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UnitedHealth Group

Executive Director - Long-term services and supports- Remote in Minnesota (107547770)


Executive Director



Minnetonka, Minnesota, United States

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Executive Director - LTSS will have accountability to partner with the MN Medicaid health plan CEO to drive end-to-end formulation and implementation of business strategies and operational plans for the new MN Medicaid plan. This role provides subject matter expertise in Home and Community Based Services, Member & Provider (Electronic Visit Verification) services, Data Reporting, System change management/implementation, Contractual Home Modification services and other LTSS areas of expertise. This role will work with the leadership team to construct measures of accountability for our business and shared partner organization performance. This position manages daily operations and matrix partners to achieve program outcomes. They will effectively lead a team that is focused on making a difference for our members and our county and state partners.

The Executive Director is also responsible for the design, coordination, and completion of operational improvement projects across various functional areas within UnitedHealthcare. The Executive Director will review the departments performance and effect change as needed to improve service, simplify the workflow, and assure compliance with regulatory requirements

The Executive Director in collaboration with the CEO and senior leadership have a unique opportunity to build a new health plan from the ground up, reimagine with proactive efforts to
prevent institutional racism and eliminate health inequities for enrollees.

Primary Responsibilities:

  • Provides leadership for Health Plan operating and network model to support Minnesota MSHO/MSC+/SNBC program design that will meet expectations and achieve program outcomes
  • Works closely with the State by sharing national best practices and influencing program design in the best interest of member outcomes / satisfaction and stakeholder value
  • Offers guidance and insight on strategies to enhance care delivery and operate effective programs to meet the needs of special populations with long-term care needs
  • Makes recommendations to health plan leadership for changes needed to improve the care delivery system. This includes regular interactions with Health Plan CEO, State Regulators, County Leaders, Provider Leadership and Advocacy Leaders in the respective regions
  • Oversees the provision of LTSS programs in MN across all populations served
  • Responsible for Minnesota Health Plan home and community-based service providers (HCBS) network strategy and external relationship management
  • Collaborates and build strong partnerships with Minnesota partners, Home Health and Personal Care agencies, nursing facilities, and other LTSS association representatives to ensure smooth operations, hand offs, and communication
  • Obtains data, verifies validity of data, and analyzes data as required; makes recommendations regarding use, expansion, and selection of networks for various products based on that analysis
  • Engages closely with community stakeholders in the older adult and disability community, Minnesota entities, and other key groups
  • Engages in the development, implementation, and oversight of care coordination activities at the point of service through delegated entities and programs
  • Manages team including clinical and operations staff
  • Develops strategies with intersegment businesses for most efficient program execution
  • Provides strategic planning, consultation and technical assistance to HCBS to ensure continuity of care for members; explores opportunities for innovative value-based contracts focused on LTSS members
  • Provides training and subject matter expertise, alongside provider advocates, to stakeholders on long term care programs and services
  • Attends stakeholder meetings to address concerns, issues and ways to improve quality and HCBS outcomes; presents UHG value proposition, and identifies opportunities or innovative partnerships
  • Initiates implementation of technologies to ensure service delivery and monitor compliance with contractual requirements related to community-based care (i.e. online portal access to view authorizations, installation of electronic visit verification systems and protocols, etc.)
  • Mobilizes UnitedHealth Group resources to solve problems and expand on opportunities; this requires a micro/macro perspective and strong understanding of our business processes

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:

  • Undergraduate degree
  • 7+ years long-term care government agency and/or healthcare system
  • 7+ years leadership and management experience in an organization that serves the population of individuals who qualify for public programs
  • 5+ years supervisory experience
  • 5+ years of experience in Long Term Care program development and operations
  • Experience working with Medicare or Dual/ Special Needs programs
  • Experience working with government agencies
  • Experience managing large programs and teams
  • Extensive Managed Care Provider Relations and network operations leadership experience
  • 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
  • Experience with wide range of provider (physician, nursing facilities & HCBS) relations and contracting
  • Thinks and acts strategically about provider network design optimization and its impact on overall market competitiveness, quality and efficiency
  • Interprets and uses financial and utilization analysis reports in development of network performance optimization plans
  • Possesses exceptional leadership skills and the ability to build effective relationships internally and externally, including Health Plan senior leaders and senior leaders of external organizations such as CEO/CFOs of hospital systems, CEOs/Administrators of medical practice groups, leaders of national and local patient advocacy organizations, etc.
  • Ability to work effectively within a matrix environment, influencing and leading others without a direct reporting relationship
  • Ability to develop and implement strategies across functions
  • Excellent communication skills (both written and oral) with individuals at all levels of the organization

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 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: 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.