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Chief Operating Officer

Company: Optum
Location: Everett
Posted on: September 7, 2020

Job Description:

Responsible for the overall performance of the Washington Risk Bearing Entity including NPS,Medical Cost, Quality and Provider Satisfaction. This leader is responsible for implementing thestrategic goals and objectives of the organization.Responsibilities:--- Responsible for total operational performance of entity--- Establish and lead culture of being data led, bias to the right action and partnership--- Lead and manage relationships effectively with internal and external stakeholders--- Drive performance in highly matrixed organization--- Partner with CMO to drive affordability strategies that integrate networkdevelopment/contracting, medical management and data analytics--- Enhance Optum brand value in region through excellent service delivery to communityproviders to enable growth--- Partner with growth teams in region to development attractive networks, pilot anddevelop new solutions to enable innovation and growth as aligned to regional strategy--- Proactively initiate and drive change in processes, tools and capabilities that increaseoperational efficiency and effectiveness while improving the consumer experience.--- Drive proactive analysis of various performance trends by tracking and analyze dataaround cost, provider performance, quality and NPS.--- Drive financial literacy of operational activities through organization--- Develop incentive models that drive improved performance around quality, service andaffordability.--- Oversee and manage all aspects of the day to day operations of the RBE functionsincluding claims, configuration, contracting, credentialing and service.--- Participate in the strategic planning process and work closely with Senior Leadership toaccomplish goals and objectives of the company.--- Maintain operational governance that manages achievement of standard performancemetrics for all parts of the organization.--- Oversee the negotiation of key payer, hospital and provider contracts to ensure alignedincentives, partnership and financial performance.--- Provide management oversight for all lines of business financials to assure marketpayments on an aggregate basis are in accordance with contract terms and to determinefinancial and operational performance and feasibility.--- Manage renegotiation of provider contracts on an ongoing basis to maintain competitiverate increases and amend contract terms as may be needed to conform to OptumCareStandards and CDO's business strategy, legal and regulatory requirements and businessdevelopment needs.--- Manage RBE budget planning process around SG&A, medical cost and affordability.--- Lead high performing teams and develop key leaders to ensure that organizationachieves its objectives and clear lines of succession are in place.--- Maintain employee engagement among staff.--- Oversee and attend Provider Joint Operation Committee meetings with providers,ancillary vendors, hospitals and health plans.--- Attend Optum and Optum management meetings to share best practices, provideexpertise regarding provider network activities, and keep up to date with companyinitiatives and strategy.--- Develops a strong relationship with internal key staff in each operational department, i.e.Medical Management, Claims, Finance, and Provider Contracting.--- Develop and implement budgets and market plans to support the company's strategicand operational goals.--- Conduct performance reviews annually.Required Qualifications:--- Master's degree in business or healthcare--- Ten years related experience in medical group or health plan operations with anunderstanding of managed healthcare or equivalent combination of education andexperience.--- At least six years of senior leadership experience working with providers and global risk--- Data led approach to management--- Strong problem solving and decision-making skills--- Ability to organize and prioritize multiple competing priorities--- A proven track of building and fostering relationships at all levels of the organization--- Ability to drive and execute upon organizational priorities--- Develop and lead people--- Proven ability to collaborate and influence internal and external business partners--- Ability to multi-task, detail oriented, excellent communication both written and verbal

Keywords: Optum, Everett , Chief Operating Officer, Executive , Everett, Washington

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