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

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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.

• 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

• 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 program effectiveness across the markets; partnering with health plan leadership to implement changes necessary to drive performance

• Across Government Programs, leads and drives large scale initiatives, assists with vendor and program governance, manages interdependencies, estimates and allocates resources

• Executes against strategic, tactical and operational goals in partnership with market, regional and national leadership

• Partners with key operations and support teams and leaders to define program requirements and expected benefits; ensures associated contractual and service level agreements are met

• Develops and maintains procedures in support of clinical policies, quality, and growth

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.

• Executive leader with…