VP, Network Operations - Ontario, CA or Telecommute within the counties of San Bernardino, Riverside, or San Diego, CA

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)  

The VP of Network Operations is responsible for the management and financial performance of all NAMM IPA operations.   The position is accountable for network growth and retention, provider contracting and provider services, developing strong relationships with physician partners and building and implementing operational processes to support the company’s strategic direction.  This position is part of the OptumCare – NAMM CA Senior management team. 

Primary Responsibilities:



Oversee all aspects of the day to day operations of the IPAs and provider contracting activities throughout the network  

Accountable for P & L performance of the NAMM  IPAs 

Supervision of IPA Executive Directors, IPA operations and provider contracting 

Delegate, monitor and control work progress on achieving key metrics, key initiatives projects, staff productivity, healthcare costs and administrative expenses 

Participate in the strategic planning process and work closely with the CEO to accomplish the goals and objectives of the company 

Represent the company at various community activities and events.  Network regularly with business leaders in the communities in which the company conducts business 

Establish operational initiatives for improvement on key metrics, including membership growth, financial performance, compensation model structure and provider relations 

Direct IPA budgeting process to include IPA administrative budgets 

Plan and organize priorities, communicate information to staff and monitor progress 

Control resource allocations to local site offices 

Oversee and participate in hospital and large ancillary vendor contract negotiations 

Work with financial analytics and medical management team to identify opportunities to improve quality, care coordination and cost efficiency, which would include implementation of new payor products, reimbursement models,  and advanced care and quality improvement programs  

Required Qualifications: 



Master’s degree (MA) or equivalent; or ten to fifteen years’ related experience and/or training; or equivalent combination of education and experience 

10 - 15 years experienced leader in business operations with appropriate industry experience in the healthcare field 

Energetic, forward-thinking and creative leader  

High ethical standards and an appropriate professional image  

Strategic planner with good judgment, high financial acumen and strong operational focus 

Well-organized, self-directed individual and a team player  

Intelligent and articulate individual who can relate to people at all levels of an organization and possesses excellent communication skills 

Good educator who is trustworthy and willing to share information and serve as a mentor 

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

North American Medical Management, California, Inc (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and managers provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform. 
The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets.

  
Diversity creates a healthier atmosphere: 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:  IPA, Network, provider, provider contracting, Ontario, San Bernardino, San Diego, Riverside, CA, California, Telecommute, Work from Home, Remote