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IPA Director - Corona, CA

UnitedHealth Group


Location:
Corona, CA
Date:
02/22/2018
2018-02-222018-03-23
Job Code:
744211
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Job Details

744211 IPA Director Corona CA

IPA Director - Corona, CA (744211)

Position Description

Manage, supervise, and direct the activities of the IPA Administrative Office to facilitate performance of all IPA responsibilities.  Including develop / implement budgets and market planning, registration of health plan and provider contracts, computation and distribution of monthly capitation payments to primary care and specialty physicians, 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 IPA staff and programs for quality assurance and utilization management, eligibility, claims and encounter processing, network development (contracting and credentialing), health education and provider relations and support of all 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 goals

  • Responsibility for provider and plan member satisfaction

  • Develop and maintain annual financial and operational performance objectives

  • Develop and maintain a budget process

Required Qualifications:

  • Bachelor's Degree in Health Care Management, Business / Finance or similar

  • 10+ years of solid experience in the following areas:

    • Managed Care

    • Management experience in a matrixed environment

  • 5+ years of solid experience in the following areas:

    • Negotiation of capitation and fee for services provider contracts

    • Strategic Business Planning and Implementation experience at a senior level

    • Management of Direct Reports, plus workflow of indirect team members

  • 3+ years of Network Development Experience (Provider contracting and recruitment)

  

Preferred Qualifications:

  • Profit / Loss Statement Management experience

  • Excellent oral and written communication skills for both internal and external consumption are a prerequisite

  • Broad based background in health care and medical management

  • Ability to work collaboratively effectively with all levels of employees, management, and stakeholders

  • Excellent Customer Care

 

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)

 

 

North American Medical Management, California, Inc. (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and manages provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.

 

The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets.

 

 

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: Independent Practice Association, IPA, Managed Care, Healthcare, Capitation, Fee for Service, Provider Network, contracts, negotiation, Corona, CA, California

Job Details

  • Contest Number744211
  • Job TitleIPA Director - Corona, CA
  • Job FamilyBusiness Operations
  • Business SegmentOptumCare

Job Location Information

  • Corona, CA
    United States
    North America
  • Other LocationsCorona, CA

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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