Chief Executive Officer jobs at Tenet Healthcare - 57 jobs
VP De Novo Sourcing, USPI - Carolinas & Tennessee
Tenet Healthcare 4.5
Chief executive officer job at Tenet Healthcare
COMPANY BACKGROUND:
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas. Our care delivery network includes United Surgical Partners International, the largest ambulatory platform in the country, which operates ambulatory surgery centers and surgical hospitals. We also operate a national portfolio of acute care and specialty hospitals, other outpatient facilities, a network of leading employed physicians and a global business center in Manila, Philippines. Our Conifer Health Solutions subsidiary provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers, and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve. For more information, please visit ********************** *************
JOB DESCRIPTION:
A De Novo Vice President (“DNVP”) will lead efforts to grow USPI's pipeline of newly constructed outpatient surgical facilities (de novos). This position is responsible for leading sourcing efforts and USPI enterprise approach to building new ASC partnerships with physicians in the Carolinas & Tennessee. The role will include extensive engagement and relationship development with physicians as well as identifying and driving viable opportunities to successful syndication.
The DNVP will be responsible for company-wide capital development projects, with frequent travel required in order to effectively lead and execute on team initiatives. Creativity, innovation, self-reliance, organization and relationship-driven thinking are keys to success in this position. This role is responsible for educating providers on the benefits of a surgical center investment and appropriately explaining the USPI value proposition and differentiators that make a partnership with USPI successful. All provider engagement is to be done in accordance with the Company's Standards of Conduct and policies and procedures, particularly those involving referral source arrangements
REQUIRED SKILLS:
Bachelor's Degree Required.
At least 7 years of experience in a field related to health system physician relations, pharmaceuticals, or medical devices
Extensive experience working with physicians and within healthcare organizations whose recognition and reputation for excellence and quality place them at or near the top of the healthcare delivery system.
Represent the organization at all times. Be supportive of other managers and set an example of high personal and professional conduct and integrity for employees and others.
Ability to identify strategic priorities and drive them to completion.
Embrace collaborative leadership style; ability to seek input and counsel from a wide constituency, without losing decisiveness or the ability to take action and inspire others to action, as appropriate.
OTHER REQUIREMENTS:
Exhibited success in a business development / sales role
Demonstrate excellent organizational, interpersonal, facilitation, and communication skills
Capacity to work independently with minimal supervision
Ability to travel up to 50% of time. Selected candidate will be required to pass a Motor Vehicle Record check.
#LI-CD1
RESPONSIBILITIES AND EXPECTATIONS
Lead the sourcing efforts for de novo projects by enhancing company sourcing strategy around people, process, and pipeline approach.
Assess market dynamics, physician practice trends, and competition to inform and prioritize strategies around new facility demand and growth.
Research physicians to understand the decision making behind facility selection and other ASC and / or hospital relationships the providers may have. This information should inform provider engagement.
Maintain a robust pipeline of active external physician recruits, effectively communicate USPI centers' value proposition, and facilitate new physician starts at USPI centers
Foster, nurture, and maintain relationships with USPI's potential and existing physician partners to drive new opportunities for the company.
Maintain latest knowledge of the market hospital, ambulatory surgery, and provider landscape in the defined market service area.
Assist in the formation of JV partnerships and the syndication of ownership interests to physicians, including financial projections, preparation of syndication documents, etc.
Identify and help guide process improvement opportunities across de novo sourcing and execution.
Partner with USPI business leaders before, during and after projects are complete to ensure they make strategic sense, fit with forward-looking business plans, and are integrated smoothly and fully optimized.
$136k-195k yearly est. Auto-Apply 16d ago
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Chief Financial Officer (CFO)
Lifepoint Hospitals 4.1
Dublin, OH jobs
Your experience matters: Dublin Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your wellbeing so you can provide exceptional care to others. As a Chief Financial Officer (CFO) joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
Dublin Springs is formally known as Columbus Springs-Dublin, and we are partnered with Ohio Health.
The CFO is responsible for overall financial administration of the hospital, including revenue cycle, general accounting, information systems and financial reporting in accordance with all hospital and corporate policies and procedures. Ensures that internal controls are adequate to safeguard facility assets and that accounting systems are sufficient to generate accurate and timely financial reports. Also responsible for preparation of the annual hospital budget along with ongoing analytics monitoring any variances and reporting to CEO and corporate office.
How you'll contribute:
A Chief Financial Officer (CFO) who excels in this role:
* Supervise and oversee the activities of the business office staff (billing, collections, financial counseling, utilization review and data processing) and maintains effective revenue cycle processes to keep patient accounts receivable at an acceptable level and also increasing the hospital's cash flow (including management of denials).
* Ensures that company policies and procedures are effective and implemented to assure minimal risk to the facility.
* Responsible for compliance along with generally accepted accounting principles as well as any other local, state and federal guidelines required.
* Will ensure accurate capturing and posting of all financial and daily accounting activity and ensures that monthly financial statements and regular productivity reports are completed and distributed on a timely basis.
* Contribute to and monitor performance goals and objectives (EBITDAR target). Analyzes variances and with CEO, develops action plans to achieve assigned targets.
* Maintain patient accounts receivable at amounts appropriate for market, payer, and acuity mix (measured by AR days).
* Ensures all balance sheet accounts are reconciled on a monthly basis and systems of internal controls are in place to facilitate a clean audit opinion.
* Typically supervises the areas of Accounting, Patient Financial Services, Purchasing, Payroll and other departments as required at the individual hospital.
* Ensures that month end financial closing process is completed accurately and timely; prepares financial statements and monthly operating review reports to co-present with the hospital CEO to corporate management.
* Responsible for preparation of annual operating and capital budgets for the hospital.
* Assists the corporate finance and accounting team in the annual independent audit preparation and process.
* Responsible for daily, weekly and monthly reporting of operating statistics and financial metrics as scheduled and or requested.
* All other duties assigned
What we're looking for:
* Education: Bachelor's degree in finance or accounting or related field required. CPA preferred.
* Experience: Previous experience in healthcare overall financial operations/controls required. Experience in payroll also required. Knowledge of inpatient psychiatric and chemical dependency hospital finance preferred. Proficient in use of Microsoft Office applications and has used computer workstation in previous roles in hospital.
Why join us:
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
Comprehensive Benefits: Multiple levels of medical, dental and vision coverage tailored benefit options for parttime and PRN employees, and more.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Wellbeing: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.
More about Dublin Springs:
Dublin Springs is a 72bed behavioral health hospital located in Dublin, Ohio, and part of Lifepoint Behavioral Health's Joint Venture with Ohio Health. In our state-of-the-art facility, we provide compassionate, evidence based care for individuals facing mental health and substance use challenges through inpatient treatment, crisis stabilization, and outpatient programs. Our services include specialized programs for children, adolescents, adults, seniors, and high-risk groups such as active duty military, veterans, and first responders. At Dublin Springs, we are committed to creating a supportive environment for patients and staff alike, with a focus on collaboration, innovation, and making a meaningful difference in the lives of those we serve.
EEOC Statement
"Dublin Springs is an Equal Opportunity Employer. Dublin Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
$79k-97k yearly est. 36d ago
VP, AI Enablement
Molina Healthcare Inc. 4.4
Cleveland, OH jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
Job Duties
* Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
* Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
* Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
* Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
* Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
* Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
* Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
* Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
* Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
* 7 years management/leadership experience.
* Proven history of implementing enterprise AI solutions in regulated environments.
* Strong cross-functional collaboration and stakeholder management skills.
* Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
* Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
* Familiarity with ethical AI principles and risk management
* Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
* Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
#PJCorp
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$128k-181k yearly est. 60d+ ago
VP, AI Enablement
Molina Healthcare Inc. 4.4
Akron, OH jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
Job Duties
* Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
* Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
* Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
* Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
* Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
* Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
* Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
* Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
* Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
* 7 years management/leadership experience.
* Proven history of implementing enterprise AI solutions in regulated environments.
* Strong cross-functional collaboration and stakeholder management skills.
* Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
* Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
* Familiarity with ethical AI principles and risk management
* Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
* Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
#PJCorp
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$128k-180k yearly est. 60d+ ago
Plan Chief Financial Officer
Centene 4.5
Remote
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Provide leadership and oversight of all aspects of finance for the Business Unit
Oversee all finance related activities for business unit including developing and monitoring progress against Annual Operating Plan.
Responsible for financial analysis, identification of month end financial drivers, and forecasting including headcount planning to ensure compliance with state requirements.
Responsible for identifying medical cost trends and leadership of medical cost improvement initiatives.
Perform financial impact analysis for new contracts and support negotiations.
Review monthly performance and financial results of the business unit and provide recommendations to senior management.
Responsible for the business unit's contribution to corporate.
Perform duties as Chief liaison between Corporate Finance and the Business Unit.
Establish financial strategic vision, objectives, policies and procedures in support of the overall strategic plan.
Oversee and validate pricing models and lead initiatives to identify inefficiencies and areas of development and improvement.
Direct health plan analytical needs and coordinate reporting strategy.
Act as a lead for internal and external audits.
Lead rate setting activity and coordinate corporate and state actuaries.
Education/Experience: Bachelor's Degree in Finance, Accounting, Economics, Business Administration required.
Master's Degree preferred.
10+ years in a high level finance role in the healthcare or insurance industry required.
For Carolina Complete Health plan: Individual responsible for accounting and finance operations, including all audit activities ; must reside in North Carolina.
For Illinois plan only: Must reside in Illinois.
CPA preferred.Pay Range: $202,900.00 - $384,400.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$202.9k-384.4k yearly Auto-Apply 60d+ ago
Vice President, Medicare Market - PA, DE & NJ
Centene 4.5
Remote
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Responsible for the growth and performance of assigned mid/high complexity and revenue Medicare markets within a region, driving enterprise goals in membership, earnings, quality, network performance, provider experience, and compliance. Develop and execute market-specific strategies, foster cross-functional collaboration, develop strong internal and external partnerships with key stakeholders and drive operational excellence. A hands-on executive who balances strategic vision with disciplined execution, while leading and organizing a multi-disciplinary, cross functional and cross line of business team to achieve results. Results oriented, strong communicator, culture builder, organized and disciplined. Represents the Medicare business with authenticity, accountability, and results orientation.
Responsible for the P&L management of assigned markets; including management of clinical, financial, and key operational performance.
Develop market-specific strategic operating plans with KPIs, milestones, and governance processes that supports organizational goals.
Lead expansion and performance of value-based care initiatives.
Provides leadership direction and vision to innovate and improve the performance of the business.
Monitor and analyze the changing landscape and recommend strategies and programs to proactively address the changing needs of the markets (Provider & Members).
Drive quality initiatives aligned with STAR outcomes and continuous improvement.
Build collaborative and effective partnerships with internal and external stakeholders, becoming a trusted Medicare thought leader, respond to evolving stakeholder/market needs, and elevate brand awareness in local market communities.
Identify the appropriate strategic approach to drive business growth and differentiate the product in the assigned markets.
Works collaboratively with product, shared services and market leaders to ensure that Medicare enterprise-wide networks, quality and risk, clinical, operational, financial and leadership expectations are met.
Provide effective leadership to direct and matrixed teams, fostering a culture of collaboration, innovation, and accountability.
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience: Bachelor's Degree in Business Administration, Healthcare Administration, other related field or equivalent experience required. Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Over 10 years of leadership experience in cross-functional initiatives and more than 5 years in marketing, sales, and/or product development, with a proven track record of identifying and driving growth-enabling strategies required. Proven history of identifying growth-enabling initiatives and opportunities and have business development experience. Demonstrated success in business development through forging long-term strategic alliances and partnerships that have significantly increased revenue,
Markets: PA, DE and NJ.
Pay Range: $227,700.00 - $431,400.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$227.7k-431.4k yearly Auto-Apply 14d ago
Director, Workforce Management
Centene 4.5
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
The Director, Workforce Management serves as a business leader who will be responsible for building, managing, and owning workforce management strategy, process, and execution. Will focus on tactical and strategic plans, capacity planning, quality, efficiency standards, and tool development to meet short-term and long-term business objectives.
Drives accountability for the workforce management function and supports the development of long-term growth plans.
Ensures business operations provides high levels of service by leading the short- and long-term staffing models and monitoring daily activities.
Develops staffing model strategies based on trends and forecasted results to create the most effective and efficient support models for business operations.
Influences adherence to established policies and procedures within workforce management.
Adheres to department budget and allocates resources according to project(s) and schedule; reviews actual and budgeted comparisons and ensures expenses reflect effective and efficient utilization of company resources.
Ensures strong partnerships between workforce management, training and other lines of business.
Act as a key driver for change to support growth initiatives and continued business improvement and transformation.
Use data, technology and innovation to drive continuous improvement to identify, assess and resolve issues across business operations.
Supports daily inventory management and SLA performance of the organization.
Drives cross functional improvements in processing times and prevention of aging work.
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience:
A Bachelor's Degree in a related field or equivalent experience required. A Master's Degree in business administration or analytical field preferred. 7+ years of professional level experience. Experience to include strategy development, identifying and implementing process improvements, presenting to senior management, and analytical background. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Demonstrated experience in workforce management across call center and/or back-office environments highly preferred.
Pay Range: $148,000.00 - $274,200.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$148k-274.2k yearly Auto-Apply 3d ago
Vice President Underwriting - Eden Prairie, MN, Irvine, CA or Remote
Unitedhealth Group 4.6
Irvine, CA 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.**
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Optimize financial performance through enhancements that balance pricing discipline and sales success with specific responsibility for OptumRx's Underwriting team leading external Health Plan pricing
+ Evolve segment-specific bid strategy and decision making in lockstep with transformation initiatives and external positioning through an in-depth understanding of OptumRx and health plan competitors, industry trends, market dynamics and internal key performance indicators
+ Interact with all levels of the organization; routinely with OptumRx Market Presidents to influence go to market strategies and goal setting. Regularly meet with OptumRx ELT leaders to drive goals, strategy, and build solid relationships
+ Delivering all pricing strategies and objectives within established deadlines through active collaboration and engagement with the Sales and Account Management leadership team; identify and prioritize key areas of focus
+ Drive strategic decision making that ultimately delivers on OptumRx revenue, margin, and retention targets established in Annual Business Plan; directly impact PBM, Specialty, and Home Delivery business segments
+ Provide exceptional team leadership with a focus on employee engagement, development, retention, and attracting top talent into the organization
+ Function as AI champion driving integration into tools and processes
+ Lead and manage a team to achieve high quality outcomes and improve process targets driven by KPIs
+ Develop capabilities to leverage market-driven insights that systematically turn intelligence into actionable recommendations and competitive practices
+ Empower colleagues and key partners with targeted support that delivers strategic viewpoints and advisement driven by insights from key stakeholders
+ Execute with agility by driving enterprise-wide "closed loop" collaboration that efficiently addresses market shifts
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:**
+ 8+ years of experience in financial pharmacy benefit management, working with the PBM pricing, underwriting or actuary
+ 5+ years of experience in a direct management role, leading and inspiring people at various levels within the organization
+ Client-facing experience, including negotiating and consulting with clients
+ Experience collaborating cross-functionally and communicating effectively and efficiently at multiple levels of large, complex organizations
+ Advanced skills in MS Excel, MS Office product suite
+ Demonstrated solid business and financial acumen, including solid financial analysis experience
+ Proven eagerness to drive AI integration
+ Ability to travel up to 25%
**Preferred Qualifications:**
+ Experience working with Health Plan clients
+ Experience managing a P&L
*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 $156,400 to $268,000 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._
$156.4k-268k yearly 60d+ ago
Vice President, Population Health & Clinical Operations
Centene 4.5
Remote
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
In partnership with the CMO, serve as a key stakeholder, decision maker, and catalyst, for all market level population health identification, strategy, evaluation, and monitoring to achieve the Quadruple Aim and drive Centene's Population Health mission at the market level.
Provide strategic leadership for population health internally, as well as with providers, community organizations, advocacy groups, and applicable legislature.
Understand the local healthcare landscape to look for key drivers & opportunities for innovative models targeting the Quadruple Aim.
Understand the unique community health needs and the attributes of the populations served to drive development of programs and service.
Uses analytics to identify key insights about the populations served and drive the development of the interventions to target unique populations.
Oversees performance of all UM functions (prior authorization, concurrent review) for the market per the defined partnership agreement; co-leads agenda planning and annual performance goal setting, unique to market needs
Orchestrates all elements of the population health strategy for the business
Drives MLR initiatives locally through strong partnership and routine with Finance
Partner with the Special Investigations Unit (SIU) to proactively identify patterns of potential fraud, waste, and abuse (FWA) through clinical, claims, and utilization data insights, ensuring timely escalation and coordinated mitigation strategies. Additionally, NHHF will integrate SIU‑driven findings into Population Health & UM operational workflows, informing policy updates, provider education, and process improvements to prevent recurrence of FWA and enhance overall compliance and accountability.
Partners with MDs to translate the needs of the members into intentional clinical program design that delivers successful health outcomes
Liaises with state regulators for clinical programs; proactively reviews and evaluates the utility, performance and ROI of clinical programs and acts as lead/champion to drive awareness and advocacy where needed
Develops comprehensive position papers-supported by clear rationale, data analysis, and documented recommendations-to advocate for program enhancements and strategic changes with internal and external stakeholders.
Coordinates quality initiatives (audits, star ratings, contract reviews, etc.) and activate enterprise and local policies
Informs and executes against contracts (including provider contracts) - driving outcomes captured in contract and operationalizing locally
Contributing member of enterprise and local committees
Serves as an integral member of the executive leadership team, charged with delivering clinical solutions to evolving business needs
Executes on standards and customizing per local requirements while partnering with the COEs to drive continuous improvement through governance and performance monitoring.
Education/Experience:
Bachelor's Degree with 5+ years of relevant experience required.
Master's Degree preferred.
Current state RN license preferred.
research, health policy, information technology or other relevant field. Must have at least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community health, case or care management, or coordinating care across multiple settings and with multiple providers. Proven leadership in a large, matrixed organization with 3-5 years of experience working with state or federal regulators
Pay Range: $171,900.00 - $326,900.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$171.9k-326.9k yearly Auto-Apply 8d ago
Vice President, Operations, IHPA
Centene 4.5
Remote
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
This is a unique executive leadership opportunity for a hands-on operator with enterprise vision.
This role serves as the ChiefExecutiveOfficer of the Illinois Health Practice Alliance (IHPA) - a Behavioral Health Independent Practice Association and joint venture between Centene Corporation and Provider Co, and is responsible for day-to-day and long-term strategic leadership related to the performance of IHPA's statewide clinically integrated network. While titled at the VP level, this role carries full CEO accountability for a focused, high-impact organization.The role provides strategic, operational, and financial leadership to ensure IHPA's objectives align with broader business priorities while advancing value-based care, provider performance, and improved health outcomes for a diverse member population.Position Purpose: Plan and direct all aspects of the company's operational policies, objectives, and initiatives.
Oversee the development of policies and procedures for operational processes to ensure optimization and compliance with established standards and regulations.
Oversee the negotiation and administration of value based contracts to ensure a strong provider network.
Influence and drive network provider performance.
Ensure IHPA clients access to quality of care and adherence to regulatory requirements.
Represent the organization in its relationships with all stakeholders, including health care providers, government agencies, trade associations, health plans, and similar groups.
Deliver leadership and oversight to IHPA staff and contracted vendors.
Develop a sound short-and long-range plan for the organization.
Ensure the adequacy and soundness of the organization's financial structure and review projections of working capital requirements.
Promote enrollment growth by supporting marketing event planning and execution.
Develop and manage network provider relationships.
Education/Experience:
Bachelor's Degree in Business Administration, Finance, Accountancy or a related field required.
Master's Degree preferred.
9+ years of operations, management, or administration in the healthcare or insurance industry required.
Extensive experience in contracting, contract acquisition, operations management, and strategic planning and development.
IPA experience preferred.
Experience in an integrated delivery system and value-based contracting preferred.
Understands the healthcare field from the provider and health plan perspectives, preferably in multiple states and knowledge of the Illinois market.
Pay Range: $168,500.00 - $320,500.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$168.5k-320.5k yearly Auto-Apply 32d ago
Vice President, Clinical Operations & System Integration
Centene 4.5
Remote
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Leads the strategy and execution of technology solutions to support clinical operations, including but not limited to systems requirement gathering, monitoring and improvements. Oversees the implementation, integration, and ongoing support of clinical systems, as well as ensuring that technology effectively enables clinical staff to deliver high-quality care. Oversees and executes vision and roadmap in collaboration with clinical and technology leaders to drive enterprise-wide clinical technology initiatives and improvements.
Partners with senior leaders to ensure successful product launch, execution, and support for technology solutions.
Leads complex projects and technical innovation activities in collaboration with cross functional leaders in a matrixed environment.
Leads the SME team who provides consultation and direct testing services for all technology initiatives and implementations.
Partners with stakeholders to analyze system needs for all business operations functions, assist with system requirements, influences the design of integrated solutions, and develops integration strategies.
Implements integration solutions within the operations space, ensure thorough testing to guarantee functionality and performance, and oversees deployment.
Identifies and resolves issues related to system integration and provide technical support to end-users.
Documents integration processes, workflows, and system configurations, and provides training to relevant personnel.
Continuously monitors the performance of integrated systems, identifies areas for improvement, and optimizes system performance and reliability.
In essence, the Operations and Systems Integration role is crucial for ensuring that different systems within an organization work together efficiently and effectively, supporting overall business objectives.
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience:
Bachelor's Degree required or equivalent experience required
7+ years Strong understanding of system architecture, integration technologies, and relevant programming languages required
6+ years Ability to analyze complex technical issues, troubleshoot problems, and develop effective solutions required.
Excellent verbal and written communication skills to effectively collaborate with teams, stakeholders, and end-users required.
Ability to manage integration projects, prioritize tasks, and meet deadlines required
Adaptability to changing technologies and business needs required or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Pay Range: $223,200.00 - $422,900.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$127k-164k yearly est. Auto-Apply 17d ago
Vice President, Population Health & Clinical Operations
Centene 4.5
Columbus, OH jobs
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
The Vice President of Population Health & Health Outcomes is a senior leadership role responsible for developing and executing strategies that drive measurable improvements in member health. Reporting directly to the Chief Medical Officer, this leader will oversee a team of Directors and large cross-functional teams to ensure initiatives are strategically aligned, operationally executed, and continuously improved.
This role is charged with assuring that the organization has a robust population health strategy that supports achievement of business goals, improves the current and future health of members, and aligns with the direction of Centene and the Ohio Department of Medicaid. While the primary focus is on Medicaid, the VP will also collaborate with organizational partners who lead Medicare and Marketplace initiatives to ensure alignment and shared best practices.
Key Responsibilities
Strategic Leadership
Develop, implement, and maintain a comprehensive population health strategy that advances business objectives, improves member health outcomes, and aligns with Centene and the Ohio Department of Medicaid.
Lead population health initiatives with a strong focus on Medicaid while collaborating with partners on Medicare and Marketplace programs.
Translate organizational vision into actionable initiatives with clear metrics and accountability.
Serve as a trusted advisor on population health strategy as part of the senior leadership team.
Operational Execution
Ensure the successful implementation of population health initiatives by driving accountability for results, measuring impact, and aligning resources with strategic priorities.
Translate strategy into operational reality by building systems, processes, and performance standards that deliver sustained improvements in quality, outcomes, and efficiency.
Integrate population health initiatives across clinical, operational, and financial functions to ensure consistency, compliance, and alignment with organizational goals.
Continuously monitor program performance, identifying opportunities for innovation and course correction to achieve optimal results for members and the organization.
Regulatory & Corporate Collaboration
Build and maintain strong partnerships with the state Medicaid regulator to ensure compliance and program success.
Collaborate with Centene corporate teams to align local initiatives with enterprise-wide strategies.
Partner with leaders responsible for Medicare and Marketplace to ensure consistency, integration, and shared learning.
Work closely with operations, finance, and other internal teams to achieve organizational objectives.
Communication & Stakeholder Engagement
Build trusted relationships with state regulators, providers, community partners, and internal executives to advance shared goals and improve member outcomes.
Serve as a visible ambassador for population health initiatives, clearly articulating strategy, progress, and outcomes to diverse audiences, including the Board, senior leadership, regulators, and community stakeholders.
Anticipate stakeholder needs and concerns, proactively engaging in dialogue that fosters collaboration, transparency, and alignment across all levels of the organization.
Vendor & Partner Management
Oversee relationships with key vendors to ensure programmatic success, accountability, and value.
Negotiate and manage vendor contracts to align deliverables with organizational priorities.
Team Leadership & Development
Mentor, coach, and develop a high-performing team of Directors and staff.
Delegate effectively while ensuring accountability and ownership across teams.
Foster a culture of innovation, collaboration, and continuous improvement.
Education/Experience:
Current state RN license preferred.
Previous experience in a managed care organization strongly preferred.
3+ years of leadership experience required.
Master's degree or other advanced degree in nursing, social work, health services research, health policy, information technology or other relevant field.
Must have at least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community health, case or care management, or coordinating care across multiple settings and with multiple providers.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Candidate must reside or relocate to Ohio
Pay Range: $180,400.00 - $343,300.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$109k-137k yearly est. Auto-Apply 10d ago
Vice President of AI Growth & Customer Engagement
Unitedhealth Group 4.6
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 Vice President of AI Growth & Customer Engagement will lead the transformation for the AI team's operating model and engagement approach to accelerate adoption and empower business units to identify and realize AI-driven growth opportunities for internal and external teams. You will drive initiatives that ensure AI services deliver measurable customer value, foster lasting relationships, and enhance collaboration between AI teams and business units.
This role will lead a focused transformation of the function over an initial 12-18 month period, then transition to drive sustained adoption and innovation within a specific business segment as an AI Engagement Lead.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office.
**Primary Responsibilities:**
**Strategic Growth & Customer Engagement**
+ Develop a deep understanding of internal business units and external client needs to identify and support AI-driven growth opportunities ensuring accountability for outcomes
+ Develop frameworks and playbooks that help business leaders recognize and evaluate AI opportunities aligned to strategic priorities
+ Educate and engage teams on integrating AI into workflows for measurable impact
+ Innovation & Value Realization: Identify and advance high-impact AI opportunities, from proof of concept through scaled deployment
+ Collaborate closely with Optum AI leaders to shape and lead growth initiatives
**Customer Engagement**
+ Enhance team engagement strategies to position Optum AI as a trusted partner with deep collaboration and understanding
+ Ensure AI services anticipate customer needs and deliver measurable value
+ Establish executive-level relationships to foster trust and long-term engagement
**Operating Model & Governance**
+ Influence adoption models and workflows within designated business units
+ Partner with technical leads and business leaders to ensure alignment between AI strategy, execution, and corporate objectives
+ Create mechanisms for continuous learning and co-innovation so teams can confidently adopt AI
**Team Collaboration & Capability Building**
+ Enhance engagement strategies between AI teams and business units
+ Create mechanisms for continuous learning and co-innovation so teams can confidently adopt AI
**Enterprise AI Integration & Innovation**
+ Collaborate with CIO's, AI Center of Excellence, and business leaders to embed AI into core organizational processes and platforms
+ Drive initiatives such as Clinical Health Data Platform development, AI call center modernization, and digital acceleration aligned with corporate strategy
+ Advise commercial teams to inform readiness and positioning for AI-driven products and services, leveraging partnerships and market insights
**Transformation Leadership**
+ Redesign team structures and engagement models to shift from technical delivery to strategic adaption and growth enablement
+ Lead a team of Technical Product Managers with a focus on redefining their function to serve as customer engagement leaders and drivers of business value realization
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:**
+ Proven leadership in AI strategy, digital transformation, and customer engagement at an enterprise scale
+ Demonstrated ability to influence executive stakeholders and align AI initiatives with business objectives
+ Ability to bridge technical and business domains, influencing senior stakeholders and driving cross-functional collaboration
+ Solid understanding of AI/ML trends, applications, and governance best practices
+ Experience in complex environments (regulated preferred)
+ Exceptional communication skills, with the ability to simplify complex concepts for diverse audiences
+ Track record of leading cross-functional teams and driving organizational change
+ Expertise in operating model design, governance, and portfolio management
**Preferred Qualifications:**
+ 15+ years in technology leadership roles, with significant experience in AI/ML strategy and implementation
+ Track record of delivering growth through AI initiatives in healthcare or similar regulated industries
+ Experience managing large, distributed teams and complex stakeholder environments
*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 $196,600 to $337,100 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._
$196.6k-337.1k yearly 15d ago
Vice President of AI Growth & Customer Engagement
Unitedhealth Group Inc. 4.6
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 Vice President of AI Growth & Customer Engagement will lead the transformation for the AI team's operating model and engagement approach to accelerate adoption and empower business units to identify and realize AI-driven growth opportunities for internal and external teams. You will drive initiatives that ensure AI services deliver measurable customer value, foster lasting relationships, and enhance collaboration between AI teams and business units.
This role will lead a focused transformation of the function over an initial 12-18 month period, then transition to drive sustained adoption and innovation within a specific business segment as an AI Engagement Lead.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office.
Primary Responsibilities:
Strategic Growth & Customer Engagement
* Develop a deep understanding of internal business units and external client needs to identify and support AI-driven growth opportunities ensuring accountability for outcomes
* Develop frameworks and playbooks that help business leaders recognize and evaluate AI opportunities aligned to strategic priorities
* Educate and engage teams on integrating AI into workflows for measurable impact
* Innovation & Value Realization: Identify and advance high-impact AI opportunities, from proof of concept through scaled deployment
* Collaborate closely with Optum AI leaders to shape and lead growth initiatives
Customer Engagement
* Enhance team engagement strategies to position Optum AI as a trusted partner with deep collaboration and understanding
* Ensure AI services anticipate customer needs and deliver measurable value
* Establish executive-level relationships to foster trust and long-term engagement
Operating Model & Governance
* Influence adoption models and workflows within designated business units
* Partner with technical leads and business leaders to ensure alignment between AI strategy, execution, and corporate objectives
* Create mechanisms for continuous learning and co-innovation so teams can confidently adopt AI
Team Collaboration & Capability Building
* Enhance engagement strategies between AI teams and business units
* Create mechanisms for continuous learning and co-innovation so teams can confidently adopt AI
Enterprise AI Integration & Innovation
* Collaborate with CIO's, AI Center of Excellence, and business leaders to embed AI into core organizational processes and platforms
* Drive initiatives such as Clinical Health Data Platform development, AI call center modernization, and digital acceleration aligned with corporate strategy
* Advise commercial teams to inform readiness and positioning for AI-driven products and services, leveraging partnerships and market insights
Transformation Leadership
* Redesign team structures and engagement models to shift from technical delivery to strategic adaption and growth enablement
* Lead a team of Technical Product Managers with a focus on redefining their function to serve as customer engagement leaders and drivers of business value realization
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:
* Proven leadership in AI strategy, digital transformation, and customer engagement at an enterprise scale
* Demonstrated ability to influence executive stakeholders and align AI initiatives with business objectives
* Ability to bridge technical and business domains, influencing senior stakeholders and driving cross-functional collaboration
* Solid understanding of AI/ML trends, applications, and governance best practices
* Experience in complex environments (regulated preferred)
* Exceptional communication skills, with the ability to simplify complex concepts for diverse audiences
* Track record of leading cross-functional teams and driving organizational change
* Expertise in operating model design, governance, and portfolio management
Preferred Qualifications:
* 15+ years in technology leadership roles, with significant experience in AI/ML strategy and implementation
* Track record of delivering growth through AI initiatives in healthcare or similar regulated industries
* Experience managing large, distributed teams and complex stakeholder environments
* 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 $196,600 to $337,100 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.
$196.6k-337.1k yearly 15d ago
Vice President Underwriting - Eden Prairie, MN, Irvine, CA or Remote
Unitedhealth Group 4.6
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.**
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Optimize financial performance through enhancements that balance pricing discipline and sales success with specific responsibility for OptumRx's Underwriting team leading external Health Plan pricing
+ Evolve segment-specific bid strategy and decision making in lockstep with transformation initiatives and external positioning through an in-depth understanding of OptumRx and health plan competitors, industry trends, market dynamics and internal key performance indicators
+ Interact with all levels of the organization; routinely with OptumRx Market Presidents to influence go to market strategies and goal setting. Regularly meet with OptumRx ELT leaders to drive goals, strategy, and build solid relationships
+ Delivering all pricing strategies and objectives within established deadlines through active collaboration and engagement with the Sales and Account Management leadership team; identify and prioritize key areas of focus
+ Drive strategic decision making that ultimately delivers on OptumRx revenue, margin, and retention targets established in Annual Business Plan; directly impact PBM, Specialty, and Home Delivery business segments
+ Provide exceptional team leadership with a focus on employee engagement, development, retention, and attracting top talent into the organization
+ Function as AI champion driving integration into tools and processes
+ Lead and manage a team to achieve high quality outcomes and improve process targets driven by KPIs
+ Develop capabilities to leverage market-driven insights that systematically turn intelligence into actionable recommendations and competitive practices
+ Empower colleagues and key partners with targeted support that delivers strategic viewpoints and advisement driven by insights from key stakeholders
+ Execute with agility by driving enterprise-wide "closed loop" collaboration that efficiently addresses market shifts
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:**
+ 8+ years of experience in financial pharmacy benefit management, working with the PBM pricing, underwriting or actuary
+ 5+ years of experience in a direct management role, leading and inspiring people at various levels within the organization
+ Client-facing experience, including negotiating and consulting with clients
+ Experience collaborating cross-functionally and communicating effectively and efficiently at multiple levels of large, complex organizations
+ Advanced skills in MS Excel, MS Office product suite
+ Demonstrated solid business and financial acumen, including solid financial analysis experience
+ Proven eagerness to drive AI integration
+ Ability to travel up to 25%
**Preferred Qualifications:**
+ Experience working with Health Plan clients
+ Experience managing a P&L
*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 $156,400 to $268,000 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._
$156.4k-268k yearly 60d+ ago
Director of AI and MarTech Innovation - Remote
Unitedhealth Group 4.6
Austin, TX 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 talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
The Optum Technology Digital team is on a mission to disrupt the healthcare industry, transforming UHG into an industry-leading Consumer brand. We deliver hyper-personalized digital solutions that empower direct-to-consumer, digital-first experiences, educating, guiding, and empowering consumers to access the right care at the right time. Our mission is to revolutionize healthcare for patients and providers by delivering cutting-edge, personalized and conversational digital solutions. We're Consumer Obsessed, ensuring they receive exceptional support throughout their healthcare journeys. As we drive this transformation, we're revolutionizing customer interactions with the healthcare system, leveraging AI, cloud computing, and other disruptive technologies to tackle complex challenges. Serving UnitedHealth Group's digital technology needs, the Consumer Engineering team impacts millions of lives through UnitedHealthcare & Optum.
The AI MarTech Lead will drive AI engineering initiatives within the MarTech ecosystem, ensuring our technology stack evolves with the emergence of AI. This role requires staying ahead of industry trends and translating insights into actionable strategies. The leader will guide a cross-functional team capable of taking concepts from ideas to rapid prototype, fostering innovation through a dedicated MarTech Lab. By driving experimentation and delivering scalable AI/ML solutions, this role will enable advanced personalization, automation, and enhanced customer engagement.
**What This Role Offers**
+ Ownership of the AI engineering vision and MarTech innovation strategy
+ The ability to build a state-of-the-art AI platform from the ground up
+ Impact at national scale across one of the largest healthcare organizations in the U.S.
+ The opportunity to drive meaningful innovation that improves customer engagement, experience, and outcomes
+ A fast-moving environment with solid support for experimentation and cutting-edge AI development
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:**
+ Define the roadmap for AI/ML applications within the MarTech ecosystem
+ Establish and lead the AI/ML development lifecycle
+ Lead a cross functional team focused on rapid prototyping and innovation in MarTech and help to establish the AI/ML development lifecycle
+ Design, development, and deployment of AI/ML models and tools for product environments
+ Ability to conduct code reviews, enforce best practices and ensure high quality deliverables
+ Identify and prioritize high-impact use cases for AI/ML in areas such as personalization, predictive analytics, and campaign optimization and move the most promising concepts into production grade systems
+ Establish clear KPIs and successful metrics for AI/ML initiatives
+ Ensure compliance with data privacy, security, and ethical AI standards
+ Prepare and deliver presentations to senior leaders and stakeholders, articulating strategy, progress, and business impact of AI/ML initiatives
+ Partner with marketing, product, engineering, and data science leaders to operationalize AI solutions across channels and platforms
+ Prepare and deliver presentations to senior leaders and stakeholders, articulating strategy, progress, and business impact of AI/ML initiatives
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:**
+ Bachelors degree in Computer Science or related quantitative field
+ 10+ years of experience in data analytics and machine learning frameworks
+ 5+ years of experience in cloud AI/ML stacks (Azure, AWS, GCP) including containerization, workloads, distributed systems, and infrastructure ideally with exposure to marketing technology environments
+ Experience with automate workflows using AI-driven tools and scripts to enhance productivity
+ Demonstrated skills in Python, REST APIs, Cloud AI platforms
+ Demonstrated familiarity with HIPAA, PHI/PII handling, and enterprise-level compliance requirements
+ Ability to translate complex technical concepts into business value
+ Demonstrated familiarity with agile methodologies and rapid prototyping
**Preferred Qualifications:**
+ Expertise in Adobe Experience platforms
+ Hands-on experience deploying production-grade ML and/or LLM systems at scale
+ Solid leadership skills with experience managing cross-functional teams or innovation labs
+ Ability to think strategically about technology ecosystems and future evolution
*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 $132,200 to $226,600 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._
$132.2k-226.6k yearly 57d ago
Director - Automations & Efficiencies - UMR - Remote
Unitedhealth Group Inc. 4.6
Wausau, WI 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 Director - Automations & Efficiencies is responsible for leading strategic initiatives aimed at enhancing operational effectiveness through innovative automation solutions within UMR Medical Third-Party Administrator (TPA) environment. The role entails overseeing the identification, development, implementation, and management of automation projects designed to optimize claims processing, provider engagement, compliance, and overall service delivery.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Lead the automation strategy to streamline operational processes, reduce manual interventions, enhance accuracy, and improve turnaround times
* Oversee and manage end-to-end automation projects involving claims processing, eligibility verification, provider credentialing, adjudication workflows, and payment integrity initiatives
* Collaborate with internal stakeholders and technology teams to identify efficiency gaps and develop targeted automation solutions
* Evaluate existing operational procedures and implement process improvements leveraging Robotic Process Automation (RPA), AI, Machine Learning, and other advanced technologies
* Establish and monitor performance metrics and KPIs to track automation effectiveness, cost savings, productivity enhancements, and compliance
* Provide thought leadership to continuously improve automation capabilities, ensuring alignment with company goals and industry best practices
* Manage relationships with automation vendors, technology providers, and consultants to ensure successful project execution
* Maintain compliance with regulatory requirements, ensuring all automation processes meet healthcare industry standards and data security protocols
* Foster a culture of innovation, efficiency, and continuous improvement within the team and broader organization
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:
* 10+ years of progressive experience in healthcare payer/TPA operations and enterprise automation
* 5+ years leading cross-functional automation teams and portfolios with ownership of roadmap, budget, and outcomes
* Automation and AI expertise: RPA (UiPath, Automation Anywhere/Blue Prism), workflow/BPM (Pega, ServiceNow), intelligent automation (AI/ML, NLP, IDP/OCR); proven implementation of AI-driven solutions at scale in healthcare operations (LLMs/NLP, IDP, predictive models) with model governance and monitoring
* Experience with integration/engineering and platform stack: APIs, event/queue-based orchestration, basic scripting (Python/SQL), CI/CD with Git-based SDLC for automations; deep expertise with core payer platforms (IBM mainframe-based), analytics/BI (Power BI/Tableau), modern data platforms (Snowflake/Databricks), and cloud (Azure/AWS)
* Proven deep knowledge of healthcare payer operations: claims adjudication and EDI (X12 837/835/270/271/276/277/278), prior authorization, eligibility/enrollment, and provider data management
* Built or led an Automation Center of Excellence (standards, controls, reusable components, demand intake, and performance reporting)
* Proven exceptional analytical, problem-solving, and decision-making skills; executive-level communication; stakeholder influence; vendor/SLA management; and change management
Preferred Qualifications:
* Lean Six Sigma (Black Belt or Green Belt), PMP, Prosci/CCMP, and/or RPA platform certifications (UiPath/AA/Blue Prism)
* Direct Medical TPA experience in claims adjudication, cost containment/payment integrity, COB/subrogation, and provider network management
* Compliance and security fluency: HIPAA/PHI handling, CMS requirements, audit controls, and risk management
* Knowledge of interoperability and security frameworks: FHIR/HL7/X12, HITRUST, SOC 2
* Experience leading distributed (onshore/offshore) teams and managing managed-services partners
* 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 $132,200 to $226,600 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.
$77k-97k yearly est. 49d ago
Director - Automations & Efficiencies - UMR - Remote
Unitedhealth Group 4.6
Wausau, WI 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 Director - Automations & Efficiencies is responsible for leading strategic initiatives aimed at enhancing operational effectiveness through innovative automation solutions within UMR Medical Third-Party Administrator (TPA) environment. The role entails overseeing the identification, development, implementation, and management of automation projects designed to optimize claims processing, provider engagement, compliance, and overall service delivery.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Lead the automation strategy to streamline operational processes, reduce manual interventions, enhance accuracy, and improve turnaround times
+ Oversee and manage end-to-end automation projects involving claims processing, eligibility verification, provider credentialing, adjudication workflows, and payment integrity initiatives
+ Collaborate with internal stakeholders and technology teams to identify efficiency gaps and develop targeted automation solutions
+ Evaluate existing operational procedures and implement process improvements leveraging Robotic Process Automation (RPA), AI, Machine Learning, and other advanced technologies
+ Establish and monitor performance metrics and KPIs to track automation effectiveness, cost savings, productivity enhancements, and compliance
+ Provide thought leadership to continuously improve automation capabilities, ensuring alignment with company goals and industry best practices
+ Manage relationships with automation vendors, technology providers, and consultants to ensure successful project execution
+ Maintain compliance with regulatory requirements, ensuring all automation processes meet healthcare industry standards and data security protocols
+ Foster a culture of innovation, efficiency, and continuous improvement within the team and broader organization
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:**
+ 10+ years of progressive experience in healthcare payer/TPA operations and enterprise automation
+ 5+ years leading cross-functional automation teams and portfolios with ownership of roadmap, budget, and outcomes
+ Automation and AI expertise: RPA (UiPath, Automation Anywhere/Blue Prism), workflow/BPM (Pega, ServiceNow), intelligent automation (AI/ML, NLP, IDP/OCR); proven implementation of AI-driven solutions at scale in healthcare operations (LLMs/NLP, IDP, predictive models) with model governance and monitoring
+ Experience with integration/engineering and platform stack: APIs, event/queue-based orchestration, basic scripting (Python/SQL), CI/CD with Git-based SDLC for automations; deep expertise with core payer platforms (IBM mainframe-based), analytics/BI (Power BI/Tableau), modern data platforms (Snowflake/Databricks), and cloud (Azure/AWS)
+ Proven deep knowledge of healthcare payer operations: claims adjudication and EDI (X12 837/835/270/271/276/277/278), prior authorization, eligibility/enrollment, and provider data management
+ Built or led an Automation Center of Excellence (standards, controls, reusable components, demand intake, and performance reporting)
+ Proven exceptional analytical, problem-solving, and decision-making skills; executive-level communication; stakeholder influence; vendor/SLA management; and change management
**Preferred Qualifications:**
+ Lean Six Sigma (Black Belt or Green Belt), PMP, Prosci/CCMP, and/or RPA platform certifications (UiPath/AA/Blue Prism)
+ Direct Medical TPA experience in claims adjudication, cost containment/payment integrity, COB/subrogation, and provider network management
+ Compliance and security fluency: HIPAA/PHI handling, CMS requirements, audit controls, and risk management
+ Knowledge of interoperability and security frameworks: FHIR/HL7/X12, HITRUST, SOC 2
+ Experience leading distributed (onshore/offshore) teams and managing managed-services partners
*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 $132,200 to $226,600 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._
$77k-97k yearly est. 49d ago
Executive Director RN Hospice
Unitedhealth Group Inc. 4.6
Richfield, OH jobs
Explore opportunities with Caretenders 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 Executive Director, you will serve as the Administrator of the entire home health provider and is responsible for the oversight of the day-to-day operations. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. This position also acts as a liaison with management staff and other departments throughout the company.
Primary Responsibilities:
* Coordinates and completes assigned projects to effectively support the immediate and long-range objectives of the company
* Oversees the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care
* Implements and maintains administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations
* Enhances the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered
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 Registered Nurse licensure with at least 1 year supervisory or administrative experience in a home healthcare or a related field
* Current CPR certification
* Current driver's license and vehicle insurance, access to a dependable vehicle, or public transportation
Preferred Qualifications:
* Home care experience
* Ability to manage multiple tasks simultaneously
* Able to work independently
* Good communication, writing, and organizational skills
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.
#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.
$89.9k-160.6k yearly 41d ago
Executive Director RN Hospice
Unitedhealth Group 4.6
Richfield, OH jobs
Explore opportunities with Caretenders 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 Executive Director, you will serve as the Administrator of the entire home health provider and is responsible for the oversight of the day-to-day operations. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. This position also acts as a liaison with management staff and other departments throughout the company.
**Primary Responsibilities:**
+ Coordinates and completes assigned projects to effectively support the immediate and long-range objectives of the company
+ Oversees the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care
+ Implements and maintains administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations
+ Enhances the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered
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 Registered Nurse licensure with at least 1 year supervisory or administrative experience in a home healthcare or a related field
+ Current CPR certification
+ Current driver's license and vehicle insurance, access to a dependable vehicle, or public transportation
**Preferred Qualifications:**
+ Home care experience
+ Ability to manage multiple tasks simultaneously
+ Able to work independently
+ Good communication, writing, and organizational skills
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.
\#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._