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Associate Director, Clinical Operations- FL

UnitedHealth Group

Doral, FL
Job Code:
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Job Details

Associate Director, Clinical Operations- FL(Job Number:726517)

This leadership position is responsible for the overall operating functions, including vision setting and direction for the behavioral health operation and contract management and the relationship with Prestige. This position will provide oversight of all key clinical functions and administer and deploy business processes and technology enabled solutions to deliver benefit to providers and members in the Prestige service area and is accountable for the performance and direction through multiple layers of management and senior level professional staff


Primary Responsibilities:

  • Coordinates day - to - day BH operations to achieve goals and ensures smooth and efficient functioning to meet the requirements of the Prestige contracts

  • Interacts closely with Prestige, the state of Florida providers and other stakeholders in the success of the BH program

  • Guides directors, managers and supervisors in the effective delivery of services, meeting goals and avoiding all contract penalties

  • Oversees the clinical and administrative supervision of Medical / Behavioral Integration staff

  • Participates in all required meetings

  • Ensures collaboration and coordination with all stakeholders.

  • Oversees hiring, promotions and disciplinary actions to assure adherence to human capital policies

  • Formulates action plans to remedy any findings from the provider audits, utilization reports, provider concerns or in response to Prestige concerns

  • Demonstrates an effective, adaptive leadership style that promotes innovation and accountability and establishes work priorities; delegates pertinent activities

  • Develops reviews and approves documents which provide information and program justification

  • Represents Optum in relevant organizations and meetings

  • Provides leadership and direction in the development of appropriate risk management strategies

  • Works closely with Prestige, providers and stakeholders to implement these strategies

  • This position will sit 30% in Palm Beach Gardens and 70% in Doral



Job Med & Clin Ops-General Mgmt
Primary Location US-FL-Doral
Other Location US-FL-Palm Beach Gardens
Organization Optum Ops-PHM Medicare
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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.

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