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Director, Market Operations - Jacksonville, FL - 732312
at UnitedHealth Group
The Director of Market Operations has management responsibility for day to day regional market operations. The position is responsible for facilitating the creation and execution of local market strategies and action plans. The position is involved in planning, budgeting, forecasting, facility planning and reporting for each of the assigned markets. This will include being a local liaison with health plan payors, building hospital relationships and overseeing network development, network management and local office management in assigned markets. This position may supervise multiple markets as directed.
This position has a dotted line matrix management responsibility for all other functional staff located within assigned markets - including marketing, utilization management, disease management and transportation. This position works cross functionally with all other divisions in the corporation including sales, medical management, finance, claims, customer and member services, IT and facilities to achieve market goals and objectives.
The responsibilities of this position demand a wide range of capabilities including: strategic planning and analysis skills; strong accounting knowledge and understanding of financial statements; understanding of managed care contracts; management breadth to direct and motivate; highly developed communication skills; political savvy; and the ability to develop clear action plans and drive process, given often ambiguous issues with numerous interdependencies. Analyzes data from a variety of statistical and financial reports and develops recommendations, strategic plans and action plans to improve identified financial deficits.
This position will work closely with key payor and physician groups to develop long-term strategic relationships.
Provides supervision for market personnel as assigned and participate on the management team directed by the Vice President of Market Operations
Participates in strategic and operational planning for the assigned market(s) and facilitate the execution of the plan within that assigned market
Works closely with Corporate Sales & Marketing to attain membership goals by identifying business opportunities, and retention of key physicians along with internal growth of their practices
Continually seeks ways to improve job efficiencies
Creates and executes a comprehensive market strategy developing an assessment of competitors and local market trends benefit design and a marketing plan as well as a network development plan
Facilitates the development and execution of the local market action plan for each market that the regional director is assigned
Provides cross functional leadership across the health plan by maintaining open communication, identifying, resolving cross functional issues, continually improving cross functional policies/procedures/work flows and support systems and proactively facilitating staff development to achieve the goals and objectives of each assigned market
Maintains effective network support services by working with the Vice President of Market Operations
Performs all other duties as assigned
Bachelor’s degree in Business or Healthcare Administration or related field or a minimum of 8+ years of experience in Healthcare Management
5+ years of regional or senior-level managed care experience with an emphasis on network management, operations, financial analysis and employee supervision, provider contract negotiations and provider relations
5+ years of experience in medical care delivery, network management and local market dynamics
5+ years of experience with financial performance for the total market including staff budgeting and monitoring, as well as the management and understanding of risk management with the risk groups
3+ years of management experience of a team to include (employee selection, training, coaching and development as well as process management)
Intermediate proficiency with Excel
Master’s degree in Business, Healthcare Administration, or related field
Exceptional interpersonal skills with ability to interface effectively internally with all levels of staff and externally with a wide range of people including physicians, office staff, hospital executives, medical groups, IPA’s, the press and community organizations
Excellent problem solving skills with affective follow through
Strong verbal and written communication skills
If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity 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: Associate Director, Market Operations, healthcare management, network management, financial analysis, Jacksonville, FL, Florida