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Executive Director Medicare & Retirement - Syracuse or Albany, NY

UnitedHealth Group


Location:
Syracuse, NY
Date:
03/24/2017
Job Code:
1675867
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Job Details


Executive Director Medicare & Retirement - Syracuse or Albany, NY(Job Number:679946)
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)


We have made a promise to the seniors we serve that we will support more effective care with networks focused on quality outcomes, a patient - centered clinical model and more members in high - quality rated plans - all delivered at the lowest medical costs and meeting and exceeding the expectations of CMS. The Executive Director is accountable for defining, leading and coordinating all local initiatives in assigned markets for improvement of CMS Star ratings, quality, coding accuracy and medical cost.

 

Primary Responsibilities:

  • Actively coordinate with all Medicare & Retirement national functions (Product, Sales, Marketing, Member Experience, Finance), UnitedHealthcare shared services functions (Network, Clinical, Quality, Operations) and Optum (Local Care Delivery, HouseCalls, Complex Population Management) functions to leverage local market knowledge and establish and drive local tactical plans for improving CMS
  • Star ratings, quality and coding accuracy in assigned markets
  • Coordinate with Network and Optum teams to provide H - Plan Leads, Practice Performance Managers and embedded Practice Resources strategic direction; approve performance targets / metrics; ensure performance to targets. Development and use of appropriate supporting tools (HouseCalls, CAHPS / HOS tools, documentation training and measurement progression)
  • Represent UHC in Provider meetings to review Quality performance and discuss opportunities for improvement in serving M&R membership
  • Partner with local health plan team, Network, Market Medical Director and Optum to increase HouseCalls completion rates and reduce refusal rates
  • Drive all Local and National quality and medical cost improvement initiatives
  • Develop innovative plans to improve Risk Adjustment Scores and support regional/national initiatives
  • Meet all assigned performance targets aligned with Market and National goals
  • Exemplify and model Our United Culture and live our values with conviction


Job Medicare / Medicaid Gen Opns
Primary Location US-NY-Syracuse
Other Location US-NY-Albany
Organization M&R Market Mgmt - EAST Region
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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