Executive Director, Alaska (CEO)

UnitedHealth Group - Fairbanks, AK3.6

Full-time
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The Executive Director (CEO) will be vital to our success and driving future growth. As part of the leadership team, you will have accountability for the performance of all operations and deliverables for the Optum Alaska ASO contract. You will consult with Medical Directors, Behavioral Clinicians and Providers who are working directly with members; establishing collaborative relationships with both internal and external stakeholders, gathering accurate state and contractual requirements, and evaluating performance for enhancements. You will join an elite team to lead projects and influence leadership successfully to adapt and embrace change, helping to heal the health care system and bring services to our Medicaid Members. In addition, the Executive Director (CEO), is responsible for internal staff development, budget development and adherence, as well as the development & adherence to policies and procedures, to include establishing priorities based on State deliverables.

Primary Responsibilities:
Coordinate day-to-day operation in all departments to achieve goals and ensure smooth and efficient functioning of the Optum Alaska ASO
Primary point of contact for the State to address any issues of concerns and discuss operational performance initiatives
Interact closely with State representatives, providers,THOs, and other stakeholders in the development and implementation of systems of care requirements
Ensure the timely completion of contract deliverables
Guide direct report staff in the effective delivery of services, meeting goals, and avoiding contract penalties
Oversee the clinical and administrative supervision of staff
Oversight and ownership of the call center for participants and providers
Review reports and track any trends related to service authorizations, eligibility verification, ASAM Level of Care transitions, and other key clinical processes
Formulate action plans to remedy any findings from audits, utilization reports, provider and client concerns and State reports/concerns
Work with state or constituents if there are issues with the data feeds
Oversee hiring, promotions and disciplinary actions to assure adherence to human capital policies
Ensure essential functions continue during a disaster or business continuity situation
Oversight of all claims processing functions
Demonstrate effective, adaptive leadership style that promotes innovation and accountability, and establishes work priorities
Participate in Quarterly Business Review Meetings to report and discuss key metrics, strategic progress, key challenges and mitigations plans and other topics as needed
Represent the ASO in the Alaska community and in support of State initiatives, including attendance at meetings with State staff and testimony before legislative proceedings
Oversee Optum Alaska employee development, training, etc.

Required Qualifications:
Undergraduate degree
Minimum of five 5 years’ experience working with the Medicaid population; to include managing behavioral health services with mental health and substance use disorders
Experience working with community-based programs that assist the Alaskan population
Minimum of 3 years’ experience managing a team
Demonstrated project management expertise; to include planning, organization, and monitoring experience
Strong customer service experience
Data analysis and report writing capability
PC proficiency
Strong data analysis and organizational skills are necessary
Proficiency in Microsoft Office applications

Preferred Qualifications:
Advanced degree
Strong preference given to candidates with experience in the Alaska delivery system and/or in administering a similar contract
Experience with primary care/behavioral health integration
Prior experience making oral presentations
Thorough understanding of ASO principles, models, and financing

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

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.

Keywords: Behavioral, Mental Health, Alaska, Medicaid, Project Management, Clinical