United Health Care Jobs – C&S COO Florida Health Plan

Website UnitedHealthcare

Job Description:

The C&S COO Florida Health Plan is responsible for the operations and administration of all C&S products in Florida and will partner with other lines of business, vendors and the State of Florida. In this role, you will have leadership responsibility for claims, customer service, member and provider services, State Agency relationships and driving results and relationships with Shared Services and Functional partners throughout UHG.

Job Responsibilities:

  • Curiosity and experimental mindset: willingness to test an idea and iterate toward better solutions
  • Regulatory management: referral account status and remediation
  • Claims projects (CPM/CRT): TAT management, project visibility, financial impact
  • Affordability: operationalizing plans along the full process. Concept, data pull, interpretation, creation, deployment, measurement, sustainability of action
  • Dashboard structure: development of new metrics and the active oversight of KPIs
  • Strategy: market enhancements, stakeholder relationship building
  • Provider/Member Call Center: Benefit awareness, key initiative training, UES insights
  • Share Services/Key Stakeholder Goal integration and sustained market focus
  • Operational Support to all LOBs
  • Scale: promulgate scalable insights to other markets and LOBs for the greater good of the enterprise
  • Member Experience: NPS, management of Digital communication strategies

Job Requirements:

  • Residency Requirement in the State of Florida
  • Advanced Degree (MSN, RNP, MBA, MS, PhD)
  • Must pass a level 2 background screen conducted by ACHA
  • 5+ years experience in Medicaid, LTSS, and Medicare Program and /or Operations
  • Bachelor’s Degree
  • Experience working with complex claims and enrollment systemstive Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role

Job Details:

Company:  UnitedHealthcare

Vacancy Type:  Full Time

Job Location: Jacksonville FL, US

Application Deadline: N/A

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