UnitedHealthcare - Community & State - Health Plan CEO, Detroit, Michigan

Caring. Connecting. Growing Together.

At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference?

As part of the leadership team at UnitedHealthcare Community and State, part of the UnitedHealth Group family of businesses, youll be surrounded by focused, performance-driven leaders who have helped us build our global strength and incredible momentum. And as CEO of the Michigan Market, you'll have an amazing opportunity to help transform the health care industry and improve peoples lives.

This is a highly visible role responsible for obtaining and maintaining credibility with state regulators, legislators, advocacy groups, community organizations, providers and associations and ensuring we drive the overarching Medicaid platform to serve our members. We serve the health care needs of low-income adults and children including those with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high-risk pregnancy. Michigan is a Long Term Services and Support (LTSS) market including Nursing Facilities (NF) and Home and Community Based Service (HCBS) providers. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. You'll be our 'account manager' for the state relationship; accountable for all aspects of profit-and-loss, driving performance, leading strategic planning while meeting revenue, membership and operating income objectives. The Health Plan CEO is accountable for the market financials, strategy, growth and day-to-day operational execution representing over $2B in annual revenue.

In this role, the ability to handle ambiguity will be a must. We are committed to bringing new levels of innovation and performance to the ways that we deliver for our members and customers. Youll be part of an intense, focused leadership team thats driving operational excellence and results across a matrixed organization.

Youll 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.

Primary 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
• Drive industry-leading customer service and satisfaction levels as measured in Net Promoter Scores
• 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
• Oversee clinical operations and quality initiatives, ensuring compliance with healthcare standards, improving member health outcomes, and maintaining high levels of care and service quality
• Cultivate and sustain solid 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
• Ensure diverse perspectives guide strategic decisions by creating a supportive atmosphere where every team member feels safe sharing tough issues or concerns

Required Qualifications :

Preferred Qualifications :

Remote Nationwide, Remote in Colorado, or Colorado-Only Locations : The salary range for this role is $225,000 to $350,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.

Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.