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Associate Director, Market Operations - Tampa, FL

UnitedHealth Group


Location:
Tampa, FL
Date:
01/16/2018
2018-01-162018-02-14
Job Code:
746086
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Job Details

746086 Associate Director Market Operations Tampa FL

Associate Director, Market Operations - Tampa, FL (746086)

Position Description

It’s a big step forward when you realize that you’ve earned the trust to lead a team. Now, let’s determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you’ll be part of a team that’s reshaping how health care works for millions. We’re driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here’s where you come in. You’ll use your strong customer service and leadership skills to ensure quality of interactions and performance of providers in our networks. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 6 leader.

 

Primary Responsibilities:

  • Responsible for supervision of market personnel to include hiring, training, coaching and development to maximize staff performance and technical expertise through clearly defined objectives and leadership

  • Participates in strategic and operational planning for the assigned market(s) and facilitates the execution of the plan within that assigned market

  • Identifies, directs, communicates and executes continuous quality improvement activities or processes to ensure initiative outcomes are met

  • Participates in development and implementation of systems that support network operations and network management

  • Delegate, monitor and control work progress on key metrics, initiatives/action plans, staff productivity and administrative expenses

  • Overall responsibility for the selection of additions to the primary care network. This includes creation of strategic plan, training of the staff to carry out the strategic plan, negotiation of the contract as well as overall implementation of new primary care provider groups

  • Maintains effective network support services by working effectively with the Medical Director, Market Medical Director and other departments

  • Handles complex and/or difficult provider inquires and/or problems and facilitates resolution of provider issues. Continuously strive to ensure that favorable relationships are maintained while ensuring the interest of the organization

  • Drives change and innovation through continually seeking and implementing value added solutions for clients

  • Communicate and advocate providers' needs to internal stakeholders in order to drive creation of solutions that meet our mutual business goals

  • Leads multiple individual client-focused projects and motivates cross-functional participants to improve or address systematic problems or providing value to client

  • Influence or provide input to forecasting and planning activities

  • Analyzes data while collaborating and/or participating in discussions with colleagues and business partners to identify potential root cause of issues

  • Provide cross functional leadership across the enterprise by maintaining open communication, identifying, resolving cross functional issues, attain metric targets by collaboratively creating, maintaining, implementing and evaluating business strategic plans for each area, continually improving cross functional policies / procedures / work flows and support systems and proactively facilitates staff development to achieve the goals and objectives of the market

  • Assists with and manages business projections, forecasting and budgets, both financially and with timelines, for assigned projects

  • Understands payer relationships within market and ensures any operational issues are visible to the appropriate parties and ensures issue resolution

  • Performs all other related duties as assigned

 

 

Required Qualifications:

  • Bachelor’s degree in Business Administration, Marketing, Healthcare Administration or a related field (8+ years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor’s degree)

  • 5+ years of managed care experience with an emphasis on network management, operations, financial analysis and employee supervision, provider contract negotiations and provider relations experience

  • 4+ years of management/supervisory experience (i.e. employee selection, training, coaching and development as well as process management)

  • Ability and willingness to travel, both locally and non-locally, as determined by business need

Preferred Qualifications: 

  • Master’s degree in Business Administration, Marketing, Healthcare Administration or a related field

  • Working knowledge of Medicare health care operations including HEDIS, HCC Coding and Medicare Advantage

  • Knowledge of state and federal laws relating to Medicare

The health system is moving ahead. You can too as you help us build new levels of provider network performance. Join us. Learn more about how you can start doing your life’s best work.SM

 

Job Keywords: Associate Director Market Operations, managed care, network management, operations, financial analysis, provider relations, HEDIS, HCC Coding, Medicare, Tampa, FL

 

Job Details

  • Contest Number746086
  • Job TitleAssociate Director, Market Operations - Tampa, FL
  • Job FamilyNetwork Management
  • Business SegmentOptumCare

Job Location Information

  • Tampa, FL
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelManager
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

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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