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Executive Director - Telecommute (within New Jersey only)

UnitedHealth Group

Iselin, NJ
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Job Details

760638 Executive Director Telecommute within New Jersey only

Executive Director - Telecommute (within New Jersey only) (760638)

Position Description

The Medicare & Retirement Executive Director is accountable for all aspects of the P&L within a given market, with primary responsibility for defining, leading and driving local initiatives to achieve Star, Coding, Affordability, Growth and Retention goals.  Sets strategy and prioritization with national shared service partners specific to the local market and ensures cross-organizational alignment.  Is the face of M&R in his/her market. Establishes and maintains clear leadership credibility and partnership with our external provider and broker partners.   Involved in recruiting, retaining and nurturing top talent. Promotes Our United Culture. Drives innovation. Is externally focused and facing.
Primary Responsibilities:
  • Defines and owns execution of the Stars strategy inclusive of HEDIS, Part D and CAHPS to achieve 80% of members in 4+ star plans
  • Defines and owns execution of the Provider Engagement strategy; establishes strong, collaborative relationships with providers in support of all Quality, NPS and Affordability goals; works collaboratively with Optum, UHN and UCS partners
  • Responsible for working cross-organizationally with local health plan team, Network, Market Medical Director and Optum to increase suspect closure, recapture, and prevalence improvement inclusive of increasing HouseCalls completion rates and reducing refusal rates
  • Responsible for achieving market-level NPS goals
  • Responsible for identifying and executing against Affordability opportunities aligned with market goals
  • Participate in defining and owning execution of the Growth and Retention strategy in partnership with Distribution; is the face of the market to external channels
  • Actively collaborates 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 plans across all levers of the P&L
Required Qualifications:
  • Bachelor’s degree required with major in business, marketing, economics, health or public policy preferred. Master’s degree would be a plus
  • 3+ years of experience in a large, complex and successful health care / managed care organization with demonstrated track record of increasing responsibility and accountability
  • Experience in a Medicare Advantage or other government-funded healthcare business is highly preferred
  • In-depth experience with health care providers / networks, CMS Star ratings, HEDIS measures, Part D and clinical quality
  • Demonstrated strong financial acumen and analytical skills
  • Strong written and verbal communication skills, including well-developed interpersonal skills used to influence the behavior of others across a highly-matrixed organization
  • Demonstrated success building relationships with external executives and stakeholders
  • Track record of meeting business goals via driving disciplined, fact-based decisions and executing with discipline and urgency

Careers at UnitedHealthcare Medicare & Retirement.
The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time 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 Details

  • Contest Number760638
  • Job TitleExecutive Director - Telecommute (within New Jersey only)
  • Job FamilyBusiness Operations
  • Business SegmentMedicare and Retirement

Job Location Information

  • Iselin, NJ
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • 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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