**Experienced Vice President, Clinical Operations - Care Management: Transforming Healthcare through Strategic Leadership and Innovation**

At UnitedHealthcare, we're committed to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. As a leader in the healthcare industry, we're seeking an exceptional Vice President, Clinical Operations - Care Management to join our team. This is a unique opportunity to drive innovation, improve patient outcomes, and make a lasting impact on the lives of millions of people. **About UnitedHealthcare** UnitedHealthcare is a leading health insurance company that provides a comprehensive range of health and wellness services to individuals, employers, and healthcare providers. Our mission is to simplify the healthcare experience, create healthier communities, and remove barriers to quality care. We're committed to innovation, quality, and customer satisfaction, and we're seeking like-minded professionals to join our team. **Job Summary** The Vice President, Clinical Operations - Care Management will be responsible for modernizing all aspects of Care Management at UnitedHealthcare. This role will work closely with leaders across the enterprise to evaluate and design every aspect of our Care Management programs, including risk stratification optimization, care assessment development and improvement, related member interventions, and care coordination with treating providers across a broad population. The successful candidate will have a proven track record of designing and implementing large-scale Care Management programs, a strategic and critical thinking mindset, and the ability to articulate and represent our Care Management strategy to executive leaders across the enterprise and external stakeholders. **Key Responsibilities** * Design and implement large-scale Care Management programs, including risk stratification optimization, care assessment development and improvement, related member interventions, and care coordination with treating providers across a broad population. * Partner closely with teams in Clinical Operations, Technology, Finance, Health Care Economics, and Network Contracting to design, implement, and monitor all aspects of program development. * Regularly review program metrics, including operational, financial, and clinical outcomes. * Evaluate data sets and/or develop research methods to measure program results. * Work with experienced data analysts to problem-solve, innovate, and summarize program results. * Experience in financial modeling to calculate the cost and return of programs. * Collaborate with various members of the Clinical Leadership Team, Network, and Optum leaders on top priorities and goals. **Quantitative and Qualitative Analysis & Strategic Problem Solving** * Evaluate data sets and/or develop research methods to measure program results. * Work with experienced data analysts to problem-solve, innovate, and summarize program results. * Direct the analytics team as they work to problem-solve, innovate, and summarize program results. * Experience in financial modeling to calculate the cost and return of programs. * Work with financial experts on the team to assure model assumptions are accurate. **Communication Skills and Executive Presence** * The leader will be the face to external and internal customers and must possess the ability to speak clearly on complex problems with audiences ranging from small teams to more than 1,000. * The leader will build and develop relationships across teams to ensure effective feedback loops and that key program milestones are met. * The leader will collaborate with various members of the Clinical Leadership Team, Network, and Optum leaders on top priorities and goals. **Required Qualifications** * 15+ years of healthcare experience in a Payer, Health System, or large Clinical Practice. * 5+ years of management experience with a proven track record designing and implementing large-scale Care Management programs. * Demonstrated ability to understand program performance data, program (inclusion & exclusion criteria), and apply job knowledge to drive program improvement. * Strong analytical and problem-solving skills, with the ability to think critically and strategically. * Excellent communication and interpersonal skills, with the ability to build and maintain relationships with stakeholders at all levels. * Experience working in a fast-paced, dynamic environment, with the ability to prioritize multiple tasks and meet deadlines. **Preferred Qualifications** * Experience working in a healthcare analytics or data science role, with a strong understanding of healthcare data and analytics. * Experience working with healthcare data and analytics tools, such as data warehouses, data lakes, and data visualization platforms. * Experience working with healthcare data and analytics vendors, such as IBM, Oracle, and SAS. * Experience working with healthcare data and analytics standards, such as FHIR and ICD-10. * Experience working with healthcare data and analytics regulations, such as HIPAA and HITECH. **Career Growth Opportunities and Learning Benefits** * UnitedHealthcare offers a comprehensive range of training and development opportunities, including on-the-job training, mentorship programs, and leadership development programs. * We offer a competitive salary and benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off. * We offer a dynamic and supportive work environment, with opportunities to work with a talented and diverse team of professionals. * We offer a range of career growth opportunities, including promotions, lateral moves, and new job opportunities. **Work Environment and Company Culture** * UnitedHealthcare is a remote-friendly company, with the option to work from home or in our office locations. * We offer a flexible and supportive work environment, with opportunities to work with a talented and diverse team of professionals. * We offer a range of employee benefits and perks, including medical, dental, and vision insurance, 401(k) matching, and paid time off. * We offer a dynamic and supportive company culture, with opportunities to learn and grow with a talented and diverse team of professionals. **Compensation, Perks, and Benefits** * UnitedHealthcare offers a competitive salary and benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off. * We offer a range of employee benefits and perks, including flexible work arrangements, employee recognition programs, and employee discounts. * We offer a dynamic and supportive work environment, with opportunities to work with a talented and diverse team of professionals. * We offer a range of career growth opportunities, including promotions, lateral moves, and new job opportunities. **How to Apply** If you're a motivated and experienced professional with a passion for healthcare and innovation, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your qualifications and experience. We look forward to hearing from you! Apply for this job