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Vice President Medicare Risk Field Operations - US Telecommute

Company name
UnitedHealth Group

Hopkins, MN

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Position Description There’s never been a time that was more right for people who want to lead. Health care is changing and evolving at a pace that few could have predicted. Technology, ideas and bold vision are taking companies like UnitedHealth Group to new levels of performance. This is the time and the opportunity that can bring your impact to a whole new level. We’re driving ever higher levels of provider engagement and performance on quality and risk programs. In this Vice President level role, you’ll use your expertise in provider risk programs and operational execution to help us build and evolve a field team and provider engagement model around risk adjustment. The individual will build relationships across markets with internal stakeholders, providers, and medical community partners to develop and optimize business opportunities and brand strength. The individual will interact and present to executive level management. They will serve as a risk adjustment subject matter expert and will assist with building and executing against national and local market strategies that will result in optimal effectiveness. This role will rely on a number of individuals outside their direct organization to deliver services in support of their markets. This includes central functions (e.g. Finance, Analytics and Administration) and Enterprise Services (e.g. Plan Management, Health Care Economics, Clinical, Billing and Enrollment, Claims, Member Services, and Network). You??ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:Development and execution of risk and quality provider strategies in partnership with national Medicare and Retirement team, local and regional Medicare and Retirement leadership, and other Optum and UnitedHealthcare parties as appropriate Day to day leadership of the overall field execution of Medical Condition Assessment Incentive Program Direct cross - functional and / or cross - segment teams to deliver on program business objectives Participation and leadership in provider meetings focused on risk adjustment and HEDIS Regular reporting and updates to senior leadership, including National leadership, Health Plan CEOs, and local market leadership Development of PowerPoint and data packages. Direct management of Field team - Approximately 4 Direct and 50 plus indirect reports Participation in health plan senior leadership team Required Qualifications:Bachelor’s degree 3 years of leadership experience with a proven track record of exemplary leadership in the managed health care industry 1 year direct input / involvement in business strategy planning and development 2 years of Risk Adjustment and / or HEDIS / Stars experience 2 years of operational and program implementation experience Advanced technical skills for Microsoft Word, Excel, PowerPoint, Outlook, Adobe and Access Proven record of strong analytic thinking capabilities Travel (50% ) Preferred Qualifications:2 years provider facing experience (preferably risk revenue or Stars related) Demonstrated success, with a deep understanding of Health Care delivery operations and compliance, health care financing and industry trends Strong negotiation skills; the ability to gain acceptance from others of a plan or idea and to achieve mutually beneficial outcomes Strategic thinking capabilities Quality Measurement and Medicare STARS rating program experience Strong knowledge of the Medicare market Strong relationship building skills with clinical and non - clinical personnel Strong problem - solving skills Current or previous coding credentialsCareers 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) *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Diversity creates a healthier atmosphere: 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: Managed Care, Healthcare, Medicare Stars, HEDIS, Risk Revenue, Risk Adjustment, medical coding, project management, Supervisor, Manager, Director, VP, Telecommute, Telecommuter, Telecommuting, Remote, Work from home, Minnesota, California, Texas, Arizona, New York

Company info

UnitedHealth Group
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Company Profile
About UnitedHealth Group UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term

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