**Health Plan Chief Operating Officer Job in Minnetonka, Minnesota US
We are looking for a talented Chief Operating Officer that reports directly to the CEO of the health plan. An exciting and challenging role with responsibilities to develop and set strategic direction, provide tactical execution, leverage and integrate processes within a highly matrix structure. Involvement with all aspects of Health Plan Operations (Enrollment, member and provider support, Provider Relations, Quality and Regulatory Compliance) requires strong in depth knowledge and experience in Medicaid/Medicare, complemented with strong financial acumen and excellent leadership abilities.
Responsibilities:
- Translate business vision and strategy into operational tactics building organizational support and infrastructure needed to achieve this end.
- Set strategies, goals, programs, best practices and compliance improvement projects for each product line improving operational execution and delivering on our value proposition to customers and members
- Establish member growth programs and manage campaigns to achieve top line revenue targets including revenue maximization activities such as risk score improvements
- Develop and oversee marketing and member outreach activities
- Achieve Operational Excellence with our internal and outsourced processes
- Ensure regulator and vendor contractual compliance requirements including correspondence management and regulatory reporting
- Achieve all regulator established and internal operating metrics
- Achieve member and provider satisfaction goals and improvement programs.
- Oversee the development and implementation of all health plan policies and procedures
- Manage network strategy, adequacy, access and service
- Improve internal and inter-segment operational efficiencies
- Provide senior level guidance and support in the development and management of customer relationships.
- Assess operating business risks/opportunities and identify strategies to mitigate/capitalize as appropriate.
- Direct due diligence and integration of new business.
- Achieve employee engagement and satisfaction scores for the health plan
- Achieve financial profitability targets for the health plan
- Bachelor's Degree in Business and/or Health Administration (MBA preferred)
- 5 + years experience of solid Medicaid/Medicare experience
- 10 + years experience in a senior leadership capacity within a health plan or related field
- 10 + years experience leading and managing direct reports
- Strong financial acumen with solid understanding of how business operations affect PL and/or experience creating and managing a budget
- Effective communication and presentation skills to address associates, internal Executive and Government regulatory bodies
- Willingness to take calculated risks
- Leads inspirationally, nurtures commitment to a common vision and shared values
- Anticipates and pushes change through the organization, equipping staff to adapt quickly
- Establishes aggressive goals and delivers results.
- Facilitates holistic thinking/problem solving and integrates efforts/results
- Structures business disciplines to facilitate quick and data based decisions and ensure accountability for execution. Evaluate outcomes based on qualitative and quantitative measures and adjusts accordingly.
- Maximizes customer linkages and leverage resources, collaboration and efficiency
- Aligns people and resources with our strategic priorities
- Communicates in a manner that fosters understanding, commitment and results
UnitedHealthcare Community State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community State.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.