Optum CA is seeking a Vice President to join our team in San Diego, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live.
As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
This position provides regional oversight of operations and ongoing development, improvement and implementation of operational and business development strategies across contracted (IPA) and employed clinician/provider network; accountable for implementing growth strategy, establishing benchmarks, driving operational effectiveness, managing risk, and reporting in areas of responsibility. This position intensively and intentionally collaborates with IPA and clinical operational leaders and Regional Medical directors in respective employed groups and affiliate clinician networks. Will partner with care delivery operational (CDO) leadership teams to drive performance of value-based initiatives to improve operational and financial performance across the geography, running an integrated delivery network that balances patients, clinicians, internal, and external stakeholders. This position will oversee a regional team of highly qualified managers and/or staff across multiple sites and functions.
Primary Responsibilities:
Operational leadership of contracted (IPA) and employed care delivery systems in the San Diego market.
Measure business performance: identify / quantify drivers, risks and opportunities for business performance and define solutions to mitigate risks and leverage opportunities.
Manage a team focused on new and ongoing relationships and service delivery to clients and providers.
Oversight of group clinic operations. Providing leadership and direction for efficient clinic operations. This includes development of new or tuck-in sites.
In collaboration with the quality leaders, drive initiatives to improve patient satisfaction, quality, risk adjustment and overall productivity in the clinics, with contracted IPA clinicians, partners, and throughout the region.
Monitor performance to proactively identify efficiency issues / opportunities and implement solutions.
Partner with Regional Medical Director to ensure clear communication and effective care delivery process. Work to improve workflows for providers and the clinic support staff.
Consult on and prepare executive level presentations (both internal and external)
Consult with internal partners to design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers.
Work with physicians to develop strategies which will ensure overall improvement of network performance and financial stability.
Establish, cultivate & maintain strong, collaborative working relationships with key internal & external constituencies; including Networks leaders, Finance, Communications, Clinical, intersegment partners, key vendors, and senior leadership across the enterprise to advance Optum's business agenda.
Actively seek and engage in community activities, looking for those that align with the organizational interests.
Provide feedback to management on market trends as represented by our partners, industry studies, and provider network.
Effectively manage escalated issues; helps remove internal/external obstacles to meet expectations.
Ensure that relationships with partners (such as payers, network, providers, community services) are maintained and issues addressed timely and appropriately.
Lead the operational integration of new acquisitions.
Develop and execute on market business development and expansion strategy.
Lead and engage market-wide (California, West or National) projects and initiatives as assigned or needed.
Key metrics of performance (not exhaustive):
Value-based care performance indicators as defined by the organization (revenue and medical management)
Practice efficiency
Health and Safety
Quality metrics
Patient experience
Provider/clinician and Employee Engagement
Financial performance of assigned areas of responsibilities
Metrics tied to strategic priorities
Growth metrics (membership, contracted or employed clinicians, partners)
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:
7+ years of leadership experience
5+ years of management experience in a healthcare or relevant setting
Demonstrate Knowledge of Relevant Systems, Operations, Processes, and Trends
Medical group or IPA operations management experience
Familiarity with value based care in a multi payer organization
Experience leading teams to develop analytics and data analysis critical to the success of the organization
Experience conducting root cause analysis and identifying optimum solutions
Intermediate level of experience with Microsoft Suite required
Able to work from the office 5 days/week
Preferred Qualifications:
Understanding of market dynamics
Experience in Medicare Advantage risk adjustment programs
Solid verbal, written, and communication skills
Ability to effectively direct preparation of various financial analysis, data mining, and executive presentation activities
California Residents Only: The salary range for this role is $147,300 to $282,800 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). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
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.
