Optum
Sr. Director, Population Health Operations - LA South and Orange County
Optum, Torrance, California, United States, 90504
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start
Caring. Connecting. Growing together.
Position in this function provides leadership to and is accountable for the performance and direction of market initiatives and operational programs that support quality patient care and accurate documentation. Leads market initiatives and supports teams engaged in patient engagement, documentation integrity, clinician education and point of care tools. Full accountability for non-clinician teammates within assigned region including hiring, coaching, and performance management.
Position in this function is responsible for the ongoing development, implementation, and facilitation of processes to assure that needed preventive care is provided and all pertinent clinical information impacting HEDIS/STAR performance and Risk Adjustment of patients is captured and transmitted to health plans.
Key Responsibilities:
Strategic, financial, and operations management
Leads large interdisciplinary working teams spanning multiple geographies and business units
Identifies and solves problems that impact management and influence the long term direction of the business
Partners with physicians and operations leaders to design and operationalize population health initiatives
Subject matter expertise across quality, risk adjustment and operations management
Primary Responsibilities:
Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer
Project management of multiple programmatic initiatives and activities at the California Market level
Oversee market patient engagement, outreach, provider education programs to facilitate comprehensive health assessment for Medicare Advantage patient population, and other managed or risk-based populations
Defines, implements, leads and measures processes from start to finish
Ensures project deliverables, metrics measurement, and success criteria achieved
Organizes and provides executive, management and front-line initiatives and performance reporting and communication. Prepares timely and accurate monthly and annual reporting as required
Develops program strategic messaging, communication plans and training materials
Delivers training to various teammates and other stakeholders with fluency and credibility, facilitating a necessary understanding of key objectives
Assesses, responds and reacts to CMS and/or internal mandates to ensure compliance and programmatic success
Synthesizes complex programs and clearly communicates them to a wide range of stakeholders
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
5+ years of experience working in program management and process improvement
5+ years of experience in the healthcare industry
3+ years of management experience
Experience leading projects from ideation to closure
Demonstrated success working in dynamic, fast-paced environment
Proven ability to effectively foster collaboration with teammates, clinicians, and management
Command of change management process and experience implementing new programs
Ability to work 50% in the field and 50% in the office
Preferred Qualifications:
Experience in Population Health Management such as HEDIS/STARs, Quality or Risk Adjustment programs
Experience interacting effectively with C-Level employees across the organization as well as staff, clinicians and management
Knowledge of Medicare Advantage and population health activities
Proven accountability for operational improvement of KPI
Proven excellent verbal and written communication skills
California Residents Only:
The salary range for this role is $122,100 to $234,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Caring. Connecting. Growing together.
Position in this function provides leadership to and is accountable for the performance and direction of market initiatives and operational programs that support quality patient care and accurate documentation. Leads market initiatives and supports teams engaged in patient engagement, documentation integrity, clinician education and point of care tools. Full accountability for non-clinician teammates within assigned region including hiring, coaching, and performance management.
Position in this function is responsible for the ongoing development, implementation, and facilitation of processes to assure that needed preventive care is provided and all pertinent clinical information impacting HEDIS/STAR performance and Risk Adjustment of patients is captured and transmitted to health plans.
Key Responsibilities:
Strategic, financial, and operations management
Leads large interdisciplinary working teams spanning multiple geographies and business units
Identifies and solves problems that impact management and influence the long term direction of the business
Partners with physicians and operations leaders to design and operationalize population health initiatives
Subject matter expertise across quality, risk adjustment and operations management
Primary Responsibilities:
Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer
Project management of multiple programmatic initiatives and activities at the California Market level
Oversee market patient engagement, outreach, provider education programs to facilitate comprehensive health assessment for Medicare Advantage patient population, and other managed or risk-based populations
Defines, implements, leads and measures processes from start to finish
Ensures project deliverables, metrics measurement, and success criteria achieved
Organizes and provides executive, management and front-line initiatives and performance reporting and communication. Prepares timely and accurate monthly and annual reporting as required
Develops program strategic messaging, communication plans and training materials
Delivers training to various teammates and other stakeholders with fluency and credibility, facilitating a necessary understanding of key objectives
Assesses, responds and reacts to CMS and/or internal mandates to ensure compliance and programmatic success
Synthesizes complex programs and clearly communicates them to a wide range of stakeholders
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
5+ years of experience working in program management and process improvement
5+ years of experience in the healthcare industry
3+ years of management experience
Experience leading projects from ideation to closure
Demonstrated success working in dynamic, fast-paced environment
Proven ability to effectively foster collaboration with teammates, clinicians, and management
Command of change management process and experience implementing new programs
Ability to work 50% in the field and 50% in the office
Preferred Qualifications:
Experience in Population Health Management such as HEDIS/STARs, Quality or Risk Adjustment programs
Experience interacting effectively with C-Level employees across the organization as well as staff, clinicians and management
Knowledge of Medicare Advantage and population health activities
Proven accountability for operational improvement of KPI
Proven excellent verbal and written communication skills
California Residents Only:
The salary range for this role is $122,100 to $234,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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