Regional Director of Business Development -Ohio
Regional director of operations job at Acadia Healthcare
Overview Regional Director of Business Development - Ohio Market
Lead growth. Strengthen partnerships. Make a meaningful impact in behavioral health across Ohio.
Acadia Healthcare is seeking a dynamic Regional Director of Business Development to lead growth initiatives across the Ohio market. This leader will oversee Business Development teams, drive strategic census and payer mix goals, and build influential relationships with referral partners throughout the region.
The selected candidate will have an on-site office at Ohio Hospital for Psychiatry in Columbus, OH.
What We Offer
Competitive base salary (based on experience and Ohio market conditions)
Annual discretionary bonus opportunity
Generous PTO, paid holidays, and work-life balance
Comprehensive benefits including medical, dental, vision, and 401(k) with company match
Career advancement opportunities across Acadia's nationwide network of 250+ facilities
Mission-driven culture focused on improving lives and supporting communities
Responsibilities What You'll Do
Lead strategic growth for multiple Ohio facilities, driving census, admissions, and payer mix performance.
Manage, coach, and develop Business Development Directors and Managers.
Build strong referral relationships with physicians, hospitals, discharge planners, and community partners.
Use market and payer data to prioritize focus counties and identify new business opportunities.
Partner closely with intake, admissions, and hospital leadership to address barriers to admissions.
Represent Acadia in the Ohio behavioral health community to enhance brand presence and strengthen partnerships.
Qualifications What We're Looking For
Bachelor's degree required; Master's preferred.
5+ years of healthcare business development experience (behavioral health strongly preferred).
Proven ability to lead teams and deliver growth results.
Exceptional relationship-building and communication skills.
Strong organization, adaptability, and comfort working in a fast-paced multi-facility environment.
Ability to travel regionally across Ohio.
Why Join Acadia
At Acadia Healthcare, we are driven by our mission to be the undisputed leader in behavioral healthcare-delivering hope, healing, and recovery for those we serve. As part of our team, you'll have the opportunity to make a tangible impact across communities while working in a collaborative and purpose-driven environment.
Apply Today
If you're passionate about building meaningful partnerships that expand access to behavioral health care and strengthen community-based support systems, we invite you to apply today.
👉
Acadia Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
AHCORP
#LI-JR1
#LI-onsite
Not ready to apply? Connect with us for general consideration.
Auto-ApplyRegional Director of Business Development -Ohio
Regional director of operations job at Acadia Healthcare
Regional Director of Business Development - Ohio Market Lead growth. Strengthen partnerships. Make a meaningful impact in behavioral health across Ohio. Acadia Healthcare is seeking a dynamic Regional Director of Business Development to lead growth initiatives across the Ohio market. This leader will oversee Business Development teams, drive strategic census and payer mix goals, and build influential relationships with referral partners throughout the region.
The selected candidate will have an on-site office at Ohio Hospital for Psychiatry in Columbus, OH.
What We Offer
* Competitive base salary (based on experience and Ohio market conditions)
* Annual discretionary bonus opportunity
* Generous PTO, paid holidays, and work-life balance
* Comprehensive benefits including medical, dental, vision, and 401(k) with company match
* Career advancement opportunities across Acadia's nationwide network of 250+ facilities
* Mission-driven culture focused on improving lives and supporting communities
What You'll Do
* Lead strategic growth for multiple Ohio facilities, driving census, admissions, and payer mix performance.
* Manage, coach, and develop Business Development Directors and Managers.
* Build strong referral relationships with physicians, hospitals, discharge planners, and community partners.
* Use market and payer data to prioritize focus counties and identify new business opportunities.
* Partner closely with intake, admissions, and hospital leadership to address barriers to admissions.
* Represent Acadia in the Ohio behavioral health community to enhance brand presence and strengthen partnerships.
What We're Looking For
* Bachelor's degree required; Master's preferred.
* 5+ years of healthcare business development experience (behavioral health strongly preferred).
* Proven ability to lead teams and deliver growth results.
* Exceptional relationship-building and communication skills.
* Strong organization, adaptability, and comfort working in a fast-paced multi-facility environment.
* Ability to travel regionally across Ohio.
Why Join Acadia
At Acadia Healthcare, we are driven by our mission to be the undisputed leader in behavioral healthcare-delivering hope, healing, and recovery for those we serve. As part of our team, you'll have the opportunity to make a tangible impact across communities while working in a collaborative and purpose-driven environment.
Apply Today
If you're passionate about building meaningful partnerships that expand access to behavioral health care and strengthen community-based support systems, we invite you to apply today.
Acadia Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
AHCORP
#LI-JR1
#LI-onsite
Sr Director of Ambulatory Service Operations
Remote
The Senior Director of Ambulatory Surgery Center (ASC) Operations is a visionary leader responsible for a portfolio of centers across a geographic region. Under the direction of the Chief Operating Officer of ASC Operations, the Senior Director of ASC Operations works collaboratively with the CHS ASC Division, CHS Corporate, Center leadership teams, CHS hospital partners, Boards, and Physicians to ensure the strategic vision and goals for each ASC are established and operationalized, resulting in exceptional financial, clinical, and quality outcomes for all stakeholders.
Essential Functions
Strategic Planning and Growth: Collaborates with each ASC in the portfolio of centers ensuring growth strategies are established and operationalized. Develops and executes innovative initiatives to enhance market share, profitability and operational excellence, resulting in centers meeting and exceeding performance targets. In partnership with CHS, works to grow ASC footprint in designated markets including performing due diligence for potential acquisitions and leading de novo and expansion projects. Coordinates onboarding of new centers.
Leadership Selection and Development: Recruits, selects, orients, mentors, coaches, and performance manages ASC Administrators for centers in the assigned region. Engages ASC leadership teams in the efficient management and continuous improvement of centers ensuring excellence in clinical, quality, and financial outcomes. Maintains an onsite presence as indicated. Functions as Interim Administrator if needed.
Governance: Actively participates in the governance structure of each ASC in the portfolio of centers including Governing Body and Partnership meetings. Develops and maintains strong, collaborative relationships with Board members and physician partners. Instills trust by consistently demonstrating professionalism and integrity. Communicates effectively and articulates complex concepts concisely. Makes sound recommendations in compliance with legal, regulatory, and accreditation requirements.
Physician Relationship Development and Marketing: Proactively develops and sustains positive relationships with physicians, physician partners, and potential new utilizers and/or investors. Works with physicians/partners to pursue new business opportunities and service lines. Addresses any concerns professionally, timely and effectively. Creates strategies to enhance physician engagement.
Financial Optimization: Has overall P&L accountability for all assigned centers. Responsible for growing the revenue and EBITDA in the portfolio of centers to meet and exceed budgeted goals. Employes financial benchmarks for evaluation of performance and development of improvement plans. Assists with creation of the annual operational budget and evaluating capital needs and potential expenditures. Utilizes tools to assess productivity, initiating improvement plans as needed to ensure appropriate levels of staffing. Provides oversight of the revenue cycle process ensuring goals are met. Leads the Monthly Operating Review (MOR) for assigned centers.
Quality and Process Improvement: Ensures the delivery of high quality, cost efficient care in assigned centers utilizing clinical benchmarking to evaluate results. Reviews clinical outcomes, collaborates with corporate and local resources as needed, assists with root cause analysis as appropriate. Supports peer review process and corrective action. Ensures CHS ASC policies and procedures are developed, reviewed, approved, and implemented. Validates federal, state and accreditation regulations, requirements, and standards are consistently met. Fully supports the Quality, Risk, Compliance, Privacy, Infection Control, Credentialing and Peer Review processes and programs.
Contractual Management: Assists Administrators with contract evaluation and execution utilizing CHS Corporate resources as appropriate including Legal, Finance, and Materials Management. Participates in RFP processes as needed.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
Bachelor's Degree in Nursing, Business or Healthcare Administration required
Master's Degree in job related field preferred
4-6 years experience as a ASC Administrator with 2+ years of responsibility over multiple centers required
Less than 2 years experience as a Regional Director of ASC Operations or Senior Director of ASC Operations preferred
Knowledge, Skills and Abilities
Proficiency in Microsoft Office (Excel, Word, Power point)
Licenses and Certifications
CASC - Certified Administrator Surgery Center preferred
RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
Auto-ApplyRegional Director for Women and Children
Remote
The Regional Director of Women and Children Services shall act as the expert resource, educator, advisor, consultant/mentor, and operations leader to enhance operational excellence and best practice within CHS region(s) assigned. This person will provide consultant/mentorship support to perinatal leadership for assigned regional hospitals in order to support and promote the development of perinatal and neonatal performance and the delivery of a high quality of clinical care consistent with the mission of CHSPSC, LLC. This leader will provide consult services to other entities regarding program development, departmental operations, quality patient care and patient safety. This person may also be asked to provide mentoring to individuals or groups of hospital-based Women and Neonatal Directors/Managers.
Essential Duties and Responsibilities include the following, but are not limited to:
Evaluating and supporting Women and Children operations in assigned CHS regional hospitals. Assuming responsibility for the consultative development and implementation of policies, procedures, programs and clinical initiatives, while assisting in evaluation of perinatal processes.
Serving as mentor and resource person for Women's Health management.
Assisting with development of educational material and disseminating to facilities clinical and non-clinical staff, as needed.
Working collaboratively with others at Corporate to facilitate and improve Women and Children Services operations, such as working with ED and Surgical Services Regional Directors, Operations Support, Risk Management, and Patient Safety.
Developing collaborative relationships with Corporate and hospital personnel, staff and physicians, to ensure a continued focus and improve operations.
Researching and developing evidence-based practice standards, best practice criteria and outcomes metrics for CHS hospitals.
This role will require travel for various periods of time. This role may require a person to be located in a hospital market for a long period of time and travel to and from the site, as is necessary, to effectively provide guidance on operational improvements.
Assist senior leaders at the hospital to improve the leadership capabilities of existing Women's Health Leadership in assigned hospitals using evidence based approaches to leadership development or to assist with selection and on-boarding of new Directors, as needed.
Develops effective, data driven action plans that improve departmental operations and metrics while instituting best practice guidelines.
***25%-50% travel***
Qualifications:
Excellent technical, management, operational and clinical knowledge of Women and Children's services at all levels of care within an acute healthcare setting.
Excellent written and oral communication skills, organizational skills, presentation and computer skills. ∙ Demonstrate experience and the ability to manage multiple groups, interact productively with varying levels of personnel and staff, and provision of program direction and development.
Ability to produce and utilize data for project tracking and outcomes achievement.
Ability to prioritize projects and resolve conflicting priorities.
Ability to develop policies and procedures, performance dashboards and scorecards, assessment forms and other tools related to performance and quality metrics.
Demonstrate leadership abilities; flexibility to accept and manage change. Proven ability to interact with all levels of staff and management at hospital, division and corporate level.
Identify educational needs and provide educational support, as appropriate for each facility.
Reasoning Ability:
Ability to define problems, collects data, establish facts, and draw valid conclusions. ∙ Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Computer Skills:
To perform this job successfully, an individual should have knowledge of Microsoft Word, Excel, PowerPoint, and Google Suite
Certificates and Licenses:
Current nursing license required.
BLS and NRP upon hire.
NCC Certification in Obstetric or Neonatal Nursing preferred
Education/Experience:
Master's Degree in Nursing, Business, Health Care Administration, or other health/business field, or BSN currently actively enrolled in Master's Degree program in Nursing, Business, Health Care Administration or other health/business related field is preferred.
Technical knowledge of perinatal and neonatal nursing, evidence based practice, and the continuum or care. ∙ Training and experience with process improvement, department performance management and optimization, and associated data analytics expertise is required.
Knowledge of computer systems, information systems, information management, and data analysis. ∙ Minimum of five years' experience in Women's Health nursing.
Minimum of five years experience in management and administration.
Experience in leading Perinatal Process Improvement.
Preferred experience in multiple healthcare settings or healthcare system with multiple sites of operation. Experience in both community and tertiary care facilities are preferred.
Auto-ApplyDirector of Clinic Operations
Hamilton, OH jobs
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Director of Clinic Operations Summary
The Director of Clinic Operations (DCO) provides administrative oversight and supervision of clinic operations leadership at multiple PHS locations who oversee clinic staff and direct day-to-day clinic operations. The DCO oversees programs, processes and resources that align with PHS policies, goals and objectives that include continuous improvement, ensuring standards are met. The DCO is responsible for ensuring delivery of high-quality patient services, financial and operational results of areas of oversight.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Leadership
· Driving results by taking initiative, managing execution, and focusing on overall performance.
· Make sound business decisions by understanding the business from multiple stakeholders' perspective, make complex decisions and ensure timely decisions that advance the organization.
· Engaging people through building collaborative relationships, optimizing diverse talent, and influencing people.
· Holding oneself accountable by fostering trust, being open by demonstrating self-awareness and self-development, and remaining flexible and adaptable.
· Maximize contribution to ensure meeting company strategic goals, key performance indicators or initiatives.
Responsibilities:
· Foster a high-performance culture through effective leadership, training, and performance management, ensuring the team is motivated to provide efficient service delivery and high-quality patient care.
· Engages staff and providers to promote team building and contribute to the success of the clinic's quality, fiscal, staff and patient experience.
· Drive strategic initiatives aligned with PHS' long-term vision, focusing on growth opportunities and overall practice performance.
· Drive consistent daily operational outcomes e.g., patient service productivity, utilization, staff ratios, maximize capacity, wait-time, panel management, resources allocation, etc.
· Leads and collaborates interdepartmentally to drive successful short-term and long-term projects to successful outcome.
· Develop and implement operational processes, policies, and procedures with a focus on efficiency and scalability, establishing mechanisms to incorporate best practice findings into standards of practice.
· Assures standardization of operations aligned with PHS priorities or expectations.
· Maximize efficiency and productivity through process analysis and interdepartmental collaboration.
· Consistently meets financial goals through optimizing revenue and implementing cost-control measures,
· Consistently meets population health quality goals including value-based care contracts with state or federal e.g., Medicare Shared Savings Program (MSSP) and Medicaid Value Based Care (CPC); and Patient Centered Medical Home (PCMH) certification and Uniform Data System (UDS) measures are met in accordance with HRSA.
· Ensure regulatory and safety compliance through implementation and oversight of best practices in all operations.
· Prepared and participates effectively in mandatory audits - adheres to quality assurance and regulatory standards from PHS, federal, state, and other agencies, including OSHA, HRSA, PCMH, and ODH.
· Independently analyze reports and data with action to enhance operational performance.
· Responds promptly to persistent issues with effective action plans including continuous process improvement to get back on track.
· Other duties assigned.
Core Competencies
· Understanding the Business: customer focused (patient and staff), financial acumen, business insight, tech savvy
· Making Complex Decisions: decision quality and manages complexity with competing needs, balancing stakeholders
· Taking Initiative: action oriented, resourcefulness
· Managing Execution: directs work, plans and assigns, optimizes work processes
· Focusing on Performance: ensures accountability, drives results with focus on outcomes
· Building Collaborative Relationships: collaborates
· Optimizing Diverse Talent: attracts top talent, retains top talent, develops top talent, values differences
· Influencing People: communicates effectively, drives engagement, organizational savvy by balancing people and organization with approach, persuades, drives vision and purpose
· Being Authentic: instills trust
· Being Open: demonstrates self-awareness, self-development
· Being Flexible and Adaptable: being resilient and nimble learner
Requirements
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
Required: 5+ years' experience within the same scope of responsibilities within an ambulatory operations leadership role. At least 5 years of experience directly supervising other leaders. Strong healthcare business acumen and positive record with provider relations.
Preferred: bachelor's or master's degree in health care administration, business administration or related field. Previous experience working with external stakeholders or partners delivering patient care services, multi-specialty or school-based health care.
Language Skill
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge to be proficient of current electronic health record, practice management system and Microsoft 365 including Outlook, Excel and Word.
Other Applicable Requirements
Strong communicator and listener to patients and associates. Strong interpersonal skills (friendly, caring, patient). Strong verbal/written communication skills. Strong organizational skills and attention to detail.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand, walk, use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Regional Director of Business Development -Ohio
Regional director of operations job at Acadia Healthcare
Overview Regional Director of Business Development - Ohio Market
Lead growth. Strengthen partnerships. Make a meaningful impact in behavioral health across Ohio.
Acadia Healthcare is seeking a dynamic Regional Director of Business Development to lead growth initiatives across the Ohio market. This leader will oversee Business Development teams, drive strategic census and payer mix goals, and build influential relationships with referral partners throughout the region.
The selected candidate will have an on-site office at Ohio Hospital for Psychiatry in Columbus, OH.
What We Offer
Competitive base salary (based on experience and Ohio market conditions)
Annual discretionary bonus opportunity
Generous PTO, paid holidays, and work-life balance
Comprehensive benefits including medical, dental, vision, and 401(k) with company match
Career advancement opportunities across Acadia's nationwide network of 250+ facilities
Mission-driven culture focused on improving lives and supporting communities
Responsibilities What You'll Do
Lead strategic growth for multiple Ohio facilities, driving census, admissions, and payer mix performance.
Manage, coach, and develop Business Development Directors and Managers.
Build strong referral relationships with physicians, hospitals, discharge planners, and community partners.
Use market and payer data to prioritize focus counties and identify new business opportunities.
Partner closely with intake, admissions, and hospital leadership to address barriers to admissions.
Represent Acadia in the Ohio behavioral health community to enhance brand presence and strengthen partnerships.
Qualifications What We're Looking For
Bachelor's degree required; Master's preferred.
5+ years of healthcare business development experience (behavioral health strongly preferred).
Proven ability to lead teams and deliver growth results.
Exceptional relationship-building and communication skills.
Strong organization, adaptability, and comfort working in a fast-paced multi-facility environment.
Ability to travel regionally across Ohio.
Why Join Acadia
At Acadia Healthcare, we are driven by our mission to be the undisputed leader in behavioral healthcare-delivering hope, healing, and recovery for those we serve. As part of our team, you'll have the opportunity to make a tangible impact across communities while working in a collaborative and purpose-driven environment.
Apply Today
If you're passionate about building meaningful partnerships that expand access to behavioral health care and strengthen community-based support systems, we invite you to apply today.
👉
Acadia Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
AHCORP
#LI-JR1
#LI-onsite
Auto-ApplyAssociate Director, GME Accreditation & Operations
Remote
The Associate Director, GME Accreditation & Operations supports the oversight, development, and continuous improvement of Graduate Medical Education (GME) programs. This role collaborates with corporate and facility GME leadership to ensure program compliance, quality, and operational excellence in alignment with Accreditation Council for Graduate Medical Education (ACGME) standards. The Manager may provide guidance for new and existing program accreditations, assists in implementing quality improvement initiatives, and offers training and support to GME staff.
Essential Functions
Collaborates with GME leadership to develop, implement, and refine processes and procedures across clinical and educational GME settings.
Provides guidance to facility GME leadership and program staff to ensure excellence in GME program operations and adherence to ACGME standards.
Assists in the development and accreditation of new GME programs, providing expertise and support in accreditation processes.
Leads or participates in quality improvement initiatives to enhance onboarding, training, and administrative skills for GME program staff.
Acts as a resource for GME program leadership, supporting a consistent and compliant approach across all programs.
Communicates effectively with corporate and facility GME teams, promoting collaboration and alignment on program goals and standards.
Monitors program compliance, assesses areas for improvement, and implements strategies to enhance operational efficiency and program quality.
Provides training and resources to program leaders and staff, as needed.
Performs other duties as assigned.
Complies with all policies and standards.
Qualifications
Bachelor's Degree in Healthcare Administration, Education, or a related field required
Master's Degree in Education, Healthcare Administration, Organizational Leadership, or Behavioral Science/Social Work preferred
4-6 years of experience in GME administration or healthcare program management required and
3-5 years of experience as a Program/Fellowship Coordinator at an ACGME-accredited program preferred
Knowledge, Skills and Abilities
Strong knowledge of GME accreditation standards, including ACGME requirements.
Excellent leadership and mentoring skills to guide GME administrative staff and program leadership.
Effective communication and interpersonal skills to foster collaboration and alignment across GME programs.
Analytical skills for program assessment, quality improvement, and compliance monitoring.
Ability to manage multiple priorities and adapt to changing regulatory and operational requirements.
Experience with GMETrack, ACGME ADS, Thalamus, New Innovations, and ERAS required.
Licenses and Certifications
Certification in GME administration or related area preferred
Auto-ApplyAssociate Director, Quality Field Operations
Maryland Heights, MO jobs
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 Director level is accountable for achieving assigned targets for Medicare Advantage providers in their assigned Market(s). The Director is responsible for developing and deploying business plans at the market level with a solid focus on managing CMS Risk Adjustment, Clinical Quality, HEDIS and Stars initiatives and building relationships across Market(s) to develop and optimize business opportunities and brand strength. Serving as the local Market expert, work with central function leads to target local strategies that will result in optimal Market(s) effectiveness.
You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
* Ensure targets are met or exceeded for assigned Market(s)
* Development and execution of clinical, RAF and quality strategy related HEDIS and Part D Stars Improvements in partnership with Medicare Market CEO, Executive Director, Data Support, and other Optum and UHC parties as appropriate
* Regular reporting and updates to senior leadership, including Health Plan CEO, CMO, and market leads, this requires development of PowerPoint and Excel data packages
* Leadership and support of achieving a minimum of 4 Star rating for assigned H contracts and for achieving 80% of our members in 4 Star or better plans
* Solid focus on employee development and employee experience
* Monitor Market level trends, risk and opportunities to continually evaluate ability to achieve established targets
* Create provider targets for direct reports and assist in territory management penetration
* Actively participate in the development and execution of site Coding Accuracy, HEDIS, (prospective and retrospective), Patient Experience and Stars strategic/business plans
* Influence the development and improvement of operations/service processes
* Drive the development and implementation of short-and-long range plans
* Continually assess market competitiveness, opportunities, and risks
* Drive initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities
* Build and maintain collaborative relationships with Corporate, Business units within UHG and other Medicare Advantage Plans, Provider relations/Network Development, Marketing and Sales, Clinical Operations, Senior Director leadership in each market
* The Director will be accountable to ensure direct reports that oversee the field staff are performing at a high standard of performance
* Be the primary go to person for all Risk/STARS related activities within their assigned market(s) working within a matrix relationship which includes Network, Market Leads, Health Plan Medical Directors, and other Health Plan and Optum team members to assure that all STARS activities are planned and executed
* Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work
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 in a high impact role as a leader in the managed health care industry
* 5+ years of Medicare Stars experience and HEDIS experience
* Experience in the development and execution of Coding Accuracy, HEDIS (prospective and retrospective), Patient Experience and Stars strategic/business plans
* Experience developing and improving operations / service processes including short and long range plans
* Demonstrated experience on driving initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities
* A broad base of experience across management care operations, extensive knowledge of health care industry, provider and insurance industry is required to be successful in this role
* Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work
Preferred Qualifications:
* Reside in the upper Midwest (Missouri / Nebraska / Iowa / Illinois )
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Director of Clinical Operations RN Hospice - Remote
Tulsa, OK jobs
Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Clinical Director, you will assists the Executive Director in all functions of clinical oversight of the provider. This includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
* Ensures that the hospice agency employs only qualified hospice personnel
* Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
* Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
* Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
* Promotes hospice education to referral sources and the community at large
* Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
* Ensures that patient care services are provided according to the plan of care, as ordered by the physician
* Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
* May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
* Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
* Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
* Ensures adequate staffing through recruitment and retention activities
* Ensures timely completion of assigned hospice agency staff evaluations
* Identifies education needs and ensures adequate clinical and process education for clinical staff
* Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
* Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety. Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
* Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
* Completes required courses through LHC Group learning management system and attends in-services, when applicable
* Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
* Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient.
* Oversees and/or directly investigates all patient-related sentinel events
* Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
* Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
* May act as back-up to the agency Executive Director/Executive Administrator
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:
* Current and unrestricted RN licensure in the state of practice
* Current CPR certification
* Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
Preferred Qualifications:
* 3+ years of experience in a hospice, home health, or other health care service delivery system setting
* 2+ years of healthcare leadership
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Director of Clinical Operations RN Hospice - Remote
Tulsa, OK jobs
Explore opportunities with Grace Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Clinical Director, you will assists the Executive Director in all functions of clinical oversight of the provider. This includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
+ Ensures that the hospice agency employs only qualified hospice personnel
+ Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
+ Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
+ Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
+ Promotes hospice education to referral sources and the community at large
+ Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
+ Ensures that patient care services are provided according to the plan of care, as ordered by the physician
+ Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
+ May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
+ Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
+ Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
+ Ensures adequate staffing through recruitment and retention activities
+ Ensures timely completion of assigned hospice agency staff evaluations
+ Identifies education needs and ensures adequate clinical and process education for clinical staff
+ Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
+ Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety. Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
+ Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
+ Completes required courses through LHC Group learning management system and attends in-services, when applicable
+ Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
+ Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient.
+ Oversees and/or directly investigates all patient-related sentinel events
+ Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
+ Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
+ May act as back-up to the agency Executive Director/Executive Administrator
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:**
+ Current and unrestricted RN licensure in the state of practice
+ Current CPR certification
+ Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
**Preferred Qualifications:**
+ 3+ years of experience in a hospice, home health, or other health care service delivery system setting
+ 2+ years of healthcare leadership
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_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._
Associate Director of Regional Provider Accounts - Remote Within Market
Columbus, OH jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Optum OB Homecare provides holistic care to high-risk pregnant patients in the comfort of their home, and we are seeking an Associate Director of Regional Provider Markets to join our team within Optum Health to oversee the Midwest Region. In this role, you will oversee a field-based team of Account Executives responsible for cultivating and maintaining solid client relationships with providers to generate patient referrals.
We're looking for a strategic leader with a proven ability to drive business growth. The ideal candidate will bring:
+ A solid background in account management, business growth, and/or business development
+ Excellent communication and interpersonal skills
+ Financial acumen
+ Understanding of provider market trends
+ Experience managing geographically disperse team
If you are located in within one of the following markets: AZ, CA, IL, IN, KY, MI, MO, NJ, NM, NV, NY, OH, OK, PA, TN, TX, WA, you will have the flexibility to work remotely* as you take on some tough challenges.
**Primary Responsibilities:**
+ Develop and execute strategic plans to drive business retention and growth through provider relationships
+ Provide leadership, focused on employee growth, development and retention
+ Oversee Account Executives who serve as outward-facing, dedicated resource for provider accounts, with direct client contact
+ Monitor internal performance metrics to achieve business objectives at market level
+ Collaborate cross-functionally to shape and enhance our service delivery for providers
+ Translate national business strategy into regional provider action plans with measurable outcomes
+ Oversee outward-facing marketing and engagement strategies to effectively penetrate assigned territories
+ Identify regional opportunities and guide team efforts to implement with solid measures of success
+ Set and monitor KPIs and service-level quotas across region, ensuring consistent achievement of goals
+ Hire, onboard, and mentor regional team members to build a solid, capable field force
+ Foster a culture of collaboration, accountability, and continuous improvement
+ Create individualized development plans for Account Executives through regular coaching and development sessions, field co-travels and performance reviews
+ Collaborate with cross-functional teams-marketing, product, operations-to support regional initiatives
+ Oversee regional budget and resource allocation-ensuring alignment to expectations
+ Facilitate reporting and tracking on territory-level activities and develop forecasts for regional growth
+ Serve as senior point of contact for key regional clients and partners, guiding Account Executives in the development and delivery of presentations, implementations and service needs
+ Represent company and business at regional events providing education and awareness on services-such as conferences and other forums
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:**
+ 7+ years of experience in business development, sales or account management
+ 5+ years of experience in territory management capacity
+ Healthcare / business environment experience
+ Management experience, specifically with a geographically disperse team
+ Proven solid communication and presentation skills, in person and virtually, with experience interacting with clinical and non-clinical stakeholders
+ Demonstrated effective financial acumen, including budgets and quotas
+ Proven track record of success
+ Proficient use of Outlook, Word, Excel and PowerPoint
+ Ability to travel 25-50% of time
+ Reside within accountable territory: AZ, CA, IL, IN, KY, MI, MO, NJ, NM, NV, NY, OH, OK, PA, TN, TX, WA
**Preferred Qualifications:**
+ Experience calling on providers and clinical staff
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_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._
RN - Director of Clinical Operations - Hospice - Baptist Reynolds Hospice House - Remote
Collierville, TN jobs
Explore opportunities with Baptist Reynolds Hospice House, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Clinical Director, you will assists the Executive Director in all functions of clinical oversight of the provider. This includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
+ Ensures that the hospice agency employs only qualified hospice personnel
+ Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
+ Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
+ Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
+ Promotes hospice education to referral sources and the community at large
+ Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
+ Ensures that patient care services are provided according to the plan of care, as ordered by the physician
+ Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
+ May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
+ Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
+ Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
+ Ensures adequate staffing through recruitment and retention activities
+ Ensures timely completion of assigned hospice agency staff evaluations
+ Identifies education needs and ensures adequate clinical and process education for clinical staff
+ Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
+ Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety. Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
+ Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
+ Completes required courses through LHC Group learning management system and attends in-services, when applicable
+ Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
+ Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient.
+ Oversees and/or directly investigates all patient-related sentinel events
+ Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
+ Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
+ May act as back-up to the agency Executive Director/Executive Administrator
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:**
+ Current and unrestricted RN licensure in the state of practice
+ Current CPR certification
+ Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
**Preferred Qualifications:**
+ 3+ years of experience in a hospice, home health, or other health care service delivery system setting
+ 2+ years of healthcare leadership
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
\#LHCJobs
_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._
RN - Director of Clinical Operations - Hospice - Baptist Reynolds Hospice House - Remote
Collierville, TN jobs
Explore opportunities with Baptist Reynolds Hospice House, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Clinical Director, you will assists the Executive Director in all functions of clinical oversight of the provider. This includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
* Ensures that the hospice agency employs only qualified hospice personnel
* Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
* Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
* Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
* Promotes hospice education to referral sources and the community at large
* Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
* Ensures that patient care services are provided according to the plan of care, as ordered by the physician
* Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
* May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
* Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
* Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
* Ensures adequate staffing through recruitment and retention activities
* Ensures timely completion of assigned hospice agency staff evaluations
* Identifies education needs and ensures adequate clinical and process education for clinical staff
* Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
* Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety. Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
* Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
* Completes required courses through LHC Group learning management system and attends in-services, when applicable
* Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
* Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient.
* Oversees and/or directly investigates all patient-related sentinel events
* Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
* Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
* May act as back-up to the agency Executive Director/Executive Administrator
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:
* Current and unrestricted RN licensure in the state of practice
* Current CPR certification
* Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
Preferred Qualifications:
* 3+ years of experience in a hospice, home health, or other health care service delivery system setting
* 2+ years of healthcare leadership
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
#LHCJobs
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.
UHOne Sales Enablement Co-op - Remote
Indianapolis, IN jobs
**Internships at UnitedHealth Group.** If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. And even better? Join us to start **Caring. Connecting. Growing together.**
You'll be at the core of Sales Enablement, helping to ensure that solutions for customers with insurance needs come to fruition. If you want to advance your learning in a technology environment that's always pushing the envelope, you've come to the right place. The UnitedHealthOne team, part of UnitedHealthcare's thriving family of businesses, is a team of people who are passionate about using consultative sales to help improve the lives of millions and make health care work better for all. During this 6-month Co-op Early Careers internship opportunity, you'll gain insight to call center operations, insurance sales, and more. You'll be trained on the specifics of your sales enablement track, with the opportunity to gain exposure to the broader operations. In addition, the Co-op also offers networking, collaboration opportunities as well as mentorship from experienced insurance professionals and leaders. The intent of our Co-op program is to provide return internship opportunities or full-time employment opportunities at UnitedHealthOne, depending on eligibility.
**Key Information Regarding the Co-op Program:**
This full-time Co-op position will be available for the Summer/Fall semester, starting mid-Summer 2026 through December 2026.
While the majority of work will occur during core business hours (8:00 AM - 5:45 PM ET), candidates must be available to work any shift within our full Hours of Operation:
Monday-Friday: 8:00 AM - 10:00 PM ET
Saturday: 9:00 AM - 5:30 PM ET
The following are examples of tracks where candidates may be placed. Please note that track placement is dependent on business need and availability, and there may be opportunity to gain exposure to multiple tracks during your Co-op experience:
+ Onboarding, Licensing, and Appointments
+ Responsible for agent onboarding and ready-to-sell activities
+ Training
+ Responsible for design & delivery of agent training and assessment of knowledge, along with classroom chat facilitation and tracking responsibilities
+ Workforce Management
+ Responsible for utilizing software tools and call volume history to help manage daily staffing levels and determine effective methods for making staffing adjustments for our dynamic call center
+ Product Activation
+ Responsible for conducting user testing across multiple platforms, including executing test scenarios, documenting results, capturing screenshots, and logging defects, following provided guidelines
+ Quality Audit
+ Responsible for auditing sales agent calls to ensure compliance with regulatory requirements and adherence to internal scripting guidelines, providing feedback to maintain quality and consistency
Sponsorship is not available for this position.
You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.
**Commitment Expectations:**
+ Generally, this means that students have limited, additional coursework (0 - 6 credit hours for the fall semester), along with outside commitments that are flexible to the agreed-upon work hours for the duration of the Co-op
+ This is not a situation where hours and location of work are at the discretion of the student; hours are agreed upon, in advance, with the Co-op supervisor, and work location needs to be a protected health information (PHI) compliant space (no coffee shops or generally other 'open' Wi-Fi networks are to be used)
**Primary Responsibilities:**
+ Identify, track, report and resolve critical dependency issues
+ Keep records and provide reports to management team on a regular & timely basis
+ Maintain and develop business relationships with internal and external partners
+ Utilize internal learning platforms and training resources to support use of software and technology
+ Generate weekly schedules
+ Schedule non-phone activities
+ Monitor attendance/schedule adherence and take appropriate action as needed
+ Proof-read and make recommendations for e-mails, reports and collateral materials
+ Special projects & ad hoc reporting as required
+ Active participation in team meetings and Co-op programming, including a culminating executive presentation
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:**
+ Currently pursuing a Bachelor's degree from an accredited college/university
+ Actively enrolled in an accredited college/university during the duration of the Co-op and seeking academic credit for the experience. Co-ops are not intended for graduating seniors
+ Basic Microsoft Office skills (Outlook, Word, Excel, PowerPoint)
+ Ability to work 40 hours per week during full hours of operation, 8am - 10pm ET, based upon business need (core business is typically conducted 8am - 5:45pm ET; evening & weekends may be required for the Workforce Management track which include Saturdays, 9am - 5:30pm, and Sundays, 12pm - 4pm ET)
+ Eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization. F-1 visa holders with Curricular Practical Training (CPT) or Optional Practical Training (OPT) who will require visa sponsorship, TN visa holders, current H-1B visa holders, and/or those requiring green card sponsorship will not be considered
**Preferred Qualifications:**
+ Pursuing a degree in Business, Communication, Mathematics, Healthcare or Insurance
+ Eagerness to learn about the healthcare system, insurance, and business operations
+ Solid communication skills (both written and verbal)
+ Good problem-solving skills with attention to detail
+ Ability to work independently with minimal supervision in a fast-paced team environment
+ Demonstrated ability to learn new technology quickly
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_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._
UHOne Sales Co-op - Remote
Indianapolis, IN jobs
**Internships at UnitedHealth Group.** If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start **Caring. Connecting. Growing together.**
You'll be at the intersection of sales and healthcare, about to create the next incredible solution for insurance customers primarily under the age of 65. If you want to advance your learning in a technology environment that's always pushing the envelope, you've come to the right place. The UnitedHealthOne team, part of UnitedHealthcare's thriving family of businesses, is a team of people who are passionate about using consultative sales to help improve the lives of millions and make health care work better for all. Throughout your 6-month Co-op Early Careers internship experience, you'll be licensed and credentialed as an Insurance Professional. You'll be trained on the tools and products, as well as the sales and compliance techniques to serve as a trusted agent for potential customers. In addition, the Co-op also offers networking, collaboration opportunities as well as mentorship from experienced insurance professionals and leaders. The intent of our Co-op program is to provide return internship opportunities or full-time employment opportunities at UnitedHealthOne, depending on eligibility.
This Co-op position will be available for the Summer/Fall semester, TBD (unlicensed). If already licensed with an active Life and Health Insurance License when hired The internship will take place from Summer 2026 - mid December 2026.
**Hours of the role:**
+ First 8 weeks 40 hours per week (orientation. Pre-licensing prep, and training will be Monday - Friday 8:00am - 4:45pm ET
+ Ability to work 40 hours per week during full hours of operation, 8am - 10:45pm ET, based upon business need (orientation, pre-licensing preparation, and training is typically 8:00am - 4:45pm ET for approximately the first 8 weeks; evening & weekends may be required post-training, with notice given on change of hours)
**Commitment Expectations:**
+ Generally, this means that students have limited, additional coursework (0 - 6 credit hours for the fall semester), along with outside commitments that are flexible to the agreed-upon work hours for the duration of the Co-op
+ This is not a situation where hours and location of work are at the discretion of the student; hours are agreed upon, in advance, with the Co-op supervisor, and work location needs to be a protected health information (PHI) compliant space (no coffee shops or generally other 'open' Wi-Fi networks are to be used)
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on this fulfilling opportunity.
**Primary Responsibilities:**
+ Successfully become licensed in health & life within your resident state** within the first 30 days of Co-op, if not already licensed
+ Successfully pass FFM (Federally Facilitated Marketplace) and other potential state based exchanged certifications within first 90 days of Co-op
+ Handle leads from both a dedicated carrier leadsource (UHC) and a multi-carrier leadsource (HealthMarkets)
+ Receive inbound calls from leadsources and offer available ACA (Affordable Care Act) products based on an established sales process that includes required scripting and highly compliant, needs-based selling
+ Conduct follow-up calls to consumers who have not yet purchased the product(s) discussed on a previous call, which may include calls made by other licensed agents, to help close the sale
+ Handle chats with prospective customers according to training and guidelines for the lines of business identified
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:**
+ Currently pursuing a Bachelor's degree from an accredited college/university
+ Actively enrolled in an accredited college/university during the duration of the Co-op. Not intended for graduating seniors
+ Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization. F-1 visa holders with Curricular Practical Training (CPT) or Optional Practical Training (OPT) who will require visa sponsorship, TN visa holders, current H-1B visa holders, and/or those requiring green card sponsorship will not be considered
**Preferred Qualifications:**
+ Pursuing a degree in Sales, Business, Communication, Healthcare, or Insurance
+ Intermediate Microsoft Office skills (Outlook, Word, Excel, Powerpoint)
+ Eagerness to learn about the healthcare system & insurance
+ Solid communication skills (both written and verbal)
+ Good problem-solving skills with attention to detail
+ Ability to work independently with minimal supervision in a fast-paced team environment
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 hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_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._
Associate Director Actuarial Services - Remote - Fort Washington, PA Preferred
Fort Washington, PA jobs
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 Associate Director of Actuarial within UHC Medicare & Retirement will perform various analytics related to claim trends and business performance, support and help drive regulatory advocacy efforts and will complete rate filings for Medicare Supplement products.** The Associate Director will perform critical data analysis, SAS/SQL/Excel modeling, and actuarial analytics while developing and strengthening processes and models. As a subject matter expert, the Associate Director will work directly with state regulators to file and obtain state rate filing approvals.
The environment is challenging and fast-paced, requiring flexibility and curiosity. Team members are expected to have a high level of energy, a passion for driving demonstrable value at speed, and making a positive impact both within and beyond United Healthcare.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. The preferred location for this position is the Fort Washington, PA office.
**Primary Responsibilities:**
+ Participate in the end-to-end rate filing process, including preparing filings, ensuring compliance with state regulations, and working directly with state regulators in responding to questions and making recommendations to influence filing outcomes
+ Appropriately reflect pricing methodologies and assumptions within statutory filings
+ Create, modify, run and test models used to help support regulatory filing activities
+ Perform various analytics related to claim trends and business performance, support and help drive regulatory advocacy efforts
+ Assist in developing analytics that support ongoing and new advocacy efforts related to regulatory filings
+ Appropriately balance actuarial theory with practical business realities (e.g., time / resource constraints, data availability, market conditions)
+ Translate highly complex concepts in ways that can be understood by a variety of audiences including senior leaders
+ Monitor environmental factors (competitors and regulatory), anticipate and communicate impact on business to external areas, recommend solutions and influence appropriate courses of action to senior leaders
+ Collaborate with team members across the business to develop solutions to business challenges including finance, product, actuarial, and sales
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:**
+ Bachelor's degree
+ ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation
+ 6+ years of Actuarial experience in the healthcare insurance industry (pricing, claims forecasting, healthcare economics, reserving, risk management, or similar)
+ Advanced or higher level of proficiency with Excel and Access
**Preferred Qualifications:**
+ Experience working with Medicare plans (preferably Medicare Supplement)
+ Basic level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_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._
\#UHCPJ
Associate Director Actuarial Services - Remote
Minnetonka, MN jobs
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.
What's your next step? How will you leverage the study, training, certifications and your energy to help develop solutions to transform the health care industry? As an Associate Director Actuarial Services at UnitedHealth Group, you can do just that. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. It's an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* State Actuarial Pricing Lead for Commercial Group Products
* Managing the end-to-end rate filing process, including preparing filings, ensuring compliance with state regulations, and working directly with state regulators in responding to objections/inquiries
* Oversee the development of actuarial pricing models
* Develop appropriate pricing methodologies and assumptions
* Provide timely and complete Peer Reviews
* Conduct and evaluate studies on pricing, utilization and health care costs
* Proactively identify best practices and bring attention to data issues and outliers in results
* Strategic business partner with direct relationships with the health plan leadership providing actuarial support and key recommendations to matrix partners (market leadership, underwriting, sales, product)
* Monitor environmental factors (competitors and regulatory), anticipate and communicate impact on business to external areas, recommend solutions and influence appropriate courses of action to senior leaders
* Manage and develop your elite team of actuaries
* Develop presentation materials and lead communication of results to internal stakeholders
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:
* Bachelor's degree or equivalent work experience
* 4+ years of actuarial experience collecting, analyzing and summarizing qualitative/quantitative data
* Advanced or higher level of proficiency with Excel
* Proven clear communication skills, particularly in conveying complex topics to non-expert audiences
* Proven critical thinking skills that allow you to push through the data and find effective solutions
Preferred Qualifications:
* ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation
* Experience working in the healthcare or finance industries
* Experience working on actuarial pricing or rate filing
* Experience managing direct reports
* Basic or higher level of proficiency with SAS (Statistical Analysis System), SQL (Structured Query Language) and/or Snowflake
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Associate Director Actuarial Services, UHG Trend Analytics Team - Remote - Eden Prairie, MN preferred
Eden Prairie, MN jobs
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.
The Associate Director, Actuarial Services will be a key member of the UHG Trend Analytics team, focused on developing and executing medical expense analytics and reporting (e.g. Health Cost Trend Analytics - HCTA) for Optum Care. This role is responsible for leading medical expense reporting processes using standardized and best-in-class trend methodologies to ensure consistent, accurate cost reporting across UnitedHealth Group. The ideal candidate will bring expertise in healthcare data analysis and reporting, strong collaboration skills, and at least 5 years' relevant actuarial experience.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
The Associate Director in this role will work with detailed health care claims data to build and maintain actuarial models to support medical expense reporting, analytics, and forecasting.
Primary Responsibilities:
* Lead the development and execution quarterly medical expense reporting processes for Optum Care
* Design and implement analytic methods that promote consistency with enterprise-wide medical cost reporting standards
* Develop, maintain, and enhance medical expense reports-ensuring timely delivery of actionable insights to business stakeholders
* Collaborate closely with finance, operations, and other analytic teams to drive transparency and alignment in medical trend measurement
* Analyze large healthcare datasets to identify trends, variances, and opportunities for cost management
* Present findings and recommendations clearly to both technical teams and senior leadership
* Support continuous improvement by identifying areas to automate or optimize existing processes
* Mentor junior analysts; contribute to team development initiatives
* Support ad-hoc analytic requests related to medical expense trends as needed
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:
* Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field
* 5+ years of actuarial experience in healthcare analytics or medical expense reporting roles
* Experience developing standard analytic methodologies
* Advanced or higher level of proficiency with data tools such as Excel/SAS/SQL/Power BI
* Demonstrated expertise with healthcare claims data analysis
* Proven excellent written and verbal communication skills; able to present technical findings effectively
Preferred Qualifications:
* Credentialed Actuary (FSA or ASA)
* Experience in Healthcare Consulting
* Experience with project management
* Proven solid organizational skills; ability to manage multiple priorities in a matrixed organization
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
#UHCPJ
Associate Director Actuarial - Remote
Eden Prairie, MN jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Associate Director, Actuarial is a key role within our OptumHealth National Actuarial and Healthcare Economics (HCE) team, responsible for overseeing, executing and communicating key actuarial functions for our Medicare Accountable Care Organizations (ACO) lines of business. This role involves managing resources and deliverables while providing customers in a risk-taking provider organization with business recommendations and contributing to the company's financial success. The successful candidate will have a solid background in actuarial science, a technical skillset to take on complex Value-Based Care (VBC) modeling and the curiosity and desire to become a thought leader in their areas.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
* Oversee, build and maintain actuarial models used for forecasting and tracking performance risks associated with Medicare ACO lines of business (ACO REACH, MSSP/Medicare Shared Saving Programs)
* Analyze revenue/claim data from multiple sources and translate complex concepts in ways that can be understood by a variety of audiences including senior leaders
* Serve as a key resource for risk-taking provider organizations and physician groups
* Communicate results and provide recommendations to stakeholders on business performance and strategic actions
* Contribute thought leadership and assist customers with evaluating and implementing new and existing Value-Based Care (VBC) programs
* Mentor, direct and review work of a team of 1-2 analysts
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:
* Bachelor's degree in Actuarial Science, Mathematics, or related field
* 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
* 3+ years of experience analyzing and manipulating large healthcare claim datasets
* Proficiency in Excel and SQL
* Proven excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion
Preferred Qualifications:
* ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation
* Experienced with any of the following: Government Programs, Medicare Advantage (MA) products, CMS ACO/Alternative Payment Models, and/or VBC modeling
* Experience presenting business insights and summaries to inform decisions to stakeholders
* Ability to self-motivate, quickly learn new business concepts and take initiatives
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Associate Director Actuarial Services, UHG Trend Analytics Team - Remote - Eden Prairie, MN preferred
Eden Prairie, MN jobs
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start **Caring. Connecting. Growing together.**
The Associate Director, Actuarial Services will be a key member of the UHG Trend Analytics team, focused on developing and executing medical expense analytics and reporting (e.g. Health Cost Trend Analytics - HCTA) for Optum Care. This role is responsible for leading medical expense reporting processes using standardized and best-in-class trend methodologies to ensure consistent, accurate cost reporting across UnitedHealth Group. The ideal candidate will bring expertise in healthcare data analysis and reporting, strong collaboration skills, and at least 5 years' relevant actuarial experience.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
The Associate Director in this role will work with detailed health care claims data to build and maintain actuarial models to support medical expense reporting, analytics, and forecasting.
**Primary Responsibilities:**
+ Lead the development and execution quarterly medical expense reporting processes for Optum Care
+ Design and implement analytic methods that promote consistency with enterprise-wide medical cost reporting standards
+ Develop, maintain, and enhance medical expense reports-ensuring timely delivery of actionable insights to business stakeholders
+ Collaborate closely with finance, operations, and other analytic teams to drive transparency and alignment in medical trend measurement
+ Analyze large healthcare datasets to identify trends, variances, and opportunities for cost management
+ Present findings and recommendations clearly to both technical teams and senior leadership
+ Support continuous improvement by identifying areas to automate or optimize existing processes
+ Mentor junior analysts; contribute to team development initiatives
+ Support ad-hoc analytic requests related to medical expense trends as needed
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:**
+ Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field
+ 5+ years of actuarial experience in healthcare analytics or medical expense reporting roles
+ Experience developing standard analytic methodologies
+ Advanced or higher level of proficiency with data tools such as Excel/SAS/SQL/Power BI
+ Demonstrated expertise with healthcare claims data analysis
+ Proven excellent written and verbal communication skills; able to present technical findings effectively
**Preferred Qualifications:**
+ Credentialed Actuary (FSA or ASA)
+ Experience in Healthcare Consulting
+ Experience with project management
+ Proven solid organizational skills; ability to manage multiple priorities in a matrixed organization
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_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._
_\#UHCPJ_