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UnitedHealth Group Vice President, Value Creation Team – Southeast Region in South Carolina

The Regional Vice President (RVP) Value Creation role is critical to ensure the enterprise is leveraging overall local and national efforts by maintaining a line of sight beyond individual markets and regions.

The RVP will develop, implement, and manage the Total Cost of Care strategies for an entire region. This role is critical to fostering relationships, driving overall performance, leading strategic planning, managing operations through a matrix team, and leading strategic initiatives that will focus on continuous cost improvement.

This position will report to the Senior Vice President Regional Value Creation in United Clinical Services. This position has no direct reports but has dotted line/ shared accountability for market level employees in the regions.

If you are located in the Southeast Region , you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • The RVP will be the strategic thought leader across multiple local markets in their respective region (6-8 state geography). They will develop and communicate a comprehensive strategic plan that addresses all major cost categories and drivers through coordination with Market QBs.Each RVP will act as the region wide SME for Total Cost of Care, and they will collaborate closely with the Regional CEOs and their leadership teams. RVP’s will also be responsible for coordinating with national and local partners and cross-functional teams across UnitedHealthcare and Optum to support the Market QBs.

  • Shape and orchestrate the Total Cost of Care vision, ensuring objectives are clearly communicated and operationally executed.

  • Develop and implement unique strategies (that differ from ongoing work in the local markets) and drive the plans to implement and achieve affordability objectives

  • Apply critical thinking to assess strategic opportunities and develop comprehensive strategies and plans to achieve incremental Total Cost of Care objectives.

  • Review qualitative and quantitative data, discern Total Cost of Care opportunities and define strategies to achieve objectives.

  • Lead and develop Market QB’s.Work directly with Market QBs to ensure delivery and execution across every Local Market. Ensure that local markets are identifying and driving adequate levels of strategic ideation.Influence adoption of new ideas, network builds, contracting strategies, products, and/or improvements in operational approaches in support of Total Cost of Care reductions. Ensure that Local Market Quarterbacks can translate highly complex concepts in ways that can be understood by a variety of audiences across the enterprise.

  • Meets with all EHCV Workstream teams regularly to explain local market realities/ implications for each Workstream. Responsible for tailoring Workstream outputs so they can be operationalized at specific market levels.

  • Translates Workstream strategies (on average between 120-150 unique strategies) to local market employees to ensure customized execution based on market nuances.

  • Influence senior leadership to adopt new ideas, products, and/or approaches, as well as translating highly complex concepts in ways that can be understood by a variety of audiences

  • Leads enterprise wide communication; maintains clear lines of communication with all matrix partners to ensure efficient and effective implementation of national, regional and local priorities, including regular reporting and explanation of affordability results by the market level Quarterbacks.

  • Ongoing oversight and rigorous management of national/regional/local medical cost savings projects including development and maintenance of pipeline ideas and projects to achieve goals.

  • Financial oversight and partnership with UHC Finance & HCE to ensure rigorous, reliable assessment, tools and processes for validation, measurement and forecasting of results.

  • Engagement with external stakeholders on an as needed basis designing solutions (providers and employers). Advocates for regulatory changes in the local market, works in partnership with regulatory and government affairs for policy changes.

  • Ensure achievement of Total Cost of Care objections across E&Is Local Market and National Account Book of Business. Provide visibility into available fully Insured cost savings programs and drive adoption by ASO national and key account customers. Examine costs to ASO customers associated with programs to increase competitiveness and maximize adoption. Include ASO data and solutions in TCOC efforts based data analysis and programming.

  • Direct cross-functional and/or cross-segment teams and foster relationships with matrix partners/stakeholders, ensuring commitment and support for health plan operations and programs

  • Ensure performance is tracked accurately utilizing internal tools and processes (e.g., dashboards; scorecards; reports) in order to facilitate performance review and analysis

  • Monitor and clearly communicate project performance against Management by objectives (MBOs)

  • Incorporate operations program performance information into strategic and business planning and/or incentives

Required Qualifications:

  • Bachelor’s degree

  • Demonstrated level of mastery regarding contracting, regulatory dynamics, product design, member engagement, clinical operations

  • 13+ years’ experience in business operations, including driving and executing in a cross-functional health plan, health system, or healthcare organization

  • 8+ years of program/project management experience

  • Advanced level of knowledge of data/claims systems processes, product, contracting and/or reimbursement methodologies

  • Intermediate level of proficiency in MS PowerPoint, Word, and Excel

  • Excellent ability to build relationships with external and internal executives and stakeholders, as well as lead and manage a large workforce

  • Strong presentation, written, and verbal communication skills, including well-developed interpersonal skills used to influence the behavior of others across a highly-matrixed organization

Preferred Qualifications:

  • Master’s Degree

  • Broad knowledge of UnitedHealth Group operational systems and processes (Contracts, Claims, Finance, etc.)

  • Expertise in a well-established business operations and / or cost improvement methodology (e.g., Business Process Management, Six Sigma, or Total Cost Management)

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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: Vice President, VP, Senior Director, Affordability, Value Creation, Innovation Leader, Network Program Director