Director, Tennessee Network Strategy and Transformation - Telecommute in Nashville, TN

Company: UnitedHealth Group
Location: Nashville
Posted on: February 25, 2021

Job Description:

Director, Tennessee Network Strategy and Transformation - Telecommute in Nashville, TN United Healthcare (UHC) is a company on the rise. 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 health care system needs are evolving at a fast clip and innovators like UHC are playing a lead role. New models of care and new networks of providers are emerging now to better serve patients and communities. Through our unmatched commitment to patient-centered care, we are a force of health services innovation.-- The Director, Tennessee Network Strategy and Transformation is the local health plan's accountable leader for successful provider network transformation outcomes. This position is responsible for the definition and successful implementation of the Tennessee Community Plan's Value Based strategic and operational initiatives, programs and priorities to enhance clinical quality performance, financial results and customer/stakeholder satisfaction. This role serves as the primary contact to our TennCare customer for transformation thought leadership, as well as execution and ongoing delivery of the State's "Health Care Innovation Initiatives" (Value Based Programs), to include Episodes of Care (EOC), Patient Centered Medical Home (PCMH), Tennessee Health Home (THL) and Centers of Excellence. The Director, Tennessee Network Strategy and Transformation role requires working in a highly matrixed environment with a strong bias towards strategic thinking, measurement, action and delivering results.-- If you are within a commutable distance from Nashville, TN, you will have the flexibility to telecommute* as you take on some tough challenges.-- Primary Responsibilities:

• Serves as the accountable owner and primary point of contact for TennCare's Value Based Programs, ensuring all State requirements are consistently met across Matrix with quality results, on time and within budget
• Builds strong collaborative relationships with TennCare leaders, as well as with internal and external stakeholders, to include key providers, to further innovate and enhance existing, or create new, value based programs
• Serves as a creative thought leader to maximize program value via affordability and quality, for TennCare, UHC and other stakeholders
• Drives cross-functional, matrixed teams to successful delivery of requirements regardless if new program implementation or the ongoing maintenance of existing programs
• Ensures ongoing program success by providing leadership across organization and matrix via measurable Dashboards and routine Steering Committees
• Stays abreast of network, market and industry changes in order to serve as a leading, credible change agent Technical Skill Requirements:
  • Proven knowledge of Value Based network contracting
  • Strong knowledge of network contracting, operations, strategy, structure, compliance and regulations
  • Adaptable, flexible and able to lead and manage the organization through change
  • Goal oriented and personally accountable; resourceful and self-directed
  • Ability to problem solve, identify and remove roadblocks, triage and prioritize issues
  • Displays excellent strategic skills to create excitement around possibilities and create a vision that inspires individuals and the organization to take action
  • Ability to effectively collaborate across the organization with other departments and ability to deploy capabilities to internal and external customers
  • Demonstrated leadership, team or project management, communications (written and verbal) and interpersonal skills
  • Ability to identify and analyze industry and market trends
  • Process-oriented with strong organization and planning skills-- 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:
    • 5+ years of strategic and network operations experience in a managed care environment
    • Significant experience in Value Based Contracting with proven clinical outcome improvements and cost savings OR Significant experience setting strategy for Physician Services, Health Services, or designing models for effective improvement of clinical outcomes and cost management
    • Experience in a complex healthcare delivery environment, including risk assessment and quality management
    • Strong analytical background, business oriented, strategic thinking capabilities and attention to detail, while maintaining a "big picture" view
    • Demonstrated ability to think and act strategically from a value perspective and influence key leaders and matrix partners
    • Proven ability to lead cross-functional teams and drive results with strong sense of urgency
    • Demonstrated ability to influence and drive change in a highly matrixed organization
    • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders Preferred Qualification:
      • MBA 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) *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: Value Based Contract, Strategy, Network Management, Cost Savings, Health Services, Healthcare Delivery, Managed Care, Clinical Outcomes, Network Operations, Nashville, TN, Tennessee, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, UHC, UnitedHealthcare-- UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-800-561-0861 and press or say 1 for Applicant to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday. UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc. 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.

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