan clinical teams, to include Population Health, Quality (NCQA Accredited) Case Management, Community Outreach, SDOH, Value Based Provider Engagement staff (~130+) to execute against strategic, tactical, and operational goals as defined by State, local and corporate leadership
  • Educates Matrix Partners on State requirements ensuring timely and quality delivery on state expectations
  • Leads the coordination and completion of projects with cross-functional teams and senior leaders across medical / nursing / clinical functional/provider Matrix partners to achieve targeted population health and quality performance goals
  • Actively participates in community outreach and networking activities to develop support and community infrastructure to meet member needs and promote member growth and retention
  • Actively embraces the United Culture and Values in working with both internal and external customers/stakeholders, as well as actively pursues incremental increases to Employee Engagement Survey results

FAQs

What is the role of the Executive Director of Clinical Transformation and Delivery?

The Executive Director provides strategic leadership and oversight of all clinical programs for Medicaid and DSNP membership in the Tennessee Community and State Health Plan, focusing on innovative care programs and integration with UHC's strategic direction.

What qualifications are required for this position?

The position requires 7+ years of healthcare management experience, 5+ years of leadership experience, and 5+ years of developing clinical strategies for Medicaid and/or Medicare populations.

Is travel required for this job?

Yes, reliable transportation and the ability to travel up to 25% throughout Tennessee are required.

What are the key responsibilities of the Executive Director?

Key responsibilities include clinical program management, collaboration with internal and external partners, design and implementation of integrated health services, and community engagement efforts.

What kind of team will the Executive Director be leading?

The Executive Director will lead a health plan staff of over 130 individuals and provide direction to a large, matrixed team across the enterprise.

How does UHC ensure alignment with its mission and values in this role?

The Executive Director’s long-term planning and oversight will ensure all clinical activities align with UHC’s mission to help people live healthier lives and the core belief in managing costs while delivering quality and value.

What is the salary range for this role?

The salary range is between $150,200 to $288,500 annually, based on various factors including local labor markets and qualifications.

Does UnitedHealth Group offer employee benefits?

Yes, UnitedHealth Group offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase options, and 401k contributions.

What diversity and inclusion initiatives does UnitedHealth Group have?

UnitedHealth Group is committed to providing equitable care, addressing health disparities, and fostering a diverse workplace where everyone has the opportunity to live their healthiest life.

What are the working conditions for this position?

The position is primarily remote, but candidates are required to adhere to UnitedHealth Group’s Telecommuter Policy.

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UnitedHealthcare

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

When it comes to your health, everything matters. That’s why UnitedHealthcare is helping people live healthier lives and making the health system work better for everyone. Our health plans are there for you in moments big and small, delivering a simple experience, affordable coverage, and supportive care. Wherever your health takes you, we're there for what matters. At UnitedHealthcare, part of the UnitedHealth Group family of businesses, we are working to create a system that is connected, aligned and more affordable for all involved; one that delivers high quality care, responsive to the needs of each person and the communities in which they live. With connections to more than 1.3 million physicians and care professionals and 6,500 hospitals and care facilities across the globe, we can collaborate in new ways to improve patient care while providing customizable and comprehensive solutions in any marketplace, anywhere.

Culture & Values

  • Integrity

    Honor commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of the people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future. Learn from the past

  • Performance

    Demonstrate excellence in everything we do.

Benefits

  • United Well-being

    United Well-being supports employees in their journey to better health. Resources include: Exercise and mindfulness apps. Tips and recipes for healthy cooking. Wellness coaching and financial tools. A private employee community group.

  • Health and Insurance

    Our medical plans for employees deliver better value and better outcomes. We offer: Copay plans and HSA-eligible plans. Vision and dental plans. Flexible spending accounts. Life insurance, and more.

  • Savings and Retirement

    In addition to competitive pay, we provide financial benefits to help employees manage their money. Benefits include: 401(k) Savings Plan. Employee Stock Purchase Plan. UnitedHealth Group credit union, and more.

  • Paid Time Off (PTO)

  • Paid Company Holidays

  • Parental Leave

  • Employee Assistance Program

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