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 to start Caring. Connecting. Growing together.

This role receives direction operationally from the Associate Vice President of Clinic Operations and will work closely in collaboration with Primary Care physician leadership to improve quality, cost and patient service and the financial and operational performance of the organization. It will be the responsibility of this individual to ensure a positive and productive relationship with internal and external business partners as well as patients and providers.

 

Primary Responsibilities:

Serves as a Lean Leader- Ensuring clinic operational efficiencyMonitors division performance metrics; develops and implements action plans/corrective actions to address operational issues/concernsLeads the execution of various special projects/task forces/business improvement initiatives as requested by senior leadershipFormulates strategic and operational plans for assigned project(s)Project management: Partner with internal and external stakeholders to accomplish goals and distribute work appropriatelyEnsure internal and external stakeholders are informed of progress, deviation from project plans and risksSupports objectives, strategic improvements, detailed plans, and KPI'sServes as a leader or contributor to performance improvement initiatives; Responsible for successful implementation and achieving required metricsServes as a change champion for all organizational initiatives (Operational / Patient Experience)Ensures performance improvement goals are achieved and sustained processesGeneral oversight of day-to-day operationsServes as a subject matter expert for clinic operationsResponsible for establishing partnerships with internal / external stakeholders for successful operationsSets, recommends, and achieves project timelines, appropriately manages, and reports on projects supporting larger operational goalsLeverages tools and resources to effectively manage numerous large to small scale projects and successfully meets timelines, KPI's and expected outcomesEnsures patient care is of the highest quality and meets company standardsSupports division administrator in developing positive employee/clinician relationsAccountable for success of HEDIS, CAHPS, HOS measures within assigned regionResponsible for achieving divisional and market goals and census growthImplement plans and processes to maintain productivity and profitabilityIdentifies business trends that will affect the market, division, or clinicsEnsures excellent customer service and satisfaction while achieving organization-specific financial goalsSupports patient experience efforts, projects and is responsible for ensuring all C-I-CARE initiatives are implemented, adopted, and measuredResponsible for CAHPS / HOS / BURKE data and results evaluation, and action plan developmentRegularly reviews patient experience initiatives that support continued improvement of scoresIdentifies opportunities to improve patient experience and partners with division administrators to develop tactics to improve patient experienceEnsures financial success for assigned clinicsEnsure financial reporting is fully utilized within each assigned clinicSupports annual budget development, volume forecasting and capital needs within assigned division/regionRegularly reviews financial reporting, identifies opportunities for improvement and works with clinic leaders and AVP on improving financial outcomesManagement and oversight of revenue cycle for assigned region/division of clinics- specifically managing clinic influenced issues such as denials, eligibility, co-pay, etc.Partners with ancillary departments (billing/coding) to identify opportunities for improvementProvides leadership for Division Administrator, Operations Managers and/or SupervisorsSupports division leadership team to ensure clinics achieve goals outlined for operational successSupports the recruitment, retention, and promotion of outstanding staffResponsible for developing and growing leaders within the assigned division ensuring turnover remains below identified thresholdSupports practice leaders in meeting / exceeding their professional and operational goalsEnsures best practices are followed and resolves incidents where the clinic is out of complianceFacilitates and maintains organization culture and valuesAccountable for:Performance managementYear-in-Review (Annually)Talent acquisition/ turnover managementVOICE survey results, action plans and ensuring success with creating a positive work environmentEnsure leader/team member rounding is completed each month and included in monthly reportingCreate regular 1:1 meetings with practice leaders to remain connected to clinic operationsProvides training courses, articles, and other materials to support practice leader growthSupports teams with achieving/meeting goals and timelinesSupports and influences the development of MAP goals; ensuring the goals support the continued growth and development of assigned clinicsEnsures the team achieves the approved MAP Goals and works to implement best practices for overarching goal successSupports the development of 90-day plans each quarter to ensure practice leaders meet goalsPartner with multiple departments to provide staff with Education, Trainings, and resources that promote better understanding, improved skills, and growthEnsure 100% Compliance with all required MyLearning training as well as all Health and Safety required training and complianceParticipate in physician and APC panel interviews with AVP and appropriate dyad clinician partnerFacilitate clinician candidate site tours for clinics in their divisionPartner with recruitment, clinician leaders, and clinic manager or supervisor for successful onboarding of new cliniciansResponsible for monthly divisional reporting & presentation related to performanceReviews and interprets financial reporting and dashboards to optimize clinic/regional operationsLeverages monthly reporting guidelines to report on culture, finance, business/strategic and quality metrics to enhance and optimize operationsDevelopment of "action plans" for operational areas requiring improvement (CAHPS, Voice Survey, Financial, Access, etc.)Ensuring organization best practice workflows and procedures are implemented and fully adopted. This includes developing and managing an audit process to ensure sustained complianceRegularly reviews and reports on observations, areas requiring improvement and actions to ensure 100% alignment with best practicesSupports the development of best practices, ongoing training and ensuring assigned clinics (region) embraces a value-based care organization

 

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Bachelor's degree in Health Care Management or related field; and/or equivalent and relevant experience in lieu of degree (10+ years of experience in lieu of degree)5+ years of experience in medical practice management, health plan operations or Medical Management in management positions with successive promotions5+ years of thorough knowledge of capitation, physician recruitment, contracting managed healthcare systems, medical quality assurance, quality improvement and risk managementKnowledge of (or ability to learn and apply to job function) state and federal laws, regulations, and compliance issues applicable to operating unitsKnowledge of ICD-10 / CPT / HCPCS and medical terminologySound knowledge of financial and accounting conceptsWell-developed knowledge of managed care principles and customer service best practicesProficient in Microsoft Office, Excel, OneNote, and PowerpointAbility to travel among multiple assigned Primary Care Clinics

 

Preferred Qualifications:

Master's degree in Health Care Management or related fieldProven bilingual Spanish/EnglishProven analytical skills using SQLDemonstrate ability to lead groups successfully coupled with sound interpersonal, excellent oral and communication skills

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

 

 

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.