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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Network Management

Country:

United States

Postal Code:

33601

Approximate Salary:

Not Specified

Position Type:

Full Time

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Associate Director, Market Operations - Tampa, FL

UHG - Tampa, Florida

Posted: 09/24/2018

The Associate Director of Market Operations has management responsibility for day to day market operations. The position is responsible for facilitating the creation and execution of local market strategies and action plans. The position is involved in planning, budgeting, forecasting, facility planning, and reporting for each of the assigned markets. This will include overseeing network development, network management, and local office management in assigned markets. This position may supervise multiple markets as directed. This position has a dotted line matrix management responsibility for all other functional staff located within assigned markets - including marketing, utilization management, disease management, transportation, DataRAPS, quality, and vendors. This position works cross functionally with all other divisions in the corporation, including medical management, finance, claims, customer and member services, IT, and facilities to achieve market goals and objectives. The responsibilities of this position demand a wide range of capabilities including strategic planning and analysis skills, strong accounting knowledge and understanding of financial statements, understanding of managed care contracts, management breadth to direct and motivate, highly developed communication skills, political savvy, and the ability to develop clear action plans and drive process, given often ambiguous issues with numerous interdependencies. Analyzes data from a variety of statistical and financial reports and develops recommendations, strategic plans, and action plans to improve identified financial deficits. This position will work closely with key payor and physician groups to develop long-term strategic relationships.
 

Primary Responsibilities:

  • Supervision of market personnel to include hiring, training, coaching, and development to maximize staff performance and technical expertise through clearly defined objectives and leadership
  • Participates in strategic and operational planning for the assigned market(s) and facilitates the execution of the plan within that assigned market
  • Identifies, directs, communicates, and executes continuous quality improvement activities or processes to ensure initiative outcomes are met
  • Participates in development and implementation of systems that support network operations and network management
  • Delegates, monitors, and controls work progress on key metrics, initiatives/action plans, staff productivity, and administrative expenses
  • Overall responsibility for the selection of additions to the primary care network, which includes creation of strategic plan, training of the staff to carry out the strategic plan, negotiation of the contract, as well as overall implementation of new primary care provider groups
  • Maintains effective network support services by working effectively with the Medical Director, Market Medical Director, and other departments
  • Handles complex and/or difficult provider inquires and/or problems and facilitates resolution of provider issues; Continuously strives to ensure that favorable relationships are maintained while ensuring the interest of the organization
  • Drives change and innovation through continually seeking and implementing value added solutions for clients
  • Communicates and advocates for providers' needs to internal stakeholders in order to drive creation of solutions that meet our mutual business goals
  • Leads multiple individual client-focused projects and motivates cross-functional participants to improve or address systematic problems or providing value to client
  • Influences or provides input to forecasting and planning activities
  • Analyzes data while collaborating and/or participating in discussions with colleagues and business partners to identify potential root cause of issues
  • Provides cross functional leadership across the enterprise by maintaining open communication, identifying, resolving cross functional issues, attain metric targets by collaboratively creating, maintaining, implementing, and evaluating business strategic plans for each area, continually improving cross functional policies/procedures/workflows and support systems and proactively facilitates staff development to achieve the goals and objectives of the market
  • Assists with and manages business projections, forecasting, and budgets, both financially and with timelines, for assigned projects
  • Understands payer relationships within market and ensures any operational issues are visible to the appropriate parties and ensures issue resolution
  • Performs all other related duties as assigned

Required Qualifications:
  • Bachelor’s degree in Business Administration, Marketing, Healthcare Administration, or a related field (8 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor’s degree)
  • 5 years of managed care experience with an emphasis on network management, operations, financial analysis, and employee supervision
  • Provider contract negotiations and provider relations experience
  • At least 4 years of formal management/supervisory experience (i.e. employee selection, training, coaching, and development, as well as process management)
  • Strong working knowledge of Medicare health care operations, including HEDIS, HCC/RA Coding, and Medicare Advantage
  • Knowledge of state and federal laws relating to Medicare
  • Ability and willingness to travel up to 50%, locally in the market, as determined by business need
  • Proficiency with MS Outlook, Word, Excel

Preferred Qualifications:

  • Master’s degree in Business Administration, Marketing, Healthcare Administration, or a related field
  • Experience working for a large matrixed organization
  • Salesforce experience

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 240,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity 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: regional manager, provider relations, supervisor, contracting, Tampa, FL, Florida

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