Program Administrator II - San Antonio, TX

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The Program Administrator II provides leadership, direction and administration of Supportive and Palliative Care operations to ensure accomplishment of program and organizational objectives.
Directs, supervises and responsible for the daily activities of the staff and overall operation of the program and collaborates with clinics within their assigned market(s). Sets priorities for the team to forecast and plan activities to ensure appropriate care is provided to patients. Identifies and resolves operational problems using defined processes, expertise and judgment.

Provides strategic oversight to program operations within the market. Develops and executes collaborative strategies for program growth within the market.

Primary Responsibilities:
  • Direct supervision, development, mentoring and evaluation of Supportive & Palliative Care Program staff within assigned market(s)
    • Either multiple markets or
    • A single market with Supportive & Palliative Care Program of the size to need 6 or more providers and the affiliated support staff according to program staffing model
  • Directs, supervises, coordinates specific functions and activities of the program, including systems, policies and procedures, human capital, support services, etc. as required
  • Collaborates with program providers to ensure clinical support is provided and delivered in accordance with the provider's direction, needs of the patients and within the scope of practice of the clinical support staff
  • Promotes the provision of cost-effective, high-quality health care services to patients:
    • Tracks and trends outreach and patient engagement efforts and develop new strategies as needed
    • Monitors clinical performance metrics (Quality, HEDIS, and Focus on Care) and provides continual process improvement including all Quality, HEDIS and Focus on Care processes and/or services
    • Provides strategic input on program budget
  • Oversees medical and administrative staff to ensure:
    • Compliance with standards and regulations.
    • Validation of clinical competencies for all clinical staff.
    • Complete, accurate and timely documentation in the EMR
  • Reviews operational problems/policies and recommends solutions and changes to Lead Physician to minimize risk and meet external regulatory requirements
  • Collaborates with Lead Physician in the preparation and implementation of quarterly and annual budgets; recommends funding based on knowledge of policies, costs, and operating practices
  • Facilitates the employment, development and management of all program employees
  • Assists the Lead Physician in the development and marketing of new services and referral sources
  • Represents program at public and professional meetings and conferences.
  • Participates in program communication and public relations programs
  • Maintains professional affiliations and enhances professional development to keep pace with the trends in health care administration
  • Assists with training, onboarding and education at a state and enterprise level within Supportive & Palliative Care
  • Mentors and develops Program Administrator I
  • Actively identifies and strategically develops relationships with employed, affiliated and contracted PCPs and clinics within the assigned market(s)
  • Identifies areas of growth potential based on available data
  • Collaborates with Lead Physician to develop and execute annual strategic plans
  • Collaborates with market leadership to enhance program effectiveness, improve patient care and experience
  • Performs other related duties which may be inclusive, but not listed in position job description

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 Nursing and/or health related field or Business Administration (4 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor's degree)
  • 6+ years of progressive experience in medical practice management, including 3 years of supervisory experience
  • Experience managing program operations and growth
  • Proficiency in Microsoft Word, Excel and PowerPoint applications
  • Knowledge of health care administration, clinic philosophy and policies and operating procedures
  • Knowledge of fiscal management systems
  • Knowledge of human resource management practices including supervision and staff development
  • Skill in exercising initiative, judgment, problem solving, decision making
  • Skill in developing and maintaining effective relationship with staff, Senior Management, patients, vendors, payers, and the public
  • Skill in organizing work to achieve program goals and objectives
  • Solid data mining, analytical and reporting skills; must be able to review and interpret data to make recommendations to senior-management
  • Ability to research and prepare comprehensive reports
  • Ability to monitor compliance standards required by The Joint Commission, OSHA, CMS and other federal, state, or local agencies
  • Out-of-town travel required as deemed necessary by business need
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:
  • Master's degree in Healthcare Administration, Business Administration, Nursing or related field
  • Current, unrestricted RN licensure in applicable state
  • 6+ years of directly related experience in medical practice management or healthcare related field specialized in HEDIS/Stars improvement
  • Supervisory experience within a home care setting

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company 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: Program Administrator, Program administration, San Antonio, TX, Texas