[Hiring] DSNP Executive Director @UnitedHealth Group

Role Description

As the Executive Director, Dual Special Needs Plan (DSNP ED), you will have the unique opportunity to manage a complex, innovative, and growing product line in collaboration with local Market Medicaid leadership and our nationally leading Medicaid team. The DSNP ED role will focus on delivering overall product results, including:

• Growth
• Medical expense and revenue management
• Quality and clinical outcomes
• Integration and coordination of Medicaid and Medicare benefits

You will be accountable for developing deep state relationships to support the annual State Medicaid Agency Contracts (SMAC) Process and shaping state Medicaid strategy for integration and benefit coordination. This role will also require deep knowledge of local community-based supports and demonstrated relationships with local Community Based Organizations (CBO) and Medicaid service organizations.

The successful candidate will have a deep understanding of both Medicaid and Medicare, including:

• How these two programs work together to promote health and wellbeing for the most vulnerable
• Experience in a matrixed environment
• Collaboration with local market CEO and national product team leaders

The Executive Director will assure that the health plans and their partners live up to service commitments for the communities served.

Qualifications

• 4+ years of experience in Medicaid and/or Medicare programs environment, care delivery models, VBC/APMs
• Experience in quality improvement, strategic planning and development
• Experience designing and/or administering health programs and developing health care policy
• Experience managing high-profile community projects or large-scale contracts
• Consistent, progressive leadership experience in health care delivery and public programs
• In-depth knowledge of the dual Medicaid - Medicare eligible populations including Behavioral Health and LTSS
• People management, including direct supervisory experience
• Resident of Missouri, Iowa, surrounding states or willing to relocate
• Ability to travel up to 75%
• Driver’s License and access to reliable transportation

Requirements

• Direct oversight of the Dual Special Needs Plan (D-SNP) for multiple states
• Ensures compliance with applicable state and Federal laws and with contractual obligations to state Medicaid, providers and others
• Product P&L ownership and matrixed and direct leadership across a complex organization
• End-to-end ownership of all related functions for assigned D-SNP markets
• Collaboration with Government Programs functional teams to ensure best in class delivery of Medicare Advantage programs
• Maintain awareness of and apply emerging state and federal policy requirements to market specific strategies
• Reporting and Analytics - develops and retains detailed reporting to enable effective management of the program
• Defines strategic priorities to support contract, SMAC, Risk Adjustment Factor (RAF), STARS and other quality standards
• Works closely with UHN partners to refine the DSNP network for optimal success
• Monitors state activities, costs, operations, etc. to determine progress toward objectives and priorities

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (subject to eligibility requirements)
• Salary range: $159,300 - $273,200 annually based on full-time employment