Associate Director Care Advocacy- Honolulu, HI

At OptumHealth, you will perform within an innovative culture that is focused on transformational change in the health care system. You will leverage your skills across a diverse and multi faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

For those who want to invent the future of health care, here is your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.

The Associate Director, Care Advocacy will be responsible for the State of Hawaii Care Advocacy department, including all Clinical systems, staff, and operations and will provide management, supervision and strategic direction. In addition, this fully Administrator role offers an exciting opportunity to to make an impact on care delivery across the state of HI.
 
Primary Responsibilities:

Set and monitor departmental quality and performance standards for clinical and administrative supervision functions of staff.

Oversee hiring, training, and job evaluations of departmental staff.

Plan, implement, and monitor operational systems for departments.

Chair and participate in committee and task forces involving departmental staff and with health plan staff.

Provide leadership for staff groups as needed.

Write policies and procedures as needed

Represent Managed Care functions in intra and interdepartmental committee and problem focused groups.

Participate with other Directors and Managers within the region to implement strategic initiatives, policies and procedures.

Coordinate and participate in the sales, marketing, and implementation of new accounts as needed.

Ensure adequate communication between Regional Care Advocacy and other departments, divisions and regional offices.

Monitor and manage activity to meet utilization target and participate in development and analysis of outcome activities.

Request and distribute appropriate reports that have bearing on Managed Care service delivery.

Adhere to annual budgets, anticipate potential variances and review with

Understands the business metrics used to measure the business segment's performance.

Uses data to identify trends, patterns, issues and opportunities that have an impact on the business.

Gathers and analyzes data to identify root causes of issues, successes and trends.

Develop reports, metrics, scorecards used to manage impacts on the business and make appropriate decisions.

Facilitates a shared vision and urgency for changes by clarifying how the change will help the organization meet business goals and by articulating the benefits of change.

Motivates and involves stakeholders to help implement and support change.

Develops and executes change management plans, including communication strategies, in support of business change.

Challenges to identify root causes of problems.

Utilizes appropriate resources to ensure timely integrated and effective solutions too business needs.

Participates with network team in efforts to identified network gaps within a specialty or geographically

Participates in community events or meetings with network team to engage providers and facilitate contracting

Provides face to face meetings with facilities or agencies at the request of network or due to Utilization Management or workflow issues

Requirements:

Minimum seven years clinical behavioral experience in broad range of settings

R.N., M.A., M.S.W., or Ph.D. in clinical area with licensure must be nonrestricted

Significant management responsibilities including experience managing at a manager level.

Minimum 3 years clinical supervisory experience with multiple disciplines addressing broad range of diagnostic issues.

2+ years work experience in Managed Care/Utilization Review.

Six Sigma Strongly preferred

Must be able to travel occasionally to Maui and Big Island

Additional Assets Preferred:

Leadership ability

Familiar with computerized clinical data systems

Experience in developing creative, innovative solution based programs and initiatives

Demonstrated project management skills.

Computer skills familiar with most common applications for analysis/problem resolution

Knowledge of local service systems, agencies, facilities and providers

Knowledge of Hawaii State systems such a DOH, AMHD, CAMHD, etc

Experience within a multidisciplinary setting, such as working with medical staff, MDs, RNs and community agencies

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.



OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.



At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.



Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.