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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:



United States

Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

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Behavioral Health Executive Director - TN

UHG - Nashville, Tennessee

Posted: 07/30/2018

Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm)
This is an executive level position responsible for the overall operating functions, including vision setting and direction for the Optum behavioral health (OBH) operation and contract management and the relationship with its customer, UnitedHealthcare Community and State (C&S). The Executive Director must coordinate with all functional areas of matrix partners, including quality management, care management, utilization management, network development and management, provider relations, member outreach and education, member services, contract compliance, claims and reporting. This position directly impacts financial performance and achievement of overall public sector goals. Responsible for all program planning functions and for meeting contracted reporting requirements and performance standards set by the customer. Develops functional, market level, and / or site strategy plans. Identifies and resolves technical, operational and organizational problems outside own team.
Primary Responsibilities:
  • Coordinate day to day operations to achieve goals and ensure smooth and efficient functioning of prior authorization and provider auditing to meet the requirements of the state and OBH
  • Interact closely with the state, Optum staff, providers, consumers, other stakeholders in the success of the Optum C&S regional operations
  • Ensure the timely completion of all contract deliverables
  • Guide Stakeholders and matrix partners in the effective delivery of services, meeting goals, and avoiding all contract penalties
  • Participate in all required Optum Health Behavioral Solutions Public Sector meetings
  • Ensure collaboration and coordination with other areas of UnitedHealthGroup
  • Assists in the formulation of action plans to remedy any findings from audits, utilization reports, provider or member concerns or in response to customer or legislative concerns
  • Provides a face to the client and the state as appropriate
  • Develops, reviews, and approves documents which provide information and program justification
  • Represents Optum and C&S in relevant organizations and meetings
  • Communicates with stakeholders through presentations, written materials and direct interactions
  • Reviews legislation to determine the implication for Optum C&S BH customers
  • Provides leadership and direction in the development of appropriate risk management strategies.  Works closely with the customer, other Optum and UnitedHealthGroup staff, providers and stakeholders to implement these strategies
  • Assist with forecasting revenue or savings opportunities associated with product development initiatives
  • Define and develop local market performance against contractual, clinical and fiscal targets
  • Influences innovation across teams to ensure aligned, cohesive progress across technology, marketing and service operations
  • Collect and deliver required clinical operations customer reporting as well as develop action plans to address performance issues
  • Identify and analyze local market trends, service gaps and the development of mitigation strategies aligned with our strategic priorities

Required Qualifications:
  • Bachelor’s Degree
  • 7+ years of  experience  implementing and operationalizing Medicaid contracts
  • 3+ years as a member of an executive leadership team
  • Experience working and communicating with different levels of leadership and State and elected officials
  • Experience working with State agencies, Medicaid, or payers and providers  
  • Demonstrated ability to achieve goals in a matrix environment
  • Demonstrated ability to work collaboratively and influence others
  • Effectively communicate at all levels of the organization
  • Demonstrated excellent verbal and written communication skills
  • Strong customer service orientation required
  • Thorough understanding of managed care principles, models, and financing with 2+ years’ experience working in a corporate managed healthcare environment
  • Demonstrated leadership effectiveness and project management experience
  • Strong data analysis and PC proficiency
  • Proficiency with all MS Office applications (min of 3 years’ experience)
  • Exceptional planning, organization, and monitoring skills
Preferred Qualifications:
  • Master’s degree (Advanced Clinical Degree or other Advanced Degree such as MBA)
  • Experience in a recovery - oriented delivery system
  • Administrative experience in a mental health delivery system and in administering a similar contract
  • Five years of experience working in a corporate managed health care environment or mental health organization strongly preferred.
  • Prior experience in public sector mental health or non-profit community mental health, with knowledge of Medicaid populations
  • Exceptional oral presentation skills
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company 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.

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