Director, Clinical Operations - Albuquerque, NM

Careers at UnitedHealth Group

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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

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Responsible for the internal and external strategic and ongoing development, direction, supervision and administration of healthcare operations. Ensures quality of care, cost effectiveness and optimal performance of personnel. Manages the operational, fiscal and personnel aspects of specialty care clinic operations and ensures compliance of all employees with adherence to all regulatory requirements of OPTUM and any outside agencies. Oversees multiple Managers, ensuring adherence of patient, employee and physician satisfaction program goals. Adheres to policies, procedures and regulations to ensure compliance and patient safety. Participation in Compliance and other important training is a condition of employment.

Primary Responsibilities:
  • Mentors, coaches, and develops subordinates to accomplish goals; takes responsibility for identifying developmental needs of staff and creating action plans to enhance growth and development
  • Creates opportunities across organizational lines to implement customer focused processes and care
  • Manages, monitors and documents the performance appraisal process for employees within own departments, establishing work standards and expectations of staff by providing feedback regularly
  • Models exemplary internal and external customer service through timely investigation, feedback, resolution and documentation of customer complaints
  • Meets Budget (Operating & Capital) for assigned areas
  • Demonstrates advanced knowledge related to medical terminology, processes, procedures, rules/regulations, operations and administration, including billing practices
  • Develops strategies and goals for team that align with OPTUM's strategic direction
  • Advise senior management regarding program and project status, progress, and implementation issues
  • Plan for professional growth related to professional goals based on self-assessment, evaluation and feedback; assume responsibility for acquiring knowledge and experiences to meet goals
  • Participate in key decision making regarding overall planning, work redesign, and staff development associated with implementing changes in patient care delivery
  • Ensure compliance with all regulatory agencies governing health care delivery and the rules of accrediting bodies by continually monitoring appropriate clinic operations, programs and physical properties; initiate changes where required
  • Recommend changes for improvement in program content and in short/long-range planning in order to maintain competitiveness in the healthcare market
  • Review and update policies and regulations, communicate the results of this work both verbally and in writing through designated channels
  • Develop plans and make recommendations relative to organizational and departmental operations such as organizational structure, space and layout, equipment use, work flow, and staffing
  • Prepare business plans to support new programs and expansion proposals

Director and Manager Competencies:
  • Aligning Performance for Success: Focuses and guides others in accomplishing work objectives
  • Gaining Commitment: Uses appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifies one's own behavior to accommodate tasks, situations, and individuals involved
  • Selecting Talent: Evaluates and selects internal and external talent to ensure the best match between the individual and the work requirements
  • Strategic Decision-Making: Obtains information and identifies key issues and relationships relevant to achieving a long-range goal or vision; commits to a course of action to accomplish a long-range goal or vision after developing alternatives based on logical assumptions, facts, available resources, constraints, and organizational values
  • Patient Relations: Meets patient and patient family needs; takes responsibility for a patient's safety, satisfaction, and clinical outcomes; uses appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence
  • Business Acumen: Uses economic, financial, market, and industry data to understand and improve clinic business results; uses one's understanding of major business functions, industry trends, and OPTUM's position to contribute to effective business strategies and tactics
  • Developing Others: Plans and supports the development of individuals' skills and abilities so that they can fulfill current or future job/role responsibilities more effectively
  • Leadership Disposition: Demonstrates the traits, inclinations, and dispositions that characterize successful leaders; exhibits behavior styles that meet the demands of the leader role
  • Planning and Organizing: Establishes courses of action for self and others to ensure that work is completed efficiently

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, healthcare or business related field
  • 7+ years of previous job-related experience (of which 3 years in a management capacity)
  • PC proficient
  • Supervisory/Management skills
  • 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 nursing, healthcare or business related field
  • Ability to lead work teams
  • Ability to compile complex reports and develop presentations
  • Ability to counsel and/or consult
  • Excellent communication and interpersonal skills

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 at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Job Keywords: Director OR Hospital Director OR Director of Clinical Operations, Albuquerque, NM, New Mexico