[Hiring] Director of Care Management @UnitedHealth Group

Role Description

Optum is seeking a Director of Care Management to join our Optum Care team. The Director of Care Management is a population health leader accountable for both financial and clinical performance in a full-risk environment, with significant responsibility for strategy, talent development, and value-based outcomes.

• Strategic leadership and oversight for the development, implementation, and management of comprehensive care management programs and wrap around services.
• Responsible for reducing avoidable utilization to annual targets and improving clinical outcomes of high-risk patients.
• Ownership of total cost of care performance, value-based contract success, and organizational capability development.
• Region level oversight of care management programs, including complex care management, transitions of care, utilization management integration, behavioral health coordination, social determinants of health initiatives, and high-risk member interventions.
• Flexibility to work remotely from anywhere within the CST or EST time zones.

Qualifications

• Masters level degree (MSN or MBA or MHA).
• Bachelors level degree in nursing (BSN).
• 8+ years of progressive leadership in care management leadership, payor or provider value-based care.
• 3+ years’ experience in full-risk population management.
• Significant experience in change management and driving operational excellence.
• Demonstrated success related to creating and executing business strategies and driving results within a large, complex organization.
• Demonstrated solid understanding of Medicare Advantage, Medicaid, Commercial Risk, ACOs, MSSP, and alternative payment models.

Requirements

• 5+ years of managed care or full-risk population management (delegated medical management).
• Experience with being accountable for populations under full-risk contracts exceeding 30,000+ lives.
• Experience leading with population health initiatives for employed and network/contracted providers.
• Demonstrated success managing clinical and financial outcomes within full-risk or value-based reimbursement models.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• Salary range: $134,600 - $230,800 annually based on full-time employment.