Regional Manager of Clinic Operations WellMed Fort Worth TX

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

The Regional Manager of Market Operations is responsible for working with the Market VP to provide strategic direction, leadership and support of enterprise-wide market initiatives. The position is responsible for facilitating the creation and execution of local market strategies and action plans. The position is involved in planning, budgeting, forecasting, facility planning and reporting for the assigned markets. Directs and facilitates evaluation, assessment, planning, implementation, data collection, reporting and tracking initiatives related to creating market efficiencies and improving medical cost control while simultaneously maintaining or improving the quality of care and service provided to our patients in collaboration with operational business units involved. Collaborates with consultants, stakeholders, operational partners and training teams to develop and implement programs, develop policy and procedures as required, and evaluate programs to continually improve market operations. Also, assists with long-term planning priorities to assure activities are appropriately integrated into strategic direction, as well as the mission and values of the organization.

Primary Responsibilities:
  • Provides supervision for market personnel as assigned and participate on the management team directed by the Vice President of Market Operations
  • Participates in strategic and operational planning for the assigned market(s) and facilitates the execution of the plan within that assigned market
  • Participates in planning, budgeting, forecasting, facility planning and reporting for each of the assigned markets as directed by the VP of Market Operations
  • Continually seeks ways to improve job efficiencies
  • Creates and executes a comprehensive market strategy developing an assessment of competitors and local market trends benefit design and a marketing plan as well as a network development plan
  • Recommends and directs the assessment, design, development, planning, implementation, data collection/reporting, evaluation and tracking of market program initiatives
  • Directs data collection and reporting activities with information system partners to ensure reporting requirements are captured through each program phase, when applicable
  • Provides regular reports to executive team and stakeholders regarding initiatives
  • Directs the timely preparation of reports and records for dissemination to stakeholders
  • Directs program modifications based on evaluation results to ensure stakeholder and patient needs are met and to ensure stakeholder and/or customer satisfaction
  • Provides cross functional leadership across the health plan by maintaining open communication, identifying, resolving cross functional issues, continually improving cross functional policies/procedures/work flows and support systems and proactively facilitating staff development to achieve the goals and objectives of each assigned market
  • Collaborates with medical, network and financial staff to identify and resolve medical cost issues within each assigned market
  • Monitors compliance with all organizational metrics (Financial, Clinical, Customer Service, Membership, Retention, etc.)
  • Provides training to management to facilitate effective cross functional working relationships to ensure applicable metrics are met
  • Maintains effective network support services by working with the Vice President of Market Operations
  • Performs all other duties as assigned

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:
  • Bachelor's degree in Business or Healthcare Administration or related field (8+ years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree)
  • 5+ years of related management experience inclusive of employee supervision and development, budget oversight, and strategic planning
  • Understanding of medical care delivery, network management and local market dynamics
  • Understanding of financial performance for the total market including staff budgeting and monitoring as well as the management and understanding of risk management with the risk groups
  • Solid management and supervisory skills (i.e. employee selection, training, coaching and development as well as process management)

Preferred Qualifications:
  • Master's degree in Business, Healthcare Administration, or related field
  • Exceptional interpersonal skills with ability to interface effectively internally with all levels of staff and externally with a wide range of people including physicians, office staff, hospital executives, medical groups, IPA's, the press and community organizations
  • Excellent problem-solving skills with effective follow through
  • Solid verbal and written communication skills

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity 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: WellMed, Healthcare, Director, Market Operations, Management, Medicare, CMS, Managed Care, Ft. Woth, Texas, TX