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Executive Director - IPA - Rancho Cucamonga, CA

UnitedHealth Group


Location:
RANCHO CUCA, CA
Date:
03/24/2017
Job Code:
1727268
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Job Details


Executive Director - IPA - Rancho Cucamonga, CA(Job Number:705237)
Description

** Responsible for leading one of the largest and most complex Independent Practice Associations (IPA) in the NAMM network located in Rancho Cucamonga, CA.

 

Manage, supervise, and direct activities to facilitate financial performance of the provider network. Including develop / implement budgets and market planning, registration of health plan and provider contracts, computation and distribution of monthly capitation payments, adjudication and payment of fee-for-service claims, processing fee-for-service referrals and hospital pre-certification requests. Provide support to Utilization Management / Quality Assurance process; provide management information to group providers. Direct supervision of network development (contracting and credentialing), health education, provider relations, and support of participating physician and ancillary providers.

 

 

Primary Responsibilities:

  • Leadership role in implementing ideas and guiding staff members toward accomplishment of designated tasks and assurance of quality improvement

  • Employee supervision via formal and informal meetings, including performance reviews, assistance with problems on projects. Guide, motivate, coach and train employees

  • Foster interpersonal relationships, showing empathy and understanding towards staff, protecting individual self-esteem. Understand own impact on others; interact effectively with peers, subordinates, and supervisors

  • Monitor and control work progress. Control allocation and monitor progress of projects, productivity, finances, and materials

  • Delegate work to subordinates, including sharing new information, explaining objectives, clarifying responsibility and authority, and establishing deadlines

  • Plan and organize priorities. Establish work objectives, develop procedure or course of action to achieve goal

  • Responsibility for provider and plan member satisfaction

  • Develop and maintain annual financial and operational performance objectives

  • Develop and maintain a budget process

  • Oversee and participate in hospital and large ancillary vendor contract negotiations

  • Work with financial analytics and medical management team to identify opportunities to improve quality, care coordination and cost efficiency, which would include implementation of new payer products, reimbursement models, and advanced care and quality improvement programs


Job General Operations Management
Primary Location US-CA-RANCHO CUCA
Other Location 
Organization NAMM California
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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