Medicare & Retirement Executive Director - Pittsburgh, PA or Telecommute within Pennsylvania
February 7, 2018
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) The Medicare & Retirement Executive Director is accountable for all aspects of the P&L within a given market, with primary responsibility for defining, leading and driving local initiatives to achieve Star, Coding, Growth, Retention and Affordability goals. Sets strategy and prioritization with national shared service partners specific to the local market and ensures cross-organizational alignment. Is the face of M&R in his/her market. Establishes and maintains clear leadership credibility and partnership with our external provider and broker partners. Recruits, retains and nurtures top talent. Promotes Our United Culture. Drives innovation. Is externally focused and facing. You'll enjoy the flexibility to telecommute* from anywhere within Pennsylvania as you take on some tough challenges. Primary Responsibilities:Defines and owns execution of the Provider Engagement strategy; establishes strong, collaborative relationships with providers in support of all Quality, NPS and Affordability goals; works collaboratively with Optum, UHN and UCS partners.Defines and owns execution of the Growth and Retention strategy in partnership with Distribution; is the face of the market to external channels.Defines and owns execution of the Stars strategy inclusive of HEDIS, Part D and CAHPS to achieve 80% of members in 4+ star plans. Responsible for working cross-organizationally with local health plan team, Network, Market Medical Director and Optum to increase suspect closure, recapture, and prevalence improvement inclusive of increasing HouseCalls completion rates and reducing refusal rates.Responsible for achieving market-level NPS goals.Responsible for identifying and executing against Affordability opportunities aligned with market goals.Actively collaborates with all Medicare & Retirement national functions (Product, Sales, Marketing, Member Experience, Finance), UnitedHealthcare shared services functions (Network, Clinical, Quality, Operations) and Optum (Local Care Delivery, HouseCalls, Complex Population Management) functions to leverage local market knowledge and establish and drive plans across all levers of the P&L.
Required Qualifications:Bachelor's degree 7+ years of experience in a large, complex and successful health care / managed care organization with demonstrated track record of increasing responsibility and accountabilityIn-depth experience with health care providers / networks, CMS Star ratings, HEDIS measures, Part D and clinical qualityDemonstrated strong financial acumen and analytical skillsStrong written and verbal communication skills, including well-developed interpersonal skills used to influence the behavior of others across a highly-matrixed organizationDemonstrated success building relationships with external executives and stakeholdersTrack record of meeting business goals via driving disciplined, fact-based decisions and executing with discipline and urgencyPreferred Qualifications:Master's degreeBachelors degree with a major in business, marketing, economics, health or public policyExperience in a Medicare Advantage or other government-funded healthcare businessCareers at UnitedHealthcare Medicare & Retirement.The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time 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: 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.
Internal Number: 750581
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.