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Job Title: Dir, Health Services - Maryland - AmeriChoice
Job Location: MD: Elkridge
Pay Rate: Open
Job Length: full time
Start Date: 2008-03-28
Company Name: UnitedHealth Group
Contact: Recruiter
Phone: email only please
Fax: email only please
Description: Dir, Health Services - Maryland - AmeriChoice – 201914
Job Description
Submit
Description AmeriChoice, a UnitedHealth Group company, is a recognized
leader and innovator in providing managed health care solutions to its
member****p, which includes Medicaid, Medicare and SCHIP recipients. With
over a decade of growth and success, we are poised for continued expansion
of our services in this dynamic marketplace. Our commitment to this
specialized market makes a genuine difference in the lives of our 1.4
million members. Join us, do rewarding work, and build a great career.
Administratively responsible, under the direction of the VP, Health
Services for the oversight of the Health Services function at the
AmeriChoice office located in Elkridgen Maryland. Utilizing the principles
of continuous quality improvement, the in***bent provides leader****p,
administrative and management sup****t, strategic planning and overall
direction of the sites Health Services Departmemt. The in***bent will have
accountability for the profitability of the states Health Services as
impacted by medical expenses and trend. The in***bent promotes a positive
public image, facilitates the establishment of effective and efficient
internal and external customer interfaces and ensures development of staff
through the implementation of logically developed goals, objectives and
strategic plans. The in***bent will have Director oversight of 3 managers
in utilization review, prenatal and complex case management.- Responsible
for achieving and maintaining profitability as impacted by medical
expenses and trends. Implements annual goals and objectives to achieve
appropriate reductions in medical expenses that correlate with continuous
performance improvement efforts. - Utilizes timely and meaningful
financial/utilization re****ts to identify op****tunities for decreasing
medical expense. Fosters innovative problem solving and coaches and
mentors staff to use creative problem solcing. - Leads and develops staff
in areas of personal growth - Responsible for guiding development of
multiple levels of professional staff while serving as a role model,
teacher, coach and leader. - Communicates departmental and cor****ate goals
and engages everyone in their achievement. - Provides staff with
op****tunities that lead to enhancement of their individual management and
leader****p skills. - Serves as the key Health Services resource and
consultant to internal customers. -Development and continual refinement of
operational processes within the health care delivery system to promote
system-wide best practices and validate full implementation of programs as
well as continuous *****sment of their impact and utility. - Conducts or
directs *****sments and produces analysis Ensures the integrity of
processes and re****ts associated with the tactical initiatives. - Coaches
team regarding policies and procedures and validates compliance. -
Promotes a positive internal and external public image. - Forms internal
and external strategic relation****ps which will sup****t program growth,
expansion and the development of new models/programs. -
Qualifications * Bachelors or masters degree prepared in nursing. 3-5
years leader****p and management experience in health services in an
managed care organization. - Experience with Medicare, Medicaid and
managed care in a variety of health care settings. - - Leader****p and
management experience in effective team building and continuous quality
improvement programs. - Working knowledge and experience in
cross-functional business segments and their integrated influences and
relation****ps. Certifed Case Manager (CCM) preferred - Effective and
experienced in motivating and mentoring others who are not in a direct
re****ting relation****p. Diversity creates a healthier atmosphere: equal
op****tunity employer M/F/D/V
Profile Job Field Health Care/Medical Locations US-MD-Elkridge
Organization Maryland Schedule Full-time
Please refer to Job code dhealthgroup-1031372 when responding to this ad.
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