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Vice President, Medicare Strategy and Execution – Telecommute in GA

UnitedHealth Group

This is a Full-time position in Atlanta, GA posted March 27, 2021.

nnIf you want to achieve more in your mission of health care, you have to be really smart about the business of health care.

Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life’s best work.(sm) nn nn nn nnThe Vice President, Medicare Strategy & Execution is responsible for the management of multiple clinical programs and business development opportunities impacting Medicare Advantage populations within Georgia helping to serve over 300,000 UHC Medicare members and 2.2M Medicare eligible in the state.

This role will lead the strategy and execution of stars, clinical programs and services including quality improvement, affordability, sales, products and new care provider reimbursement and partnership opportunities.

Establishes and maintains clear leadership credibility and partnership with our external provider and broker partners.

Recruits, retains, and nurtures top talent.

Promotes Our United Culture.

Drives innovation.

Additionally, this role will be responsible for identifying and leading new business strategies and initiatives to meet the needs of our members.

These strategies will impact Medicare Advantage product development and planning, new business ventures, and market expansion.

nn nn nn nnIf you are located within the state of Geogria, you will have the flexibility to telecommute* as you take on some tough challenges.nn nn nn nn Primary Responsibilities: nn Serves as the Medicare market strategist of Georgia health care delivery, business development, payment model innovation, and policy integration Work cross-organizationally with local health plan team, Network, Market Medical Director and Optum Stars to identify and execute new business opportunities, including bundled payment models, post-acute care innovation, and ACO acceleration and proliferation Meaningful contribution to market-level growth, IOI, and NPS goals Key player in defining and owning execution of the Growth and Retention strategy in partnership with Distribution; a face of the market to external channels Actively collaborates with all Medicare & Retirement national functions (Product, Sales, Marketing, Member Experience, Finance), UnitedHealthcare shared services functions (Network, Clinical, Quality, Operations) and Optum (Local Care Delivery, HouseCalls, Complex Population Management) functions to leverage local market knowledge and establish and drive plans across all levers of the P&L Act as the voice of the market for print and media interviews Achieving market level NPS levels Report to the Health Plan Chief Executive Officer of Alabama, Arkansas, Georgia & Tennessee Health Plans nn nn nnYou’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.nn nn Required Qualifications: nn Bachelor’s Degree in Business management or healthcare related field 8+ years of experience leading teams with direct reports within a large matrixed environment and a demonstrated ability to manage people and prioritize deliverables 10+ years of health care leadership experience with at least 5+ year’s experience in Medicare Stars strategy inclusive of HEDIS, Part D and CAHPs to achieve 85% of members in 4-star plans Demonstrated ability of 5+ years of experience in Medicare with a concentration on Stars market leading levels at 4+ stars 8+ years of experience in a large, complex, and successful health care / managed care organization with demonstrated track record of increasing responsibility and accountability Experience working with health care providers/networks, CMS Star ratings, HEDIS measures, Part D, and clinical quality 8+ years of experience within health care delivery, health insurance, or health policy Experience with mergers and acquisitions and/or business development 25%
– day travel Reside in Georgia or willing to relocate to Georgia If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener.

When in a UnitedHealth Group building, employees are required to wear a mask in common areas.

In addition, employees must comply with any state and local masking orders nn nn nn Preferred Qualifications: nn Master’s Degree in Business management or Master’s or higher within healthcare related field 5+ years of experience within Alabama health care delivery, health insurance, or health policy Marketing and product and/or project management or development experience within a matrix environment 5+ sales and/or marketing experience Experience with Medicare or Medicaid, DSNP, MAPD, MME and/or LTC / LTSS organization Financial acumen with a demonstrated understanding of P&L and budgeting Self-driven with an ability to work independently Proven organizational skills with ability to be flexible and work with ambiguity Strong written and verbal communication skills, including well-developed interpersonal skills used to influence the behavior of others across a highly matrixed organization
– ability to speak to large groups and television interviews as well nn nn nn Careers at UnitedHealthcare Medicare & Retirement.

The Boomer generation is the fastest growing market segment in health care.

And we are the largest business in the nation dedicated to serving their unique health and well-being needs.

Up for the challenge of a lifetime?

Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers.

You’ll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system.


It’s time to do your life’s best work.(sm) nn nn nn nn*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policynn nn nn nn 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.

nn nn nn nn UnitedHealth Group is a drug-free workplace.

Candidates are required to pass a drug test before beginning employment.

nn nn nn nnJob Keywords: Strategy, Execution, Georgia, Executive Director, Medicare Advantage, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Georgia, GA, Atlanta nn

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