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Director Clinical Operations, CCM - Lisle IL

UnitedHealth Group

Lisle, IL
Job Code:
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Job Details

745501 Director Clinical Operations CCM Lisle IL

Director Clinical Operations, CCM - Lisle IL (745501)

Position Description

The Director, Clinical Operations will primarily be accountable for providing leadership and oversight of the performance of managers and / or senior level professional staff. They will work to develop functional market level strategies, plans, productions and organizational priorities. The DCO identifies and resolves technical, operational and organizational problems outside of their direct team. This role will be integral in forming internal and external strategic relationships, which support program expansion and continued success. 



Primary Responsibilities:

  • Strategize, develop, and direct operations of the health services department to ensure provision of high quality, cost - effective medical services

  • Development and management of budget related medical care, P&L involvement

  • Directly lead, supervise, and develop the health services leadership team and maintain accountability for clinical team development and performance

  • Works with the site medical expense team to provide direction for actions to control targeted costs for inpatient and outpatient services

  • Ensure compliance with State and Federal regulations, as well as company policies and procedures

  • Conduct regular agenda driven meetings with staff to address issues, concerns, and to communicate corporate and site - specific philosophy

  • Oversee the integrity of the patient-data base system to ensure consistency in the data entry and integrity

  • Coordinate plans with the local and national quality committee to comply with CMS regulations and National accreditation agencies

  • Coordinate quality program and contractual requirements, maintaining compliance with regulatory and accreditation requirements

  • Strategize with the senior staff regarding program expansion, business development, new care models

  • Collaborate cross - functionally to meet goals and objectives and drive staff efforts in implementing activities to meet business goals

  • Develop and routinely update comprehensive medical management work plans / programs to ensure revenue accuracy

  • Focus on quality improvement, utilization and appropriately reduce medical costs while incorporating the skills of provider partners whenever possible

  • Strategize and evaluate methodologies for program adaptation and integration within partnering organizations

  • Conduct meetings with selected partners to promote program visibility, and support dynamic, results - oriented relationship with selected organizations, contracted facilities, or associated consortium or corporation

Required Qualifications:

  • 4 year RN degree and active, unrestricted license OR 2 year RN degree and active license along with Master’s or 4 year degree
  • 5+ years of leadership / management experience
  • 2+ years of experience working directly within organization that serves elderly population
  • Experience with Medicare, Medicaid or managed care in a variety of health care settings
  • Strong negotiation skills, budget management experience and regulatory knowledge

  • Leadership experience with effective team building and quality improvement programs

  • Demonstrated success working across functions and businesses to achieve business goals

  • Effective in motivating and mentoring staff and colleagues

  • Able to travel 30% daily within Chicago metro market; leadership meetings - 3 annually

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.


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 Details

  • Contest Number745501
  • Job TitleDirector Clinical Operations, CCM - Lisle IL
  • Job FamilyHealthcare Delivery
  • Business SegmentOptumCare

Job Location Information

  • Lisle, IL
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • 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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