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COO Massachusetts LTSS - Boston, MA

UnitedHealth Group


Location:
Boston, MA
Date:
04/19/2018
2018-04-192018-05-18
Job Code:
761402
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Job Details

761402 CEO Massachusetts LTSS Boston MA

COO Massachusetts LTSS - Boston, MA (761402)

Position Description

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)

 

MA LTSS (Long Term Services and Support) provide services such as home health care services, adult day health and durable medical equipment for individuals with physical, intellectual or developmental disabilities, or who need support with activities of daily living. We are serving as the state’s Third Party Administrator (TPA), providing clinical, administrative, operations and systems support for a program with $3.5 billion in annual spend. This position will be responsible for providing oversight on daily operations of MA LTSS, resolving escalated issues and meeting / exceeding performance metrics defined in the TPA contract.

Our program services include:

  • Credential, enroll and train providers
  • Perform prior authorization and utilization management as directed by MassHealth
  • Conduct analyses on utilization and quality patterns
  • Support providers’ claim inquiries
  • Strengthen program integrity

Primary Responsibilities:

  • Provide program leadership
  • Overall project management of large complex projects, responsible for managing / leading all activities including strategy, overall solution, execution, schedule, financials, risks / issues / escalation, and contract management
  • Monitors spending for adherence to budget, develop and implement solutions to achieve financial and performance objectives
  • Communicates program goals, requirements, and processes to teams to drive continuous program improvement and compliance with the terms of the contracts
  • Leverages strong Operations, Quality Assurance, Analytics / Informatics, Prior Authorization and Utilization Management, Program Integrity, and IT / Systems experience

Requires Qualifications:

  • 10 or more years of Medicaid health plan operations experience
  • Medicaid Long-Term Services and Supports experience, preferably with Home and Community Based Services
  • 10 or more years of management experience
  • P&L experience (Minimum of $50M)
  • Proficiency with MS Word, Excel, Visio and PowerPoint
  • Based in Boston, MA

Preferred Qualifications:

  • MD or RN clinical experience


 

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

 

 

 

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.   

    

  

Job Keywords: CEO Massachusetts LTSS - Boston, MA

Job Details

  • Contest Number761402
  • Job TitleCOO Massachusetts LTSS - Boston, MA
  • Job FamilyBusiness Operations
  • Business SegmentOptumInsight

Job Location Information

  • Boston, MA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelExecutive
  • 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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