Health Services Director - Remote in Wisconsin

UnitedHealth Group•Milwaukee, WI

10d•$134,600 - $230,800•Remote

About The Position

This position is responsible for the management and administration of multiple Medical & Clinical Operations Functions or managing general operations which are not specific to one of the functions in the Medical & Clinical Operations job family. If you are located in Wisconsin, you will have the flexibility to work remotely as you take on some tough challenges. Provides leadership to and is accountable for the performance and direction of the Health Services team and other senior level professional staff that results in high quality healthcare and positive outcomes for our members. Work and responsibilities will impact the health and wellbeing of statewide membership across multiple programs and broad geographies. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

Active and unrestricted RN licensure in WI or Licensure in Social Work
8+ years of health plan experience
5+ years of experience in managed care
5+ years of clinical practice in a hospital, clinic, home care, or nursing home setting
5+ years of experience managing direct reports, both clinical and nonclinical staff
Case management experience
Disease and utilization management experience
Proven ability in organization, ability to prioritize and delegate, and ability to maintain forward momentum in overall progress
Resident of Wisconsin

Nice To Haves

CCM Certified
Experience supporting Long Term Services and Supports (LTSS)
Experience in policy development or policy analysis
Experience in contributing to the overall health plan strategy that achieves business objectives and support efforts towards affordability goals
Proven to display a high degree of organization, ability to prioritize and delegate, and ability to maintain forward momentum in overall progress
Demonstrate critical leadership and management skills that develop positive working relationships with staff, with an emphasis on empowerment and positive motivation
Demonstrate solid written and verbal communication skills
Demonstrate the ability to work with all levels of key stakeholders, from member-facing front line staff to CEO, and national UHC leaders
Demonstrate ability to clearly present to, and communicate with, state partners to support clinical and system thought leadership and to identify, address and resolve potential issues

Responsibilities

Provides leadership to and is accountable for the performance and direction of the Health Services team and other senior level professional staff that results in high quality healthcare and positive outcomes for our members
Work and responsibilities will impact the health and wellbeing of statewide membership across multiple programs and broad geographies