Executive Director, Tribal Health Programs – Remote in NM

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.  

The Executive Director, Tribal Health Programs, has extensive experience overseeing and administering Public Health, Medicaid, Medicare Programs that deal with Native American Populations.  This can include prior experience administering or dealing with Health Programs at the Tribal Level (Tribal Health Administrator) or a Health Management position at the Indian Health Service.  During initial execution and rollout, the Executive Director is responsible for implementation, contract compliance and proper alignment of resources and staff. The Executive Director has more than 10 years of industry experience and 5 years of past executive director experience.  

This is a full-time executive position dedicated to the Tribal Health Programs. The executive director is authorized and empowered to represent UnitedHealthcare regarding all matters pertaining to the contract before such representation. This person will act as liaison between UnitedHealthcare and the State of New Mexico and is based in New Mexico

The Executive Director is a senior leadership position that directs the strategic development, growth and operations of UnitedHealthcare in providing innovative care to members and stakeholders in the Four-Winds program. The overall goal of this position is to create a successful, collaborative team of people to meet the needs of Native American members and New Mexico. The program director is responsible for market development of the New Mexico health plan.  They execute strategies through a cross-functional structure to meet or exceed annual goals and objectives specific to the Four Winds Program primarily in the following areas:

• Oversight of a dedicated staff of service coordinators, transition specialists, special education teachers and shared product community specialist(s) (e.g., RNs, licensed vocational nurses and social workers) 
• Member growth, retention and satisfaction 
• Clinical quality outcome improvements 
• Affordability planning 
• Overall contractual compliance  

The program director develops and maintains positive relationships with local statewide advocacy groups, state agencies and key provider organizations serving Native American populations.

If you are located in the state of New Mexico, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Develops, leads and executes market-specific health plan strategies and programs  
• Drives health plan efficiency, quality and financial performance  
• Builds, maintains and manages relationships with internal and external stakeholders  
• Drives industry-leading customer service and satisfaction  
• Confirms adherence to applicable legal and regulatory requirements  
• Confirms UnitedHealthcare’s compliance with the terms of the contract, including securing and coordinating resources necessary for compliance 
• Receives and responds to all inquiries and requests made by the state related to the contract, in the time frames and formats specified by the state
• Promptly resolves any issues identified either by UnitedHealthcare or New Mexico that may arise and are related to the contract 
• Through collaboration with external partners, identifies and provides recommendations for program development, including essential services and supports  
• Leads and is accountable for performance and results through senior level professional staff   
• Influences goals and results through matrix relationships 

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:

• 8+ years of healthcare operations experience
• Experience in strategic planning and development 
• Profit and loss experience
• Solid knowledge of the local provider population and facilities, and knowledge of community-based organizations (CBOs) 
• Demonstrated successful leadership skills in program execution and people management  
• Proven leadership skills in both internal and external environments  
• Reside in New Mexico
• Willing and able to travel 20-30% depending on business need

Preferred Qualifications:

• Bachelor’s degree or equivalent combination of education and experience; MBA, MPH, MSW
• 8+ years of operations experience in a Medicare/Medicaid industry, at-risk managed care environment or Public Health program administration
• One Native American spoken language

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.