At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
This position serves as the Chief Executive Officer for the UnitedHealthcare Community & State Health Plan serving residents of the District of Columbia (DC). We hold a contract with the DC Department of Health Care Financing (DHCF) to provide the full range of Medicare and Medicaid services to dually eligible members. Our enrollees participate in the program, District Dual Choice, where we deliver Medicare Advantage Dual Special Needs Plan (DSNP) and full Medicaid benefits through a fully-integrated clinical model, including Long-Term Services and Supports (LTSS).
We are excited to recruit for someone to join our team who is member-focused, detail-oriented and can proactively solve problems. This leader has oversight of all health plan functions, specified by DHCF, for Dual Choice members including operations, network, clinical, quality, IT, growth & community engagement.
If you are located in the District of Columbia, you will have the opportunity to work in a hybrid model (4 days a week) at our DC Office near the DC Convention Center / Mt. Vernon Square.
Primary Responsibilities:
Leads relationship management for the Dual Choice Program with the Department of Healthcare Financing (DHCF) and all other District government agencies who have regulatory oversight of elements of the Dual Choice Program to influence program design, develop support for program efforts, and secure approvals
Build, develop, improve, influence and expand relationships with providers, community partners and other stakeholders within the market and foster collaborative partnerships
Reliable people leader that establishes a positive organizational culture, enhances employee satisfaction, and implements strategies to attract, retain, and develops a motivated and high-performing workforce
Create an overall vision for the health plan team to navigate a rapidly changing environment and leverage innovation to drive performance improvement
Ensure adherence to regulatory requirements and industry standards, streamline operational processes, and enhance efficiency to achieve consistent and reliable performance for our members
Develop and execute market-specific strategies to drive sustainable and profitable growth while setting the strategic direction to drive business growth
Manage multiple levers of health plan profitability (e.g. rate advocacy, member retention, utilization management, Star performance and Medicaid Quality)
Oversight and management of multiple clinical programs and services for our fully integrated model in DC (DSNP and Medicaid LTSS benefits) including quality, improving affordability, and overall clinical effectiveness
Ensure diverse perspectives guide strategic decisions by creating a supportive atmosphere where every team member feels safe sharing tough issues or concerns
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:
Resides in the District of Columbia area (including DC, Northern Virginia or DC-adjacent Maryland areas) or willing to relocate
10+ years of successful leadership experience in leading and managing people
10+ years of P&L and/or?extensive budgeting?experience as well as strategic planning and development
Expert level of proficiency working in a fast-paced matrix organization/environment with an enterprise focus
Prior leadership experience in program execution
7+ years of experience with community-based organizations, FQHC's, provider/hospital systems, behavioral health, Medicare Advantage/Medicaid Dual Special Needs Network (DSNP) systems
Experience building and maintaining service-oriented culture across remote field-based organization
Demonstrated ability to build and maintain effective relationships with external partners
Preferred Qualifications:
Solid preference for District resident or willingness to relocate to Washington DC
Prior executive level experience in dealing with multiple State Agencies
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $200,400 to $343,500 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
