The job below is no longer available.

You might also like

in Syracuse, NY

Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location Syracuse, NY
Syracuse, New York

About this job

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
Collaborate with Network and Optum field based team leadership in executing upon strategic direction of Quality program;
Represent UHC as the local leader in Provider meetings to review Quality performance and discuss opportunities for improving M&R membership experience
Partner with local health plan team, Network, Market Medical Director and Optum to increase HouseCalls, drive member and provider engagement in UHC quality programs
Drive all Local and National quality and medical cost improvement initiatives
Develop innovative plans to improve Risk Adjustment Scores and support regional / national initiatives
Meet all assigned performance targets aligned with Market and National goals
Exemplify and model Our United Culture and live our values with conviction

Requirements


Required Qualifications:

5+ years of experience in a large, complex and successful health care / managed care organization with demonstrated track record of increasing responsibility and accountability
2+ years of experience with health care providers / networks, CMS Star ratings, HEDIS measures and clinical quality
Experience and established relationships with the Upstate NY Market provider community
Demonstrate strong of financial / analytical skills
Strong written and verbal communication skills, including well - developed interpersonal skills used to influence the behavior of others across a highly-matrixed organization
Demonstrated success building relationships with external executives and stakeholders
Track record of meeting business goals via driving disciplined, fact - based decisions and executing with discipline and urgency
Intermediate to Advanced skills with MS PowerPoint and Excel
Preferred Qualifications:

Bachelor's degree in business, marketing, economics, health or public policy
Master's degree
Experience in a Medicare Advantage business
Careers at UnitedHealthcare Medicare & Retirement.The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.(sm)
 
 
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: Executive Director, Medicare & Retirement, healthcare, CMS, MS PowerPoint, Excel, Syracuse, NY, Albany, NY, New York