Health Plan CEO, Community & State – Omaha, NE

At UnitedHealthcare, we’re 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? Join us to start Caring. Connecting. Growing together. 

As part of the leadership team here at UnitedHealthcare Community and State, part of the UnitedHealth Group family of businesses, you’ll be surrounded by focused, performance-driven leaders who have helped us build our global strength and incredible momentum. And as the CEO of the Nebraska Market, you’ll have an amazing opportunity to help transform the health care industry and improve people’s 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 service our members.  We serve the health care needs of low-income adults and children who bear a disproportionate chronic illness burden and experience high rates of high-risk pregnancies. Our Nebraska market covers more than 135K Nebraskans including 120K Medicaid members, as well as a market leading Dual Special Needs Plan (DSNP) serving over 15K dually eligible individuals.  The successful candidate will be growth oriented with opportunities to continue to expand our state relationship in serving specialized populations with benefits such as LTSS are expected in the future. 

Our holistic, outcomes-based approach considers social, behavioral, economic, physical, and environmental factors. This highly integrated business leverages the best of UnitedHealth Group with a delegated delivery model with OptumCare and the Sierra Health Plan.  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 $1B in annual revenue.

   

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
• Manage delegated relationships with OptumCare and our behavioral health provider

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. You’ll be part of an intense, focused leadership team that’s driving operational excellence and results across a matrixed organization.

  

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. 

Required Qualifications: 

• 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
• Expert level of proficiency working in a fast-paced matrix organization/environment with an enterprise focus
• Prior leadership experience in program execution
• Experience managing delegated entities, behavioral health experience is a plus
• Knowledge of rural health delivery strategies
• 7+ years of experience with community-based organizations, FQHC’s, provider/hospital systems, behavioral health, Medicare Advantage/Medicaid Dual Special Needs Network (DSNP) systems  
• Must reside in the State of Nebraska; our main office is in Omaha
• Experience building and maintaining service oriented culture across remote field based organization
• Demonstrated ability to build and maintain effective relationships with external partners

Preferred Qualifications:  

• Prior executive level experience in LTSS (Long-term Services and Supports)
• Prior executive level experience managing delegated entities
• Prior executive level experience behavioral health
• Prior executive level experience in dealing with multiple State Agencies

  

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.    

 

  

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.