Associate Director - San Juan, PR - 2029875
Avella
San Juan
hace 6 días

Primary Responsibilities :

  • Transactions operational leadership for staff in Puerto Rico
  • Client management across Optum entities
  • Responsible for driving operational efficiency initiatives, site leadership / planning, client management, leadership development, and strategic planning
  • Accountable for shared P&L responsibility
  • Drive workforce management planning and forecasting discussions
  • Identify & remove operational barriers. Conduct deep dive program reviews with relevant internal and / or external stakeholders to identify opportunities for continuous improvement
  • Partner with offshore operations to tightly integrate business practices and deliver services at a more affordable rate
  • Establish and / or implement internal and / or external service level agreements in order to ensure ability to monitor and measure program performance (e.
  • g., turnaround time; quality; effectiveness)

  • Identify and / or secure resources (e.g., funding; staffing; system security; real estate and / or telecommuting requirements;
  • hardware / software) required to implement programs

  • Review, create, and / or maintain workflows to ensure they are up-to-date and operationally efficient
  • Provide guidance, expertise, and / or assistance to internal and / or external partners (e.g., claims; call center; benefits;
  • clinical) to ensure programs and strategies are implemented and maintained effectively

  • Communicate with and help internal and / or external partners interpret contractual requirements in order to ensure effective problem solution and strategy implementation
  • Provide input to internal and / or external stakeholders (e.g., sales; shared business partners; pre-service vendors; facilities) in order to drive effective business plan and sales strategy development
  • Work with internal and / or external partners (e.g., claims; call center, Rx) to ensure accurate reports are produced to validate program performance review
  • Ensure performance is tracked accurately utilizing internal tools and processes (e.g., dashboards; scorecards; reports)
  • Review consolidated operational performance reports in order to determine overall effectiveness, make necessary changes, and identify opportunities for new programs or program consolidation or expansion
  • Analyze operational performance on relevant criteria (e.g., targeted financial metrics; quality indicators; performance guarantees and / or incentives)
  • Provide standard performance reports (e.g., scorecards) to update relevant internal and / or external stakeholders on the status of work projects
  • Conduct regular meetings (e.g., JOCs; QBRs) with relevant internal and / or external stakeholders to review and discuss updates and outstanding issues (e.
  • g., project implementation readiness; compliance and / or quality audit results; out-of-compliance issues; staffing issues)

  • Develop corrective action plans to address and / or resolve relevant internal and / or external stakeholders' concerns or issues regarding operational issues
  • Partner with relevant internal and / or external stakeholders to develop and / or review potential operational strategies, programs, and plans (e.
  • g., affordability initiatives; quality programs; projected resource needs; training)

  • Communicate and coordinate with and / or help internal and / or external partners interpret contractual requirements in order to ensure compliance with contractual and regulatory stipulations
  • Ensure staff utilize relevant websites required in order to obtain up-to-date policies, guidelines, procedures, and regulations
  • Monitor and / or report on-going compliance and related outcomes (e.g., claim denials; complaints; clinical metrics) to relevant internal and / or external stakeholders (e.
  • g., regulatory agencies; customers; vendors)

  • Ensure that business continuity / emergency response plans are reviewed and tested regularly, up-to-date, and can be readily executed
  • Demonstrate understanding of budgeting and forecasting tools, terminology, and processes
  • Analyze budget performance and variances throughout the fiscal year, and recommend and / or make necessary adjustments and corrections
  • Work with relevant internal partners (e.g., Finance; Underwriting) to identify resource requirements and / or create budgets and forecasts
  • ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION

    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
  • 3+ years management / leadership experience
  • 3+ years of experience driving innovative solutions
  • Solid working knowledge of business process improvement and technology
  • Experience producing superior results in a financial performance-oriented environment
  • Experience hiring and developing a dynamic and innovative team
  • Experience working in a highly dynamic environment
  • Solid data acumen to drive fact-based decisions and set prioritization
  • Previous large scale project oversight preferred (e.g., conceptualized project, sold project, monitored project to successful implementation)
  • Solid leadership and strategic planning skills within a matrix environment
  • English proficient
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance
  • Preferred Qualifications :

  • Previous experience in a clinical setting (RX, Hospital, RN)
  • Experience in healthcare or property & casualty, life and annuities experience
  • UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

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