Employee
NJ - Northern
NOT PROVIDED
Full Time
Administrative and Support Services
NOT PROVIDED
Experienced - Non Manager
UnitedHealth Group
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice. We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach. This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country. We are looking for a talented Chief Operating Officer that reports directly to the CEO of the health plan. An exciting and challenging role with responsibilities to develop and set strategic direction, provide tactical execution, leverage and integrate processes within a highly matrixed structure. Involvement with all aspects of Health Plan Operations (Enrollment, Member and Provider support, Sales and Marketing, Network Operations and Regulatory Compliance) requires strong in-depth knowledge and experience in Medicaid/Medicare, complemented with strong financial acumen and excellent leadership abilities. Responsibilities: 1) Direct the activities of Senior Managers and Business Operations in, enrollment, member and provider support, Network Operations, Sales and Marketing, and Regulatory Compliance. a. Develop performance objectives and tools and ensure consistent achievement of service level commitments. b. Analyze, review, and recommend operational metrics, related performance data and work flows to define and/or improve processes through internal/external benchmarks. 2) Instill a culture focused on delivery of superior customer support with balanced business results. 3) Support CEO in external regulatory and legislative agenda and new product development. 4) Strong financial background to identify and impact key operational drivers to improve health plan performance You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered
Bachelor's degree or equivalent combination of education and experience (MBA preferred).
5+ years experience of solid Medicaid/Medicare experience coupled with
10 + years experience in a senior leadership capacity within a health plan or related field ** (see below)
10+ years experience leading and managing direct reports
Strong financial acumen with solid understanding of how business operations effect P&L and/or experience creating and managing a budget
Effective communication and presentation skills to address associates, internal Executive and Government regulatory bodies.
Experience working in a complex matrix environment.
** we are seeking candidates from the following types of organizations: Large Hospital with revenues over $100MM; TPA & PSN's with revenues over $250mm; MCO and HMO's. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. .
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