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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:

Senior Leadership Team

Country:

United States

Postal Code:

55401

Approximate Salary:

Not Specified

Position Type:

Full Time

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UnitedHealth Networks Line of Business Leader - Medicare & Retirement - Multiple Locations

UHG - Minneapolis, Minnesota

Posted: 10/12/2018

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)


The Vice President, Network Strategy, Medicare & Retirement, is responsible for the development of the Medicare & Retirement Strategy nationally and the plan for leveragable implementation across all of UHN within the framework of our enterprise Total Cost of Care approach. Pricing, network architecture and competitive position strategies all are evaluated and integrated into the strategic plan. This involves strong collaboration, influence and prioritization with the UHN Medicare & Retirement CEOs and their executive leadership team.   This role acts as an extension of these Executive Leadership Teams (UHN and Govt LOB) and sets the strategy and facilitates execution  between the needs of the business and the regional and field based UnitedHealth Networks resources and teams.  

 

This position works closely with the five UHN regional presidents to ensure optimal strategy to achieve the goals of Medicare & Retirement and UHN’s business plans and priorities. These include measurement and optimization of payment incentive strategies, interpretation of Government RFPs and rules, and the facilitation of national, regional and local strategies deployed through the regional UHN teams.

This position drives the strategic plan at the level that impacts UnitedHealth Care Medicare & Retirement Programs, at the segment level. This position will lead a team of direct and indirect reports.

 

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities:

  • Develop the Medicare & Retirement strategic plans to ensure business plan deliverables are outlined in the areas of network architecture and VBC, including ACO measurement and performance,  of which global capitation and shared savings/risk incentive programs are a priority strategy

  • Implement strategy by driving strong and trusted partnerships within every region and government LOB

  • Ensure that the strategies for network configuration and the evaluation of market sustainability create competitive positioning in the markets for Medicare & Retirement

  • UHN LOB leader engages with LOB CEO in  all aspects of their business, and own and drive all strategy and implementation with ‘provider’ including Optum services (Behavioral, OptumCare, Clinical, Ops

  • Establishes execution timeline for all approved plans, and tracks accountable execution at the market, regional and national level; provides direction to cross functional teams for ongoing evaluation of the strategic plan to ensure any course corrections are implemented as necessary to stay on track with the business plan

  • Ultimately responsible for execution done at the regional and local level through collaboration, prioritization and influence

  • Actively survey business objectives and how to achieve those through the network asset.  This may include making ‘policy’ decisions on behalf of the line of business that may or may not be a priority for the regions or market, but have material impact on the business results of the LOB.  This is key decisions that require a broad view of the overall impact to the network.  (i.e. remediation of out of date contract language, rates, network sculpting etc.)

  • Align closely with OptumCare in order to facilitate optimization of network performance and enterprise assets

  • Design a strategy to launch Provider Specific Plans in identified markets, executed by the local markets

  • Design components in the strategy to expand membership with Optum and strategic risk partners

  • Design and implement non-traditional provider programs and local innovations to create value

  • Build action into the strategy of managing each network to higher quality and lower cost, including but not limited to reducing claims spend with providers on fee schedules greater than Medicare/Medicaid through redirection, re-contracting or terminations

  • Collaborate and create policy through payment innovation that will innovate and optimize value.   Design execution plans and track progress through accountable regional and local market teams

  • Capitalize on UHN’s competitive intelligence to design a strategy that enables Medicare & Retirement and UHN to achieve sustainable competitive network focus on cost, access and performance

  • Coordinate and collaborate closely with enterprise shared services to optimize business results including Clinical, Product, Actuarial and Operations

  • Provide leadership and expertise to the Medicare & Retirement teams

  • Actively participate in  Medicare & Retirement and UHN senior leadership meetings

  • Provide executive level reporting on network strategy objectives

  • Closely engage with LOB executives in financial results and emerging remediation actions needed to meet and/or exceed business expectations

  • Position UHC as a market leader in payment reform strategy across all businesses. Work with UHN Regions, LOB Strategy, et al. to implement payment strategy recommendations for top quartile of in-scope markets

  • Proactive development of incentive models to improve quality and total cost of care

  • Develops and executes strategies for the Bundled Payment Team inclusive of the following:

    • Owning and managing the deployment of bundled payment programs

    • Driving the strategy on the program PMO structure, and ensuring internal alignment to optimize program deployment & performance 

    • Serve as Executive liaison to Sales, Healthcare Economics, Product, Clinical Services and other internal stakeholders to support and promote our Bundled Payment programs

    • Develop, communicate and execute a strategy of the distinctive value proposition underlying our VBC platform in an effort to drive maximum value from VBC programs


Required Qualifications:

  • BS / BA degree in business, health care administration or related field

  • 15+ years of progressively more responsible health care administration experience with strong preference for managed care experience and network contracting

  • 10+ years of experience in a leadership role

  • Highly developed and demonstrated strategic planning expertise

  • Demonstrated broad-scope financial expertise

  • Advanced analytic ability and demonstrated ability to build business case for initiatives

  • Ability to analyze data and develop the right conclusions in to support the development of the Medicare & Retirement and Community and State strategies

  • PC literacy and proficiency in spreadsheet and PowerPoint software

  • Excellent communication and presentation skills

  • Ability to interact with and gain support from senior leaders to drive critical decisions in support of initiatives

  • Strong Project Management skills

 

Preferred Qualifications:

  • MBA or MPH

  • Demonstrated strategic vision in the M&R space

  • Capitation/risk experience

 
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near- obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.



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: Vice President, Network Strategy, Medicare & Retirement, Minneapolis, MN, Indianapolis, IN, New York, NY, New York, Chicago, IL, Illinois, Cypress, CA, California, Hartford, CT, Connecticut, Dallas, TX, Texas, Nashville, TN, Tennessee, Atlanta, GA, Georgia, Louisville, KY, Kentucky, Telecommute, work from home

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