UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Optum Health Behavioral Services Executive Director - TN-313295
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
Position Summary:
Primary responsibility for all operations and contract deliverables for the TennCare Public Sector, Operations and contract. Includes implementation of Optum Health Behavioral Services (OHBS) /TennCare projects, internal staff development, budget development and adherence, development & adherence to policies and procedures, and establishing priorities based on TennCare deliverables. Responsible for all program planning functions with UHc/TennCare and stakeholders and for meeting contracted reporting requirements and performance standards. Accountable for business retention, RFP responses, and contract negotiations.
Responsibilities:
- Coordinate day-to-day operation in all departments to achieve goals and ensure smooth and efficient functioning of the TennCare Operations public sector site.
- Interact closely with TennCare and AmeriChoice operations, managers, providers and other stakeholders in the development and implementation of Behavioral/Medical systems of care requirements.
- Ensure the timely completion of contract deliverables.
- Guide Directors, managers and supervisors in the effective delivery of services, meeting goals, and avoiding contract penalties.
- Oversee the clinical and administrative supervision of staff.
- Participate in OHBS /JDH/AC wide meetings/projects and provide a link with other departments/business units. Ensure collaboration and coordination with other areas of OHBS /SCS/JBH, AC, and especially TennCare Medicaid business units.
- Oversee hiring, promotions and disciplinary actions to assure adherence to human capital policies.
- Formulate action plans to remedy any findings from audits, TennCare activities, utilization reports, provider and client concerns and TennCare and UHc/AC reports/concerns.
- Demonstrate effective, adaptive leadership style that promotes innovation and accountability, and establishes work priorities; delegate pertinent activities.
- Represent TennCare enrollees/community and in support of all TennCare initiatives.
- Lead responses to implement the TennCare business, lead contract negotiations, lead the implementation of new TennCare business/projects.
Qualifications
- Advanced degree (Master's, Ph.D.) in psychology, social work, nursing or related professional field .
- Administrative experience in public sector and /or behavioral health.
- Minimum 7 years broad range managerial experience.
- Extensive experience managing P&L
- Extensive experience managing risk
- Thorough understanding of Public Sector-Medicaid managed care principles, models, and financing required, with a minimum of two years experience in a corporate managed healthcare environment strongly preferred.
- Prior experience in public sector mental health or non-profit community mental health, with knowledge of Medicaid populations required.
- Minimum three years of public sector health administration/management required.
- Demonstrated leadership effectiveness and project management expertise.
- Demonstrated excellent verbal and written communication skills required.
- Prior experience making oral presentations preferred. Strong customer service orientation required. Strong data analysis and report writing capability required.
- PC proficiency required.
- Demonstrated abilities to build effective teams, facilitate staff working together collaboratively, and retain top talent.
- Exceptional planning, organization, and monitoring skills.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
