UnitedHealthcare Community & State - Health Plan CEO Kentucky

About the role

The Health Plan CEO is responsible for the overall vision and strategic direction of the health plan team, driving sustainable and profitable growth, and ensuring compliance with regulatory requirements.

Responsibilities

• Create an overall vision for the health plan team to ensure they can navigate a rapidly changing industry and leverage innovation to capture opportunities for growth and/or improvement
• Develop and execute market-specific strategies to drive sustainable and profitable growth while setting the strategic direction to drive business growth
• Build, develop, improve, influence and expand relationships with key government sector customer groups, providers/provider networks within the market
• Manage multiple levers of health plan profitability (e.g. rate advocacy, member retention, utilization management, Star performance and Medicaid Quality)
• Employ strategies to lead market share across the statewide Medicaid footprint
• Ensure the health plan grows relative to competitors, meets financial targets, manages budgets effectively, and maintains profitability while balancing cost efficiency and high-quality service delivery
• Ensure adherence to regulatory requirements and industry standards, streamline operational processes, and enhance efficiency to achieve consistent and reliable performance for our members
• Cultivate and sustain strong relationships with members, community groups, state regulators, and healthcare providers to influence program design, develop support for program efforts, secure approvals, and foster collaborative partnerships
• Promote a positive organizational culture, enhance employee satisfaction, and implement strategies to attract, retain, and develop a motivated and high-performing workforce
• Achieve enterprise goals and ensure alignment of MBOs for health plan and matrix partners by engaging and collaborating with functional leaders
• Cultivate diverse perspectives guiding strategic decisions by creating a supportive atmosphere where every team member feels safe sharing tough issues or concerns

Requirements

• 10+ years of successful leadership experience in leading and managing people
• 10+ years of P&L and/or extensive budgeting experience as well as strategic planning and development
• 7+ years of experience with community-based organizations, FQHC's, provider/hospital systems, behavioral health, Medicare Advantage/Medicaid Dual Special Needs Network (DSNP) systems
• Expert level of proficiency working in a fast-paced matrix organization/environment with an enterprise focus
• Prior leadership experience in program execution
• Demonstrated ability to build and maintain service-oriented culture across remote field-based organization

Preferred Qualifications

• Prior executive level experience in LTSS (Long-term Services and Supports)
• Prior executive level experience in HCBS (Home & Community Based Services)
• Prior executive level experience with NF (Nursing Facilities)
• Prior executive level experience in dealing with multiple State Agencies

Pay

The salary for this role will range from $225,000-$375,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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.