Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)

Optum’s Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California, to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

Compassion. It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come.

Role Description

Responsible for coordinating and implementing the daily operational aspects of the IPA network including the review and revision of standard operating procedures and planning, managing, coordinating and supervising the functions and activities of the IPA primary care networks and specialty delivery networks.

Primary Responsibilities:

• Manages start-up of new networks, clinician contracts, credentialing and implementation
• Assists the management team in the development, coordination and implementation of regional business plans and operational activities
• Develops and implements plans to enhance regional clinician satisfaction and performance
• Monitors patient satisfaction in the region and implements plans to continually enhance services provided to patients
• Ensures that IPA’s achieve performance measures including, but not limited to, HCC, P4P, growth and documentation
• Implements corporate initiatives (e.g. ACO) within the IPA
• Ensures P4P outreaches are deployed timely and appropriately consistent with HIPAA guidelines
• Identifies opportunities for improvement within the IPA and brings forward proposals to the IPA management team for incorporating and implementing solutions
• Recommends growth projects within the region and works collaboratively with other departments to execute those plans
• Provides input and feedback to the IPA management team as it relates to initiatives and programs that promote excellence in the IPA operational services and implements those that are approved
• Administers all IPA incentive plans including input on plan design, producing plan documents, clinician education and payouts
• Work with the IPA physician leadership to garner support for initiatives and obtain feedback as to what initiatives will be most successful
• Schedules operating meetings with selected physicians and ensures agendas are developed in advance, issuing minutes and tracking follow-up items to ensure completion
• Facilitates clinician and staff education including community meetings, lunch and learns, clinician office in-services and other targeted in-services
• Drafts communications to IPA physicians and office staff related to operational issues and incentive programs
• Develops, implements, monitors and ensures adherence to policies and procedures for Optum and its IPA networks
• Works with central departments to ensure that issues impacting that region involving central departments are resolved effectively and timely
• Manages direct reports to ensure that they are meeting performance expectations and provides leadership and direction to them
• Works with the IPA management team to assist in the monitoring of resource utilization in the region
• Implements and manages budgets for accountable departments and functions
• Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Performs additional 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 from a 4-year college and/or a professional certification requiring formal education beyond a 2-year college or 5+ years of equivalent work experience
• 5+ years of experience in managed care / IPA management
  

Preferred Qualifications:

• Master’s degree in Health Care Administration, Business Administration or Nursing
• 4 + years in a management experience in health care (preferably in a medical group or IPA setting)
• IPA network development experience
  

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California Residents Only : The salary range for California residents is $67,800 to $133,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.




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.