Chief Operating Officer, C&S Washington - Renton or Seattle, WA

UnitedHealth Group•Renton, WA

4d•$159,300 - $273,200•Hybrid

About The Position

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Chief Operating Officer (COO) is the primary point of contact for all health plan operational issues and manages and administers multiple health plan functions and general business operations, coordinates with health services and the medical management team. The COO also designs, coordinates and completes operational improvement projects across various functional areas within UnitedHealthcare. This position oversees the day-to-day business activities of the contract and manages daily operations of multiple levels of staff and multiple functions and departments. The COO formulates business strategies and operational plans for the optimal performance of the Washington Medicaid program in meeting the needs of our members, providers, the contract, regulatory requirements and growth and operating income objectives. The COO assembles and manages a successful, collaborative team of people to achieve these goals. Reporting to the chief executive officer, the COO provides subject matter expertise in project management, project scope definition, risk identification, project methodology, resource allocation and other areas and is accountable for operational results. They must reside in the State Washington.

Requirements

8+ years of professional experience in Medicaid
8+ years as an operational leader
8+ years of related managed care experience
5+ years of people management experience
Experience related to publicly funded government health care programs (e.g., Medicaid, Medicare or state health care programs for the uninsured)
Operations experience in Medicaid, Medicare, or government health care program
Demonstrated experience advising IT resources related to enterprise platform initiatives and provide direction on platform migration
Demonstrated experience communicating clearly with internal partners and external regulatory agencies to represent UnitedHealthcare’s interests.
Demonstrated technical and financial understanding of health care operations
Proven solid leadership and business planning skills within a matrix environment
Demonstrated ability to anticipate and push change through the organization, equipping staff to adapt
Reside in Washington or willing to relocate within six months of beginning employment in role
Willing or ability to travel up to 25%25 locally

Nice To Haves

Six Sigma certification

Responsibilities

Plans, implements and manages operations programs and strategies
Supports, develops and validates compliance with operations policies, procedures and regulations
Reviews, manages and drives operations efficiency, quality and financial performance
Sets business direction and develops, implements and oversees operational models to meet the business requirements of UnitedHealthcare
Verifies improvements and operations are evaluated based on appropriate quantitative and qualitative measures
Verifies optimized operations and service models have staff members who are appropriately skilled, trained and resourced to support the health plan through consistent business processes and technology
Develops collaborative relationships with and confirms business partners can execute day-to-day responsibility for operations (e.g., member services center, enrollment, technology)
Informs and advises the CEO regarding state’s current trends, problems and activities to facilitate both short- and long-range strategic plans to improve operational performance and enhance growth
Owns end-to-end process improvement: definition of need, project plans, status updates, reporting and achieving results
Identifies and resolves technical, operational and organizational problems inside and outside UnitedHealthcare
Accountable for financial and non-financial results and determines and prioritizes capital needs of the health plan
Validates all operational activities conform to contract compliance for all programs
Understands and manages the state requirements and relationship related to operations
Monitors required reporting and provides direction on findings
Directs others to resolve business problems that affect multiple functions or disciplines
Owns product, service or process decisions most likely to impact a large business unit, or multiple markets, sites or functions and customer accounts (internal or external)
Leads and is accountable for performance and direction through multiple layers of management and senior level professional staff
Co-leads business executive team with primary responsibility to build the organizational support and infrastructure to translate vision and strategy into operational tactics
Establishes metrics required to meet state partner, member and provider requirements
Coordinates the tracking and submission of all contract deliverables
Coordinates the preparation and execution of contract requirements such as random and periodic audits and ad hoc visits
Coordinates the preparation and execution of policy development and annual review
Assesses operating business risks and opportunities and identifies strategies to mitigate or capitalize as appropriate
Works with the compliance officer to provide interpretation and education to UnitedHealthcare on contract, rules and regulations
Facilitates and cooperatively manages with the business new law implementation
Provides consultative expertise or guidance and promotes compliance with laws and regulations with business partners to respond appropriately to changing laws
Answers questions from functional areas and satisfies requests for research related to specific legislation or regulations
Identifies issues for resolution and works closely with compliance functional areas and cross-functional or cross-segment departments
Facilitates holistic thinking and problem solving and integrates efforts and results
Structures business disciplines to facilitate quick and data-based decisions
Evaluates outcomes based on qualitative and quantitative measures and adjusts accordingly