[Hiring] Director of Population Health Care Transformation @UnitedHealth Group

Role Description

The Director of Population Health Care Transformation provides executive leadership for all ambulatory clinical service lines, including:

• Care management
• Transitional care management
• Chronic disease management
• Pharmacy support
• Value-based care programs

Responsible for:

• Strategic planning
• Operational performance
• Quality outcomes
• Regulatory compliance
• Financial performance of ambulatory clinical programs

Partnering with physicians, operations, and payer organizations to achieve organizational goals.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Qualifications

• Current, active, unrestricted Registered Nurse (RN) License in the U.S.
• 8+ years of progressive healthcare leadership experience
• 5+ years in ambulatory clinical operations and population health or value-based care program leadership
• Demonstrated experience leading multidisciplinary teams
• Building scalable clinical programs
• Partnering with physicians and payers
• Managing performance across quality, utilization, cost, compliance, and patient engagement outcomes
• Able/willing to work Mountain Time Zone business hours regardless of remote base work location
• Must be able/willing to travel approximately 25% of the time as business needs dictate, primarily to the client site in Boulder, CO

Requirements

• Lead Ambulatory Care & Clinical Services
• Direct oversight of ambulatory care management, transitional care management, pharmacy support, and future ambulatory clinical programs
• Supervise department managers and ensure efficient daily operations, staffing, productivity, and performance
• Develop and execute ambulatory population health strategies supporting Medicare Advantage, MSSP, commercial risk contracts, bundled payment models, and other value-based initiatives
• Ensure clinical programs are aligned with contractual performance measures and organizational priorities
• Oversee cross-organization and cross-team collaboration with the client and internal partners
• Design, implement, and optimize ambulatory clinical programs and workflows
• Lead implementation of new clinical initiatives, technology solutions, and evidence-based care models
• Drive continuous improvement across ambulatory services
• Serve as the clinical operational lead for payer-sponsored programs
• Partner with physician leadership, finance, contracting, quality, and ambulatory operations
• Accountable for performance across various metrics including readmissions, ED utilization, HEDIS and STAR measures, total cost of care, medication adherence, care management outcomes, and patient engagement
• Develop action plans to improve organizational performance
• Provide leadership, mentoring, and accountability for managers and clinical leaders
• Ensure compliance with CMS requirements, accreditation standards, payer expectations, and organizational policies
• Establish standardized workflows, documentation practices, and performance metrics across ambulatory services

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Company Description

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.