UnitedHealth Group Community & State CEO - Des Moines, IA - RELOCATION AVAILABLE in Des Moines, Iowa

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm)

The CEO Position directs the strategic development, growth and operations of the health plan. Overall goals of this position are to meet revenue, membership and operating income objectives, develop key provider affiliations, establish an influential relationship with the state, direct and effectively develop strategic goals into specific business plans, and create a successful, collaborative team of people to achieve these goals.

This role is critical to serving as the 'account manager' for the State relationship, managing all aspects of profit-and-loss, driving overall performance, leading strategic planning and managing a state-based operation through a matrix team. Working closely with the UnitedHealthcare Community and State Leadership Team, the Health Plan CEO will become familiar with the established vision, mission and strategies of the organization and will build on these to effectively define, articulate and address the current and future needs and priorities of the local market. They will effectively lead a team that is focused on making a difference for our members and our state partners.

Primary Responsibilities:

  • Develop/Lead/Execute Market-Specific Health Plan Strategies and Programs for the Government Sector

  • Health Plan Efficiency, Quality, and Financial Performance

  • Maintain/Manage Relationships with Internal and External Stakeholders

  • Drive Industry-Leading Customer and Provider Satisfaction

  • Best in class operational and clinical performance

  • Demonstrate Leadership and Cultural Values Identify market-specific and/or regional priorities and determine the appropriate strategic approaches that will drive business growth and differentiate us in the marketplace

  • Identify and/or provide input into potential merger and acquisition candidates to grow Medicare/Medicaid business

  • Demonstrate innovation in evaluating, funding and pursuing productive market opportunities (e.g., apply an entrepreneurial venture-capitalist mindset, perform financial analyses to identify opportunities)

  • Lead government sector in industry reform and business growth

  • Understand and manage multiple levers of health plan profitability (e.g. rate advocacy, member retention, utilization management, Star performance)

  • Analyze budget performance and variances throughout the fiscal year, and recommend and/or make necessary adjustments and corrections

  • Build, develop, improve, influence and expand relationships with key government sector customer groups, providers/provider networks within the market

  • Build, develop, improve, influence and expand relationships with government and regulatory stakeholders (e.g., local and state government, public policy leaders, lobbyists, regulatory bodies, government affairs, public policy leaders)

  • Drive world class operational and clinical performance for critical processes such as, contractual, compliance and regulatory, grievance and appeals, utilization management, call and claim and enrollment

Required Qualifications:

  • Bachelor's degree

  • 7+ years of experience in a senior leadership capacity

  • 7+ years of experience leading and managing people

  • Minimum of 7+ years operations experience in a Medicare/Medicaid industry, at-risk managed care environment

  • 5+ years of working in a matrix organization

  • 5+ years of P&L experience required

  • Master's Degree in Health or Business Administration preferred

  • Experience in strategic planning and development

  • Demonstrated successful leadership skills in program execution and people management

  • Proven leadership skills in both internal and external environments

  • Ability to execute to short and long term growth and profitability targets

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

Diversity creates a healthier atmosphere: 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.

Job Keywords: CEO, Medicare, Medicaid, Business, Healthcare, Des Moines, IA, Iowa, Iowa2015