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Job Details
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. As part of the leadership team here at UnitedHealthcare Community and State, part of the UnitedHealth Group family of businesses, you’ll be surrounded by focused, performance-driven leaders who have helped us build our global strength and incredible momentum. And as the Health Plan Chief Executive Officer, you'll have an amazing opportunity to help transform the health care industry and improve people’s lives. This is a highly visible role responsible for obtaining and maintaining credibility with state regulators, legislators, advocacy groups, community organizations, providers, and associations, and ensuring we drive the overarching Medicaid platform to service our members. We serve the health care needs of low-income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Illinois is a Long Term Services and Support (LTSS) market including Nursing Facilities (NF) and Home and Community Based Service (HCBS) providers. Our holistic, outcomes-based approach considers social, behavioral, economic, physical, and environmental factors. You'll be our 'account manager' for the state relationship; accountable for all aspects of profit-and-loss, driving performance, leading strategic planning while meeting revenue, membership and operating income objectives. The Health Plan CEO is accountable for the market financials, strategy, growth, and day-to-day operational execution. Primary Responsibilities:
- Create an overall vision for the health plan team to ensure they can navigate a rapidly changing industry and leverage innovation to capture opportunities for growth and/or improvement
- Develop and execute market-specific strategies to drive sustainable and profitable growth while setting the strategic direction to drive business growth
- Drive industry-leading customer service and satisfaction levels as measured in Net Promoter Scores
- Build, develop, improve, influence and expand relationships with key government sector customer groups, providers/provider networks within the market
- Manage multiple levers of health plan profitability (e.g. rate advocacy, member retention, utilization management, Star performance and Medicaid Quality)
- Employ strategies to lead market share across the statewide Medicaid footprint
- Bachelor's degree or equivalent
- 10+ years of successful leadership experience in leading and managing people
- Expert level of proficiency working in a fast-paced matrix organization/environment with an enterprise focus
- Prior leadership experience including business development/new market development
- 7+ years of experience with community-based organizations, FQHC’s, provider/hospital systems, behavioral health, Medicare Advantage/Medicaid Dual Special Needs Network (DSNP) systems
- Must reside in the State of Illinois within 2 hours commute of the State Capital
- Experience building and maintaining service-oriented culture across remote field based organization
- Demonstrated ability to build and maintain effective relationships with external partners
- Prior executive level experience in LTSS (Long-term Services and Supports)
- Prior executive level experience in HCBS (Home & Community Based Services)
- Prior executive level experience in dealing with multiple State Agencies
- 5+ years of P&L and/or extensive budgeting experience as well as strategic planning and development
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more