Introduction to UnitedHealthcare
At UnitedHealthcare, we are dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances. As a leader in the healthcare industry, we are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
About the Role
We are seeking an experienced and innovative leader to fill the role of Executive Director, Clinical Transformation and Delivery. This is a remote opportunity that offers the flexibility to work from home while making a positive impact on the lives of millions of people. As the Executive Director, you will provide strategic leadership, direction, and oversight of all clinical programs for Medicaid and DSNP membership served by the Tennessee Community and State Health Plan. You will be responsible for designing, implementing, and delivering various care programs that make a positive impact on the lives of Tennesseans.
Key Responsibilities
As the Executive Director, Clinical Transformation and Delivery, your primary responsibilities will include:
- Providing strategic leadership and direction for the design, deployment, implementation, and management of integrated clinical programs that optimize clinical and health outcomes for Tennessee Medicaid recipients
- Developing and implementing innovative clinical strategies and programs for Medicaid and/or Medicare populations
- Collaborating with external and internal business partners, including the Bureau of TennCare, UHC-Clinical Services, Appeals and Grievance, Quality, Provider Network, Optum case and disease management, and other clinical specialty vendors and stakeholders
- Ensuring achievement of state quality initiatives, HEDIS measures, and compliance with relevant requirements of the state's annual Performance Review(S) conducted by the External Quality Review Organization (EQRO), state or other oversight body, and meeting NCQA requirements
- Working collaboratively with the Plan's Executive Leadership Team (ELT) to develop, implement, and execute the Healthcare Affordability Plan, monitor outcomes of the planned initiatives, and adjust the Plan as needed to meet targets
- Leading health plan clinical teams, including Population Health, Quality (NCQA Accredited) Case Management, Community Outreach, SDOH, Value-Based Provider Engagement staff, to execute against strategic, tactical, and operational goals as defined by State, local, and corporate leadership
- Guiding, developing, and training leadership staff at various levels in their leadership skills
- Representing UnitedHealthcare and serving as a Thought Leader via "Outside of the Box" thinking when collaborating with State customers on member/provider engagement and improved health outcome initiatives
Essential Qualifications
To be successful in this role, you will need:
- 7+ years of healthcare management experience in a business, managed care, or payer health plan setting
- 5+ years of demonstrated progressive career accomplishments as a seasoned leader
- 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, with a willingness 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
Preferred Qualifications
While not required, the following qualifications are preferred:
- Experience working in a remote or virtual environment
- Knowledge of healthcare technology and innovation trends
- Experience with data analysis and interpretation
- Strong communication and presentation skills
- Ability to work in a fast-paced environment and prioritize multiple tasks and projects
Skills and Competencies
To be successful in this role, you will need to possess the following skills and competencies:
- Strong leadership and management skills, with the ability to motivate and inspire teams
- Excellent communication and interpersonal skills, with the ability to build strong relationships with internal and external stakeholders
- Strong strategic thinking and problem-solving skills, with the ability to analyze complex data and develop innovative solutions
- Ability to work in a fast-paced environment and prioritize multiple tasks and projects
- Strong attention to detail and ability to maintain confidentiality
Career Growth Opportunities
At UnitedHealthcare, we are committed to helping our employees grow and develop in their careers. As an Executive Director, Clinical Transformation and Delivery, you will have the opportunity to:
- Develop and implement innovative clinical strategies and programs that make a positive impact on the lives of millions of people
- Collaborate with external and internal business partners to drive business results and improve health outcomes
- Lead and develop high-performing teams, with the opportunity to mentor and coach employees at various levels
- Participate in leadership development programs and training opportunities to enhance your skills and knowledge
Work Environment and Company Culture
At UnitedHealthcare, we are committed to creating a positive and inclusive work environment that values diversity and promotes equity. Our company culture is built on the following principles:
- Respect and empathy for all employees, customers, and stakeholders
- A commitment to diversity, equity, and inclusion, with a focus on addressing health disparities and improving health outcomes for underserved populations
- A culture of innovation and continuous learning, with opportunities for professional development and growth
- A focus on teamwork and collaboration, with a emphasis on building strong relationships with internal and external stakeholders
Compensation, Perks, and Benefits
As an Executive Director, Clinical Transformation and Delivery, you will be eligible for a competitive salary range of $150,200 to $288,500 annually, based on full-time employment. You will also be eligible for a comprehensive benefits package, including:
- Medical, dental, and vision insurance
- 401(k) retirement savings plan with company match
- Stock purchase plan
- Flexible spending accounts for healthcare and childcare expenses
- Paid time off and holidays
- Employee assistance program
Conclusion
If you are a motivated and innovative leader who is passionate about making a positive impact on the lives of millions of people, we encourage you to apply for the Executive Director, Clinical Transformation and Delivery role. This is a unique opportunity to join a team of dedicated professionals who are committed to improving the healthcare system and making a difference in the lives of others. Apply today to take the first step in your journey with UnitedHealthcare!
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