WellMed Director Market Operations South

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

The Director Market Operations is responsible for working with the Market VP to provide strategic direction, leadership and support of enterprise-wide market initiatives. The position is responsible for facilitating the creation and execution of local market strategies and action plans. The position is involved in planning, budgeting, forecasting, facility planning and reporting for the assigned markets. Directs and facilitates evaluation, assessment, planning, implementation, data collection, reporting and tracking initiatives related to creating market efficiencies and improving medical cost control while simultaneously maintaining or improving the quality of care and service provided to our patients in collaboration with operational business units involved. Collaborates with consultants, stakeholders, operational partners and training teams to develop and implement programs, develop policy and procedures as required, and evaluate programs to continually improve market operations. Also, assists with long-term planning priorities to assure activities are appropriately integrated into strategic direction, as well as the mission and values of the organization.

Primary Responsibilities:

• Provides supervision for market personnel as assigned and participate on the management team directed by the Vice President of Market Operations
• Participates in strategic and operational planning for the assigned market(s) and facilitates the execution of the plan within that assigned market
• Participates in planning, budgeting, forecasting, facility planning and reporting for each of the assigned markets as directed by the VP of Market Operations
• Continually seeks ways to improve job efficiencies
• Creates and executes a comprehensive market strategy developing an assessment of competitors and local market trends benefit design and a marketing plan as well as a network development plan
• Recommends and directs the assessment, design, development, planning, implementation, data collection / reporting, evaluation and tracking of market program initiatives
• Directs data collection and reporting activities with information system partners to ensure reporting requirements are captured through each program phase, when applicable
• Provides regular reports to executive team and stakeholders regarding initiatives
• Directs program modifications based on evaluation results to ensure stakeholder and patient needs are met and to ensure stakeholder and / or customer satisfaction
• Provides cross functional leadership across the health plan by maintaining open communication, identifying, resolving cross functional issues, continually improving cross functional policies / procedures / work flows and support systems and proactively facilitating staff development to achieve the goals and objectives of each assigned market
• Collaborates with medical, network and financial staff to identify and resolve medical cost issues within each assigned market
• Monitors compliance with all organizational metrics (Financial, Clinical, Customer Service, Membership, Retention, etc.). Provides training to management to facilitate effective cross functional working relationships to ensure applicable metrics are met
• Maintains effective network support services by working with the Vice President of Market Operations

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:

• Bachelor’s degree in Business or Healthcare Administration or related field (8+ additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor’s degree)
• 5+ years of related management experience inclusive of employee supervision and development, budget oversight, and strategic planning
• Understanding of medical care delivery, network management and local market dynamics
• Understanding of financial performance for the total market including staff budgeting and monitoring as well as the management and understanding of risk management with the risk groups
• Solid management and supervisory skills (i.e. employee selection, training, coaching and development as well as process management)
• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor’s diagnosis of disease
• Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance

Preferred Qualifications:

• Master’s degree in Business, Healthcare Administration, or related field
• Exceptional interpersonal skills with ability to interface effectively internally with all levels of staff and externally with a wide range of people including physicians, office staff, hospital executives, medical groups, IPA’s, the press and community organizations

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors., WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for 550,000+ older adults with over 16,000 doctors’ offices in Texas and Florida through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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