The Director of Market Operations has management responsibility for day to day regional market operations. The position is responsible for facilitating the creation and execution of local market strategies and action plans. The position is involved in planning, budgeting, forecasting, facility planning and reporting for each of the assigned markets. This will include being a local liaison with health plan payors, building hospital relationships and overseeing network development, network management and local office management in assigned markets. This position may supervise multiple markets as directed. This position has a dotted line matrix management responsibility for all other functional staff located within assigned markets - including marketing, utilization management, disease management and transportation. This position works cross functionally with all other divisions in the corporation including sales, medical management, finance, claims, customer and member services, IT and facilities to achieve market goals and objectives. The responsibilities of this position demand a wide range of capabilities including: strategic planning and analysis skills; strong accounting knowledge and understanding of financial statements; understanding of managed care contracts; management breadth to direct and motivate; highly developed communication skills; political savvy; and the ability to develop clear action plans and drive process, given often ambiguous issues with numerous interdependencies. Analyzes data from a variety of statistical and financial reports and develops recommendations, strategic plans and action plans to improve identified financial deficits. This position will work closely with key payor and physician groups to develop long-term strategic relationships. Primary Responsibilities: Provides supervision for market personnel as assigned and participate on the management team directed by the Vice President of Market OperationsParticipates in strategic and operational planning for the assigned market(s) and facilitate the execution of the plan within that assigned marketWorks closely with Corporate Sales & Marketing to attain membership goals by identifying business opportunities, and retention of key physicians along with internal growth of their practicesContinually seeks ways to improve job efficienciesCreates and executes a comprehensive market strategy developing an assessment of competitors and local market trends benefit design and a marketing plan as well as a network development planFacilitates the development and execution of the local market action plan for each market that the regional director is assignedProvides cross functional leadership across the health plan by maintaining open communication, identifying, resolving cross functional issues, continually improving cross functional policies/procedures/work flows and support systems and proactively facilitating staff development to achieve the goals and objectives of each assigned marketMaintains effective network support services by working with the Vice President of Market OperationsPerforms all other duties as assigned
Required Qualifications: Bachelor's degree in Business or Healthcare Administration or related field required (8 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor's degree)5+ years regional or senior-level managed care experience with an emphasis on network management, operations, financial analysis and employee supervision. Provider contract negotiations and provider relations experience Understanding of medical care delivery, network management and local market dynamicsUnderstanding of financial performance for the total market including staff budgeting and monitoring as well as the management and understanding of risk management with the risk groupsSolid management and supervisory skills (i.e. employee selection, training, coaching and development as well as process management)Preferred Qualifications: Master's degree in Business, Healthcare Administration, or related fieldExceptional interpersonal skills with ability to interface effectively internally with all levels of staff and externally with a wide range of people including physicians, office staff, hospital executives, medical groups, IPA's, the press and community organizationsExcellent problem solving skills with affective follow throughStrong verbal and written communication skills Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm) If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: operations, budgeting, strategy, network development, contracting, physicians, management, leadership, Fort Myers, FL, Florida
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.