National Vice President Clinical Ops, Post

UnitedHealth Group

Experience
Responsibilities
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Position Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

 


As we expand the Post Acute Care Program (PAC) within Care Services, this clinical leadership position will work closely with the product leader to develop and launch an end to end comprehensive post - acute model, with the goal of selling the program externally in 1-1-2019.  This model will support the member from hospital to home, managing all levels of care.  This leader would also work cross functionally to develop and launch the expansion of the Transitions to Skilled (TTS) program (the current Optum clinical program to manage members during their rehabilitation stay) into new skilled facilities across our 22 markets nationally. The position will collaborate across internal channels (M&R and UCS) as well as with external partners to enhance current services and provide better coordination for members. This position will also lead the current TTS / PAC clinical team, with the potential for 4-6 direct reports as well as indirect reports.  This role will report to the Senior VP of Care Services

 

 

Primary Responsibilities:

  • Strategize, develop, and direct operations of the post - acute program, in collaboration with the clinical and product teams,  to ensure provision of high quality, cost - effective medical services in the post - acute setting
  • Directly lead, supervise, and develop the post - acute clinical team
  • Ensure compliance with State and Federal regulations, as well as company policies and procedures
  • Strategize with the senior leadership team regarding program expansion, business development, new care models and establishing appropriate clinical and business targets
  • Ensure high quality focus embedded into clinical model for PAC includes Stars and accurate coding and documentation
  • Development of clinical staffing models based on enhanced and / or newly developed clinical model(s)
  • Holds responsibility, along with Product Leader, for developing and driving ROI, IOI and affordability
  • Collaborates with finance team
  • Strategize and evaluate methodologies for program adaptation and integration within partnering organizations - support growth with internal and external partners
  • Interfaces with internal and external partners to sell and support the PAC program, serves as clinical liaison to promote program visibility, and support dynamic, results - oriented relationship with internal and external customers
  • 50% travel nationally - program assessment, evaluation, education, and promoting initiatives

Required Qualifications:

  • 4 year degree, Advanced preferred

  • RN or NP with active, unrestricted license

  • 7+ years of clinical experience

  • 5+ years leadership experience

  • 5 years of experience working in post - acute setting and / or developing / supporting a post - acute clinical program

  • 2-3 years of Utilization Management experience

  • 2+ years hands - on experience with HEDIS, Stars, quality initiatives

  • 5 years working across multiple disciplines, departments and levels of leadership

  • Proficient with Microsoft Word, Excel, Outlook, PowerPoint

  • Ability to travel up to 50% nationally

  • Experience successfully driving to metrics

  • Experience developing and implementing policies, procedures

  • Proven track record of strong performance management and developing teams

  • Ability to manage multiple complex, concurrent projects

  • Excellent written and verbal communication and relationship building skills

  • Planning and organizational skills to demonstrate leadership and initiative

  • Ability to work independently, as well as a member of a team

  • Strong interpersonal skills

4 year degree, Advanced preferred

RN or NP with active, unrestricted license

7+ years of clinical experience

5+ years leadership experience

5 years of experience working in post - acute setting and / or developing / supporting a post - acute clinical program

2-3 years of Utilization Management experience

2+ years hands - on experience with HEDIS, Stars, quality initiatives

5 years working across multiple disciplines, departments and levels of leadership

Proficient with Microsoft Word, Excel, Outlook, PowerPoint

Ability to travel up to 50% nationally

Experience successfully driving to metrics

Experience developing and implementing policies, procedures

Proven track record of strong performance management and developing teams

Ability to manage multiple complex, concurrent projects

Excellent written and verbal communication and relationship building skills

Planning and organizational skills to demonstrate leadership and initiative

Ability to work independently, as well as a member of a team

Strong interpersonal skills


UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

 

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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Confirmed 20 hours ago. Posted 30+ days ago.

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