VP, Government Programs Clinical Programs & Operations - UHC Community & State

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - VP, Government Programs Clinical Programs & Operations - UHC Community & State (2389069)

VP, Government Programs Clinical Programs & Operations - UHC Community & State - 2389069

At United Healthcare, 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 VP of Government Programs Clinical Programs & Operations has responsibility for developing and executing clinical programs and operations for Government program members participating in Dual-Eligible, Medicare and Medicaid programs. The role is accountable for managing a $3B+ clinical budget. This includes owning program investment as well as reduction and redesign decisions that have impact across Government Programs businesses. There will be accountability for program design, training design and execution, serving as a key stakeholder for IT development, clinical compliance oversight and workforce management for over 5,000 clinical FTEs.

The role will be the clinical executive owner for M&A due diligence and RFP responses for both lines of business. The VP of Clinical Programs & Operations collaborates cross-functionally with health plan market leadership, Optum Health, Enterprise Clinical Services, IT and United Health Care Clinical Service.

Results are critical to this leader’s success, as is a personal alignment with UHC’s mission to help people live healthier lives and the core belief that an organization can manage cost and deliver quality and value to its customers. In total, Government Programs employ over thirteen-thousand employees and serve over eighteen-million members across all 50 states and the District of Columbia.

The leader will report to the CEO of Community & State and contribute to the leadership teams across Government Programs, interfacing with executive leaders within the organization to provide direction and decision making. Leaders that will report through the VP include the VP Complex Clinical Programs, Sr. Director Clinical Programs, Sr. Director Workforce Management and Training.

For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

Business & Strategic Planning

Leads development of the clinical programs and operations annual business plan and contribute to the business plans for Community & State and Medicare & Retirement.

Translates strategic plans into team goals and is accountable to lead the design of practical plans for the markets to execute

Supports investment prioritization and funding requests, including ROI, risk and financial analysis inputs

Provides strategic input on the external clinical program landscape and payment reform trends, including strengths, gaps and market dynamics

End-to-End Capability Integration

Accountable for driving end-to-end integration across member and provider touch points to create a single, holistic clinical model that can be effectively implemented in the markets

Works across the enterprise to help drive alignment of medical and behavioral for the clinical services, network and operations areas of the business

Supports the management of the government programs clinical portfolio to proactively improve competitive position and optimal performance

Responsible for the design, development, management or sun-setting of new or existing programs

Designs tools to monitor…