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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:




Approximate Salary:

Not Specified

Position Type:

Full Time

Director, Clinical Operations CCM - MN

UHG - Eden Prairie, Minnesota

Posted: 11/12/2018

The Director, Clinical Operations will primarily be accountable for providing leadership and oversight of the performance of managers and / or senior level professional staff. They will work to develop functional market level strategies, plans, productions and organizational priorities. The DCO identifies and resolves technical, operational and organizational problems outside of their direct team. This role will be integral in forming internal and external strategic relationships, which support program expansion and continued success. 


Primary Responsibilities:

  • Strategize, develop, and direct operations of the health services department to ensure provision of high quality, cost-effective medical services

  • Development and management of budget related medical care, P&L involvement

  • Directly lead, supervise, and develop the health services leadership team and maintain accountability for clinical team development and performance

  • Works with the site medical expense team to provide direction for actions to control targeted costs for inpatient and outpatient services

  • Ensure compliance with State and Federal regulations, as well as company policies and procedures

  • Conduct regular agenda driven meetings with staff to address issues, concerns, and to communicate corporate and site-specific philosophy

  • Oversee the integrity of the patient-data base system to ensure consistency in the data entry and integrity

  • Coordinate plans with the local and national quality committee to comply with CMS regulations and National accreditation agencies

  • Coordinate quality program and contractual requirements, maintaining compliance with regulatory and accreditation requirements

  • Strategize with the senior staff regarding program expansion, business development, new care models

  • Collaborate cross-functionally to meet goals and objectives and drive staff efforts in implementing activities to meet business goals

  • Develop and routinely update comprehensive medical management work plans / programs to ensure revenue accuracy

  • Focus on quality improvement, utilization and appropriately reduce medical costs while incorporating the skills of provider partners whenever possible

  • Strategize and evaluate methodologies for program adaptation and integration within partnering organizations

  • Conduct meetings with selected partners to promote program visibility, and support dynamic, results-oriented relationship with selected organizations, contracted facilities, or associated consortium or corporation.

Required Qualifications:

  • 4 year degree required, Advanced degree preferred

  • Active, unrestricted RN or Advanced Practice clinician license in state of MN

  • 5+ years of leadership / management experience

  • 2+ years of experience working directly within organization that serves elderly population

  • Proven business relationship building skills

  • Experience with Medicare, Medicaid or managed care in a variety of health care settings

  • Strong negotiation skills, budget management experience and regulatory knowledge

  • Leadership experience with effective team building and quality improvement programs

  • Demonstrated success working across functions and businesses to achieve business goals

  • Effective motivating and mentoring staff and colleagues

  • Able to travel 50-75% weekly within Minneapolis / St. Paul metro market and national leadership meetings 3x annually



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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