Chief Operating Officer, UHC Health Plan of Idaho

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.  

The Chief Operating Officer will be responsible for operational adherence and improvements tied to Idaho Medicaid state and Medicare federal contracts. Supports short and long term operational/strategic business activities - by developing, enhancing and maintaining operational information and models. Develops and implements effective/strategic business solutions through research and analysis of data and business processes.  Manages multiple teams supporting various areas of responsibility and serve as dotted line reporting for matrix partners such as claims, call center, and configurations. 

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. (Idaho preferred) as you take on some tough challenges. 

Primary Responsibilities: 

• Monitor all areas of operational metrics to ensure zero misses, no fines or liquidated damages 
• Develop proactive monitoring processes and reports to communicate risks 
• Work with matrix partners to implement improvement plans, innovations, and action plans required by state or business requirements 
• Develop and manage business plans to achieve objectives as dictated by contractual requirement or business goals 
• Understanding financial impact of operational changes – determine appropriate next steps for changes and working with finance to plan accordingly 
• Attend assigned state meetings with IDHW to identify changes with operational impact – engage appropriate teams to drive proactive solutions for challenges or implement required changes 
• Serve as operational lead with state – attend state workgroups, representing UnitedHealthcare’s interests in proposed bill or contract changes 
• Work with finance and other departments to understand downstream impacts of proposed changes 
• Manage reporting needs of the health plan including data interface with the data, reporting analysts for ad-hoc and critical reporting, and appropriate leverage of business intelligence to support needs and goals of reporting 
• Develop proactive reporting approach with no errors, improved quality of data, and meaningful analysis 
• Identify opportunities, develop plans, and drive solutions to ensure we meet the requirements of our contracts, and the improvement of member lives 
• Lead our health plan communication strategy related to quarterly business reviews, business planning, operational oversight, and other assigned areas of cross-functional responsibility.  Develop presentations, tracking mechanisms, and communications to ensure goals are achieved and executives are informed of opportunities, risks, successes, and plans 
• Manage a team of staff responsible for enrollment services, data analysis, claims / encounters and related activities

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 managed care healthcare
• 5 years of management experience for complex, cross-functional teams that may be direct / non direct reports 
• 3 years of experience working with healthcare systems
• 2 years of experience working with healthcare reporting and analytics 
• Experience creating and facilitating presentations with small and large groups, as well as professional IT 
• Experience with claims adjudication processes, system configuration 
• Direct experience with Managed Medicaid and Medicare, specifically involving operational and technical areas of focus, such as claims, call centers, payment integrity, system configuration, and finance 
• Experience with risk assessment 
• Proficiency in Microsoft Office Suite (Word, Excel, PPT) 
• Willingness and ability to travel up to 25% of the time for business

Preferred Qualifications:  

• Resident of Idaho or willing to relocate upon hire 
• Direct experience with managed care healthcare, healthcare systems, and/or Medicaid and Medicare in Idaho
• Proven organizational planning skills including realistic goal setting and achievements for multi-year plans 
• Proven successful relationship building skills, while improving processes and results
• Proven solid interpersonal skills to work effectively with all levels and departments of the organization 
• Proven analytical thinking and positive problem resolutions – ability to look at changes and determine appropriate downstream impacts 
• Proven desire to lead and develop others, including direct and indirect reports 
• Proven excellent written and verbal communication skills 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

The salary range for this role is $124,500 to $239,400 annually based on full-time employment. 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.

 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.    

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.   

Salary : $124,500 - $239,400