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 Vice President, Contracted Operations provides supervision, coordination, provider relations, and management oversight of all Physician Business Manager operational activities. This position works cross functionally with all other divisions in the sub markets including marketing, sales and medical management, finance, claims, member services, IT to achieve market goals and objectives, including P&L, through the direct supervision of the Vice President, Network Operations. This position is responsible for assisting in the development and execution of local sub market strategies and action plans as directed by the Vice President, Network Operations. This position is involved in planning, budgeting, forecasting, reporting for each of the assigned sub markets as directed by the Vice President, Network Operations. Responsible for ensuring compliance with all company goals, directives and objectives.

Primary Responsibilities:

• Oversees, supervises, and supports the planning, organization, and direction of sub Contracted Operations
• Participates in strategic and operational planning for the assigned sub markets(s) and facilitates the execution of the plan within that assigned market
• Assists in the creation and provide support in the execution of 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. Under the supervisor of the Vice President of Network Operations, facilitates the development and execution of local market action plan for each sub market
• Provides supervision, development and mentoring, evaluation and management of market supervisory staff
• Facilitates the development and execution of local market action plan for each sub market. 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
• Collaborates with medical, network and financial staff to identify and resolve medical cost issues within each assigned market. Maintains a cost effective provider network through careful provider selection, professional contract negotiations and solid operational implementation. Develops creative solutions that meet the needs of all involved. Manages staffing and administrative resources to maximize return on investment
• Assures that market staff maintains strong working relationships with physicians, ancillary providers and their office staff to assure provider satisfaction. Oversees management processes to handle member and provider issues on a timely basis with sensitivity to the needs of all involved. Promotes respect for member, provider and organizational confidentiality
• 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
• Assists in the preparation, implementation and adherence to market budgets
• Assists with implementing initiatives associated with Enterprise and NTX WIGs
• Performs all other related duties as assigned
  

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 Healthcare, Business 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).
• 7+ years of progressively responsible experience in-group medical practice management
• 5+ years of related management experience inclusive of employee supervision and development, budget oversight, and strategic planning, including five years of Manager level and above experience
• Knowledge of Medicare and/or Medicare Advantage plans. Managed care experience required.
• Proficiency in basic computer systems and applications

Preferred Qualifications:

• 15+ years of directly related experience in a large group medical practice management
• Splid background in financial management, business and clinical operations, and governance and organizational dynamics
• Ability to demonstrate independent initiative, make sound decisions using effective problem-solving techniques
• Effective ability to develop interpersonal relationships
• Ability to develop and present comprehensive reports
• Ability to effectively communicate (both written and verbal) in a professional manner

Physical & Mental Requirements:

• Ability to lift up to 10 pounds
• Ability to push or pull heavy objects using up to 10 pounds of force
• Ability to sit for extended periods of time
• Ability to stand for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to properly drive and operate a company vehicle
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving
  

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. We're impacting 550,000+ lives, primarily Medicare eligible seniors 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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