Optum
Sr. Director, Population Health Operations - Inland Empire or San Diego
Optum, Ontario, California, United States, 91764
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 managementLeads large interdisciplinary working teams spanning multiple geographies and business unitsIdentifies and solves problems that impact management and influence the long term direction of the businessPartners with physicians and operations leaders to design and operationalize population health initiativesSubject 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 customerProject management of multiple programmatic initiatives and activities at the California Market levelOversee market patient engagement, outreach, provider education programs to facilitate comprehensive health assessment for Medicare Advantage patient population, and other managed or risk-based populationsDefines, implements, leads and measures processes from start to finishEnsures project deliverables, metrics measurement, and success criteria achievedOrganizes and provides executive, management and front-line initiatives and performance reporting and communication. Prepares timely and accurate monthly and annual reporting as requiredDevelops program strategic messaging, communication plans and training materialsDelivers training to various teammates and other stakeholders with fluency and credibility, facilitating a necessary understanding of key objectivesAssesses, responds and reacts to CMS and/or internal mandates to ensure compliance and programmatic successSynthesizes 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 improvement5+ years of experience in the healthcare industry3+ years of management experienceExperience leading projects from ideation to closureDemonstrated success working in dynamic, fast-paced environmentProven ability to effectively foster collaboration with teammates, clinicians, and managementCommand of change management process and experience implementing new programsAbility 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 programsExperience interacting effectively with C-Level employees across the organization as well as staff, clinicians and managementKnowledge of Medicare Advantage and population health activitiesProven accountability for operational improvement of KPIProven excellent verbal and written communication skills
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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 managementLeads large interdisciplinary working teams spanning multiple geographies and business unitsIdentifies and solves problems that impact management and influence the long term direction of the businessPartners with physicians and operations leaders to design and operationalize population health initiativesSubject 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 customerProject management of multiple programmatic initiatives and activities at the California Market levelOversee market patient engagement, outreach, provider education programs to facilitate comprehensive health assessment for Medicare Advantage patient population, and other managed or risk-based populationsDefines, implements, leads and measures processes from start to finishEnsures project deliverables, metrics measurement, and success criteria achievedOrganizes and provides executive, management and front-line initiatives and performance reporting and communication. Prepares timely and accurate monthly and annual reporting as requiredDevelops program strategic messaging, communication plans and training materialsDelivers training to various teammates and other stakeholders with fluency and credibility, facilitating a necessary understanding of key objectivesAssesses, responds and reacts to CMS and/or internal mandates to ensure compliance and programmatic successSynthesizes 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 improvement5+ years of experience in the healthcare industry3+ years of management experienceExperience leading projects from ideation to closureDemonstrated success working in dynamic, fast-paced environmentProven ability to effectively foster collaboration with teammates, clinicians, and managementCommand of change management process and experience implementing new programsAbility 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 programsExperience interacting effectively with C-Level employees across the organization as well as staff, clinicians and managementKnowledge of Medicare Advantage and population health activitiesProven accountability for operational improvement of KPIProven excellent verbal and written communication skills
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