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Market Executive Director M&R - Sacramento, CA

UnitedHealth Group

Sacramento, CA
Job Code:
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Job Details

Market Executive Director M&R - Sacramento, CA(Job Number:695493)

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. Includes positive physician HEDIS run-rate performance; development and use of appropriate supporting tools (HouseCalls, CAHPS / HOS tools, documentation training)
  • Partner with local health plan team, Network, Market Medical Director and Optum to increase HouseCalls completion rates and reduce refusal rates
  • Drive all local quality and medical cost improvement initiatives
  • Meet all assigned performance targets
  • Maintain strong relationships with Medicare & Retirement national functions, UnitedHealthcare shared services functions and Optum businesses through regular communications and face to face contacts
  • Exemplify and model Our United Culture and live our values with conviction

Job Medicare / Medicaid Gen Opns
Primary Location US-CA-Sacramento
Other Location 
Organization M&R Market Mgmt - West 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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