Chief Operating Officer - Community & State - Sacramento, CA

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Chief Operating Officer - Community & State - Sacramento, CA - 718782

Position Description

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 Chief Operating Officer is responsible for management and administration of multiple functions and general business operations. This position leverages enterprise partners to manage daily operations of multiple levels of staff and multiple functions/departments across UnitedHealthcare and Optum.  Through day-to-day tactical as well as strategic leadership, this position contributes significantly to the overall operational, financial and net promoter score performance of the Plan. 


The COO is also responsible for the design, coordination and completion of operational improvement projects across various functional areas within UnitedHealthcare. The COO will review the department’s performance and effect change as needed to improve service, simplify work flow and assure compliance with regulatory requirements. They will effectively lead a team that is focused on making a difference for our members and our state partners.


This position will drive internal operating solutions and ongoing operating complexities as well as managing numerous external-facing relationships at a variety of leadership levels. This includes  coordination of operations including the administration of over a dozen separate Memoranda of Understanding between the plan and its county partners in both Sacramento and San Diego Counties. 


The Chief Operating Officer will  be significantly involved in the procurement preparations, including but not limited to extensive engagement with UHN for network development as well as business development in establishing new relationships and representing our operating methods, models and operational value story as new markets are developed. 


Primary Responsibilities:
  • Develop and support the strategic relationship with State agencies and stakeholders to influence program policies and operations, understand and predict key policy initiatives, and enhance their satisfaction with United as a key strategic partner for improving the health and well-being of people with long-term or advanced illness, are older or have disabilities
  • Direct and effectively develop strategic goals into specific operating and business plans and decisions
  • Oversee network strategy including network development, service area expansion, contracting, provider relations, and relationships with the UHC contracting function
  • Establish and maintain on-going relationships with the key physicians, hospitals, long-term care facilities, and other pertinent providers
  • Develop and maintain strong relationships within the community including providers, business partners and community alliances, etc.
  • Active client/customer relationship management including the development and implementation of strategic partnership growth initiatives
  • Promote a positive image of United with local providers, state regulators and customers
  • Sets business direction for areas of accountability in accordance with overall business strategies and plans.  Develops, implements and oversees operational models across a variety of functions to meet the unique needs and business requirements for UnitedHealthcare
  • Drives the operations for all aspects of Multi-Product Community & State Market including fully insured Medicaid Managed Care and Behavioral Carve-in.  Set strategies, goals, programs, best practices and compliance improvement projects for each product line improving operational execution and delivering on our value proposition to customers and members
  • Verifies improvements and operations are evaluated based upon appropriate quantitative and qualitative measures
  • Develops collaborative relationships with and confirms business partners can execute day-to-day responsibility for operations (member services center, enrollment, technology, etc.)
  • Informs and advises management regarding State’s current trends, problems and activities to facilitate both short- and long-range strategic plans to improve operational performance and enhance growth
  •  expectations
  • Ensures operations and service models are optimized and effectively supported by a staff that is appropriately skilled, trained and resourced to support the Health Plan through consistent business processes and technology
  • Ensures improvements and operations are evaluated based on appropriate quantitative and qualitative measures
  • Develops collaborative relationships with and ensures that business partners can execute day-to-day responsibility for Health Plan operations (call center, enrollment, technology, etc)
  • Informs and advises Health Plan management regarding State’s current trends, problems and activities to facilitate both short and long range strategic plans to improve operational performance and enhance growth
  • Identifies and resolves technical, operational and organizational problems inside and outside Health Plan
  • Materially contributes to financial and non-financial results; recommends with prioritization the  capital needs of the Health Plan and develops in close partnership with the Plan CFO required business cases for capital
  • Ensures that all Health Plan operational activities conform to contract compliance for lines of business
  • Understands and manages the State requirements.  Maintains significant external stakeholder  relationships with the ability to represent the health plan fully on behalf of the CEO as needed


To be considered for this position, applicants need to meet the qualifications listed in this posting.

Required Qualifications:

  • Bachelor’s degree in Health Care Administration, Business, or Management or related applicable field
  • A minimum of 10 years of related managed care experience, with a minimum of five years of people management experience
  • Knowledge of and experience related to publicly funded government health care programs (e.g., Medicaid, Medicare or State health care programs for the uninsured)
  • Proven leadership skills in both internal and external environments; previous experience in managing complex matrix organizations helpful
  • Demonstrated success in executing against both short and long term growth and profitability targets
  • Proven ability to produce superior results in a financial, performance-oriented environment
  • Technical and financial understanding of health care operations, including network management, health plan operations, health care cost management and project management.
  • Ability to model Our United Culture for own team and in all interactions, internal and external
  • Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff both directly and throughout the supporting functional areas of the enterprise
  • Ability to advise IT resources related to enterprise platform initiatives; provides direction on platform migration
  • Exceptional leadership skills and operational management expertise
  • Strong interpersonal skills, ability to work with all levels of management across all functional areas as well as business partners in other UHG entities
  • Strong financial analysis and risk management skills
  • Ability to analyze, interpret and communicate technical procedures and governmental regulations
  • Working knowledge of relevant federal and state regulations and requirements
  • In depth understanding of challenges that face health plans and health care in general
  • Strong negotiation skills, budget management experience and regulatory knowledge
  • Working knowledge and experience in cross-functional business segments and their integrated influences and relationships
  • Ability to set leadership tone for direct reports and with peers
Preferred Qualifications:
  • Previous P&L experience

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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.   



Job Keywords: Director, General Management, Sacramento, CA, California

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Job Details
Contest Number: 718782
Job Title: Chief Operating Officer - Community & State - Sacramento, CA
Job Family: Business Operations
Business Segment: Community and State
Job Location Information:
Region: North America
Country: United States
City: Sacramento
State/Province: California
Other States where Job(s) is Located: ,,,,
Other Cities where job(s) is Located: ,,,,
Additional Job Detail Information:
Employee Status: Regular
Schedule: Full-time
Job Level: Director
Shift: Day Job
Travel: No
Telecommuter Position: No
Overtime Status: Exempt