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Job Details


UnitedHealth Group

Chief Operating Officer - Indiana

Healthcare

All

Full Time

On Site

No

Indianapolis, Indiana, United States

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Chief Operational Officer (COO) will have accountability to partner with the Indiana Medicaid health plan CEO to drive end-to-end formulation and implementation of business strategies and operational plans for the Indiana Medicaid programs. The COO manages daily operations of multiple levels of staff and multiple functions/departments across UnitedHealthcare to meet performance requirements. The COO is empowered to make decisions about the Indiana Medicaid, Exchange and DSNP Program issues and represent UnitedHealthcare at external meetings. This position reports directly to the health plan CEO and partners with the CMO in leading the health plan organization. The COO is responsible for responding to issues involving information systems and reporting, appeals, member services, member outreach, providers services, website, contract compliance, and partners with the CMO in response to issues involving pharmacy management, medical management, care coordination, quality improvement, and issues related to the health, safety and welfare of the member.

Primary Responsibilities:

  • Develop and Execute the Operational Strategy for the Health Plan
    • Sets business direction, develops, implements and oversees operational models to meet the unique needs and business requirements for UnitedHealthcare Indiana health plan
    • Analyzes and Communicates Market Characteristics and Needs
    • Plans/implements and manages operations strategies, programs, and priorities to address business and operational challenges.
      • Define, develop, implement and support product strategy, Business and Product Plans, Product Programs/Releases, and Products and Programs
      • Drive issues resolution
      • Drive STAR performance
      • Drive Sales and Retention Performance
      • Achieves operating income and operating cost targets through effective product oversight
      • Achieves operational performance, financial performance and growth result
    • Sets team direction, resolves problems and provides guidance to members of own team
    • Partners with CEO, CMO and CFO to complete forecasting and planning activities
  • Drive Operational Discipline
    • Fosters an environment of high performance and accountability with a high level of morale, business ethics and integrity
    • Constructs and drive a more efficient, lean and sustainable operations platform for Medicaid lines of business growth (acquisition and retention) with a focus on local market dynamics, state compliance regulations and the bottom line while leading teams through change management Effectively manages the performance including operations, financial results and growth goals
    • Informs and advises management regarding Commonwealth current trends, problems and activities to facilitate both short- and long-range strategic plans to improve operational performance and enhance growth
    • 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 process.
    • Assesses operating business risks/opportunities and identifies strategies to mitigate/capitalize as appropriate
    • Works with the compliance officer to provide interpretation and education to UnitedHealthcare on contract, rules and regulations - Facilitates and cooperatively manages new law implementation with the business
  • Partner with the CMO to drive Health Plan Efficiency, Quality and Financial Performance:
    • Co-leads business executive team with primary responsibility to build the organizational support and infrastructure to translate business vision and strategy into operational tactics
    • P&L responsibility leader who promotes metrics-driven culture, with the development of consistent approaches to developing market presence and measuring success
    • Supports, develops and validates compliance with operations policies, procedures and regulations
    • Establishes business metrics required to meet state partner, member and care provider requirements
    • Reviews, manages and drives operations efficiency, quality and financial performance
    • Verifies improvements and operations are evaluated based upon appropriate quantitative and qualitative measures
    • Confirms all operational activities conform to contract compliance for all programs
  • Drive Innovation and Continuous Improvement
    • Leads transformational efforts to ensure the organization is prepared for long-term future success. Analyzes and solves problems at a strategic and functional level. This includes participation and interaction with Network Management, Operations, and New Product Development
    • Remains alert to trends and future federal and state policies as they relate to changes which might impact the business
    • Facilitates holistic thinking/innovative problem solving and integrates efforts/result
  • Lead People, Build, Maintain and Manage Relationships with Internal and External Stakeholders
    • Orchestrates the resources: FTE’s, budget and sponsorships essential for executing business effectively while influencing in-direct teams to align as one team
    • Collaborates across the organization to ensure internal and external constituent needs are met
    • Operates as a change leader suggesting new approaches to drive business growth and profitability; breaking down barriers across the organization in order to achieve overall business results
    • Develops collaborative relationships with and confirms business partners can execute day-to-day responsibility for operations (member services center, enrollment, technology, network, etc.)
  • Drive Talent and Culture Development
    • Attracts, develops, engages, and retains a diverse highly-skilled and professional level workforce and engage and develop them through mentoring, coaching, and making tools and resources available to ensure the organization has the talent necessary for achievement of business goals
    • Mentors leaders and their teams to expand roles and share knowledge and best practices while delivering exemplary results within a direct and in-direct reporting hierarchy

Leadership Expectations: Demonstrate Leadership and Cultural Values

  • Delivers value to members by optimizing the member experience - access to care, delivering person-centered care, and promoting health equity
  • Leads and influences Health Plan employees by fostering teamwork and collaboration, and driving employee engagement and leveraging diversity and inclusion
  • Leads change and innovation by demonstrating emotional resilience, managing change by proactively communicating the case for change and promoting a culture that thrives on change
  • Drives sound and disciplined decisions that drive action while effectively using financial knowledge and data to manage the business
  • Drives high-quality execution and operational excellence by communicating clear directions and expectations
  • Resolves conflicts and issues effectively. Sensitive to how people and the organization function; Customer-focused; proven ability to handle complex situations,
  • Leads and motivates teams to execute plans effectively; flexibility to adapt and change direction as needed; Demonstrated ability to translate strategic objectives into action plans.


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.

Required Qualifications:

  • Bachelor's Degree in Business management or healthcare related field or 10+ years of equivalent experience
  • 10+ years of related managed care experience
  • 8+ years of people management experience
  • 3+ years of experience in strategic planning and development
  • Leadership experience in program execution
  • Knowledge of and experience related to publicly funded government health care programs (e.g., Medicaid, Medicare or Commonwealth health care programs for the uninsured)
  • Operations experience in Medicaid/Medicare/government health care program administration
  • Technical and financial understanding of health care operations
  • Located within a commutable distance of the Indianapolis, IN Office or willing to relocate
  • Occasional travel as business needs arise (10% or less)
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Master's Degree in Health or Business Administration
  • LTSS experience
  • Indiana managed Medicaid experience
  • Awareness and Management of Organizational Design: Ability to Resolving Matrix Barriers and Building Relationships across the Matrix
  • Proven ability to execute to short- and long-term growth and profitability targets
  • Ability to communicate clearly with internal partners and external regulatory agencies and effectively represent UnitedHealthcare’s interests
  • Solid leadership and business planning skills within a matrix environment


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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.