Executive Director Pennsylvania

Medicare & Retirement Executive Director

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 in making healthcare work better for everyone through people-led, responsible AI while Caring.

Connecting. Growing together.

The Medicare & Retirement Executive Director has primary responsibility for defining, leading and driving local initiatives to achieve five Star CMS ratings, coding, growth, building Medicare networks, retention of Medicare members and affordability goals. The Executive Director sets strategy and prioritization with national shared service partners specific to the local market and ensures cross-organizational alignment. The executive director establishes and maintains clear leadership credibility and partnership with our external provider and broker partners.

This role is responsible for identifying and leading new business strategies and initiatives to meet the needs of our members. Additionally, this role will address provider issues while working with multiple levels of staff across multiple functional areas across one or more business departments. These strategies will impact Medicare Advantage product development and planning, new business ventures, and market expansion.

If you are located in, or willing to relocate to Pennsylvania, Delaware, or Upstate New York, you'll enjoy the flexibility to work remotely
* as you take on some tough challenges. Pennsylvania is preferred.

Primary Responsibilities:

• Defines and owns execution of the Stars strategy, utilizing both National and local initiatives, inclusive of HEDIS, Part D, CAHPS and HOS to achieve 80% of members in 4+ star plans
• Defines and owns execution of the Provider Engagement strategy utilizing both National and local initiatives, establishes solid, collaborative relationships with providers in support of all Quality, NPS and Affordability goals; works collaboratively with Optum, UHN and UCS partners
• Responsible for working cross-organizationally with local health plan team, Network, Market Medical Director and Optum to identify and execute new business opportunities, including bundled payment models, post-acute care innovation, and ACO acceleration and proliferation
• Working cross-organizationally with local health plan team, Network, Market Chief Medical Officer and Optum to increase suspect closure, recapture, and prevalence improvement inclusive of increasing House Calls completion rates and reducing refusal rates
• Achieving market-level NPS goals
• Identifying and executing on Affordability opportunities aligned with market goals
• Participate in defining and owning execution of the Growth and Retention strategy in partnership with Distribution; is the face of the market to external channels
• Actively collaborates with all Medicare & Retirement national functions (Product, Sales, Marketing, Member Experience, Finance), United Healthcare shared services functions (Network, Clinical, Quality, Operations) and Optum (Local Care Delivery, House Calls, Complex Population Management) functions to leverage local market knowledge and establish and drive plans across all levers of the P&L

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:

• 7+ years of healthcare or health plan experience
• 5+ years of experience working with hospitals…