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Vice President Risk Continuum Transformation - Eden Prarie, MN

UnitedHealth Group

Eden Prairie, MN
Job Code:
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Vice President Risk Continuum Transformation - Eden Prarie, MN(Job Number:703499)

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)


The Vice President, Pay for Performance Programs and Risk Continuum Transformation will be responsible for providing leadership and direction in the development of, and execution on accountable care models across all lines of business for OptumCare. This includes establishing a national strategy and approach to operationally execute, monitor, and succeed on programs related to new regulation such as MACRA, and other programs focused on the transformation from fee for service to fee for value.  Markets early in the transformation may need to focus on the Merit based Incentive Payment System (MIPS), while developing ACOs and maturing into full risk entities.  Working in a complex matrix with multiple stakeholders this role will lead the transformation while assuring flawless execution at each stage.

Healthcare is an evolving market with multiple stakeholders, this role will be central in assuring success with ever changing regulations and policies. 



Primary Responsibilities:

  • Own the development and oversight of the Fee for Service to Fee for Value transformation model from an operational perspective – and ensure execution of each stage

  • Remember first and foremost we care for patients and are responsible for their care

  • Manage by influence the strategic aspects of the business’ Pay for Performance and FFS to Fee for Value transformational programs in collaboration with multiple stakeholders. Key matrixed stakeholders include:

    • Local business

    • Government affairs

    • Finance

    • Healthcare economics

    • Clinical and affordability teams

    • Network teams

    • Optum Operations

    • The National leaders of Medical Group and Risk Bearing entity operations

  • Assure businesses are aligned in developing and supporting a sound operational infrastructure with appropriate policies and procedures consistent with these objectives

  • Engage and collaborate with business partners across Optum to identify methods and best practices of identifying and improving patient health outcomes, patient satisfaction and operational efficiencies within an accountable care model

  • General areas of responsibility include:

    • Strategic planning

    • Implementation consultation

    • Process management

    • Reporting

    • Recommendations of Quality improvement that support the quadruple aim results

  • Provide leadership and direction to ensure that local, regional and national operations are in compliance with all applicable federal standards and contracted requirements

  • Individual will act as the point of accountability for delivering large scale, complex, and cross-organizational projects and/or program strategy deliverables on time and budget

Job General Operations Management
Primary Location US-MN-Eden Prairie
Other Location 
Organization Local Care Delivery Shared Svc
Schedule Full-time
Number of Openings 1
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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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