19 days old

Georgia Medicare Executive Director - Atlanta, GA

Atlanta, GA 30303
  • Job Code

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)


The Medicare & Retirement Executive Director is accountable for all aspects of the P&L within a given market, with primary responsibility for defining, leading and driving local initiatives to achieve five Star CMS rating, Coding, Growth, Building Medicare networks, Retention of Medicare members and Affordability goals. The Executive Director sets strategy and prioritization with national shared service partners specific to the local market and ensures cross-organizational alignment. Is the face of M&R in his/her market. Establishes and maintains clear leadership credibility and partnership with our external provider and broker partners. Recruits, retains and nurtures top talent. Promotes Our United Culture. Drives innovation. Is externally focused and facing. Additionally, this role will be responsible for identifying and leading new business strategies and initiatives to meet the needs of our members. These strategies will impact Medicare Advantage product development and planning, new business ventures, and market expansion.


Primary Responsibilities:

  • Defines and owns execution of the Provider Engagement strategy; establishes strong, collaborative relationships with providers in support of all Quality, NPS and Affordability goals; works collaboratively with Optum, UHN and UCS partners
  • Defines and owns execution of the Growth and Retention strategy in partnership with Distribution; is the face of the market to external channels
  • Defines and owns execution of the Stars strategy inclusive of HEDIS, Part D and CAHPS to achieve 80% of members in 4+ star plans
  • Stars strategy inclusive of HEDIS, Part D and CAHPs to achieve 85% of members in 4 star plans.
  • Must be able to demonstrated ability of 5+ years of experience in Medicare with a concentration on Stars market leading levels at 4+ stars
  • Responsible for working cross-organizationally with local health plan team, Network, Market Medical Director and Optum to increase suspect closure, recapture, and prevalence improvement inclusive of increasing HouseCalls completion rates and reducing refusal rates
  • Responsible for achieving market-level NPS goals
  • Responsible for identifying and executing against Affordability opportunities aligned with market goals
  • Act as voice of the market for print and television interviews
  • Actively collaborates with all Medicare & Retirement national functions (Product, Sales, Marketing, Member Experience, Finance), UnitedHealthcare shared services functions (Network, Clinical, Quality, Operations) and Optum (Local Care Delivery, HouseCalls, Complex Population Management) functions to leverage local market knowledge and establish and drive plans across all levers of the P&L

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.



Posted: 2020-11-03 Expires: 2020-12-03

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Georgia Medicare Executive Director - Atlanta, GA

UnitedHealth Group
Atlanta, GA 30303

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