Director Market Operations- Orlando, FL - Full-time / Part-time

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 Operations

Participates in strategic and operational planning for the assigned market(s) and facilitate the execution of the plan within that assigned market

Works closely with Corporate Sales & Marketing to attain membership goals by identifying business opportunities, and retention of key physicians along with internal growth of their practices

Continually seeks ways to improve job efficiencies

Creates 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 plan

Facilitates the development and execution of the local market action plan for each market that the regional director is assigned

Provides 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 market

Maintains effective network support services by working with the Vice President of Market Operations

Performs all other duties as assigned
 
 

Required Qualifications:


Bachelor’s degree in Business or Healthcare Administration or related field  or a minimum of 8+ years of experience in Healthcare Management

5+ years of 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

5+ years of experience in medical care delivery, network management and local market dynamics

5+ years of experience with financial performance for the total market including staff budgeting and monitoring, as well as the management and understanding of risk management with the risk groups

3+ years of management experience of a team to including (employee selection, training, coaching and development as well as process management)

Intermediate proficiency with Excel
Preferred Qualifications:


Master’s degree in Business, Healthcare Administration, or related field

Exceptional 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 organizations

The Director shall possess excellent problem solving skills with affective follow through

Strong verbal and written communication skills
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)
 
 
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: Associate Director Network Contracting, medical care delivery, network management, budgeting, management, Orlando, FL, Florida
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