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Last updated: 3 days ago
C&S Plan of Indiana - Chief Medical Officer

C&S Plan of Indiana - Chief Medical Officer

UnitedHealth GroupSouth Bend, IN, US
Full-time
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...Show moreLast updated: 30+ days ago
Front of House

Front of House

McAlister's Deli FranchiseMishawaka, IN, US
Full-time
Our Front of House positions may include a few different positions.Prepares dining room for guests by cleaning tables and chairs. Maintains table setting by removing plates as completed and being a...Show moreLast updated: 30+ days ago
Director of Premium

Director of Premium

Compass Group, North AmericaNotre Dame, IN, United States
Full-time
University of Notre Dame : Levy operates Notre Dame Stadium, home of the Notre Dame Fighting Irish football team.Levy also provides food and beverage services to all sporting venues on the Notre Dam...Show moreLast updated: 30+ days ago
Tribal Police Officer

Tribal Police Officer

Pokagon Band of Potawatomi IndiansSouth Bend, IN, US
Full-time
Must be a current state certified police officer and meet minimum requirements of the position as outlined below.Service encompasses all aspects of the Pokagon Band of Potawatomi Indian’s gov...Show moreLast updated: 30+ days ago
  • Promoted
Director of Operations

Director of Operations

Village Caregiving - South BendSouth Bend, IN, United States
Full-time
We are excited to extend an invitation to an enthusiastic and motivated.The selected candidate will be instrumental in overseeing day-to-day operations, facilitating growth, and ensuring compliance...Show moreLast updated: 3 days ago
Chief Operating Officer

Chief Operating Officer

RM Staffing B.V.South Bend, IN, US
Full-time
Reporting directly to the CEO, the COO ensures the company executes its strategy efficiently, drives operational scalability, and maintains a high-performance culture across all departments.Operati...Show moreLast updated: 30+ days ago
Lead Tech / Crew Chief

Lead Tech / Crew Chief

ServiceMaster RestoreGranger, IN, US
Full-time
Monitors and inspects tasks for restoration jobs to ensure completion of drying, demolition and various restoration activities. Prepares and reviews documentation to include notes, photos and docume...Show moreLast updated: 30+ days ago
  • Promoted
Lead Tech / Crew Chief

Lead Tech / Crew Chief

IICRCGranger, IN, US
Full-time
Monitors and inspects tasks for restoration jobs to ensure completion of drying, demolition and various restoration activities. Prepares and reviews documentation to include notes, photos and docume...Show moreLast updated: 30+ days ago
  • Promoted
Director of Finance

Director of Finance

Imagineering Finishing TechnologiesSouth Bend, IN, United States
Full-time
Imagineering Finishing Technologies is a leading metal finishing company dedicated to delivering high-quality solutions to our clients. The Imagineering brand is globally acknowledged as the Knowled...Show moreLast updated: 4 days ago
  • Promoted
Director of Finance

Director of Finance

ASM GlobalSouth Bend, IN, US
Full-time
Legends Global is the premier partner to the world's greatest live events, venues, and brands.We deliver a fully integrated solution of premium services that keeps our partners front and center thr...Show moreLast updated: 30+ days ago
Chief Fiduciary Officer

Chief Fiduciary Officer

Adams, Inc.Fully remote Indiana, US
Remote
Full-time
TRIN67987 – Chief Fiduciary Officer – Fully remote Indiana.We have a very unique opportunity for a FULLY REMOTE Chief Fiduciary Officer for a very unique boutique trust shop based in the state of I...Show moreLast updated: 30+ days ago
Director of Nursing

Director of Nursing

CedarhurstMishawaka, IN, US
Temporary
Cedarhurst Senior Living is a leading provider of senior living communities, dedicated to enriching the lives of residents through exceptional care and personalized services.With a commitment to ex...Show moreLast updated: 7 days ago
  • Promoted
Police Officer

Police Officer

University of Notre DameNotre Dame, IN, United States
Full-time
The University of Notre Dame is more than a workplace; it is a vibrant, mission-driven community where every employee is valued and supported. Rooted in a tradition of excellence and inspired by our...Show moreLast updated: 3 days ago
  • Promoted
Chief Executive Officer

Chief Executive Officer

TransPro ConsultingSouth Bend, IN, United States
Full-time
TranPro Talent Solutions is pleased to present the following opportunity on behalf of the South Bend Transportation Corporation (TRANSPO) : . The Chief Executive Officer is responsible for the managem...Show moreLast updated: 3 days ago
  • Promoted
Chief Development Officer, Parent & Family Philanthropy

Chief Development Officer, Parent & Family Philanthropy

Pepperdine UniversitySouth Bend, IN, United States
Full-time
A prominent educational institution located in South Bend, IN seeks a Vice Chancellor for Parent and Family Development.This role focuses on cultivating relationships and raising financial support ...Show moreLast updated: 14 days ago
Director of Operations

Director of Operations

South BendSouth Bend, Indiana, USA
Full-time
We are excited to extend an invitation to an enthusiastic and motivated.The selected candidate will be instrumental in overseeing day-to-day operations facilitating growth and ensuring compliance w...Show moreLast updated: 4 days ago
  • Promoted
Back of House

Back of House

McAlister'sMishawaka, IN, United States
Full-time
Our Back of House positions may include a few different areas.Ensures the availability of clean dishes by washing dishes, pots, pans, and flatware. Prepares dish area and kitchen for next shift by ...Show moreLast updated: 3 days ago
  • Promoted
Director of Operations

Director of Operations

Village CaregivingSouth Bend, IN, United States
Full-time
We are excited to extend an invitation to an enthusiastic and motivated.The selected candidate will be instrumental in overseeing day-to-day operations, facilitating growth, and ensuring compliance...Show moreLast updated: 4 days ago
  • Promoted
Director of Concessions

Director of Concessions

Compass GroupNotre Dame, IN, US
Full-time
Lead game day excitement from behind the scenes! As Director of Concessions, you will champion operational excellence across all concession areas, driving guest satisfaction, team performance, and ...Show moreLast updated: 30+ days ago
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C&S Plan of Indiana - Chief Medical Officer

C&S Plan of Indiana - Chief Medical Officer

UnitedHealth GroupSouth Bend, IN, US
30+ days ago
Job type
  • Full-time
Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Community & State Plan of Indiana Chief Medical Officer (CMO) will use their proven track record to become the end-to-end owner of the clinical, quality and value-based provider leadership and financial outcomes. The position has accountability for all health plan product clinical product offerings, clinical market strategies, collaboration and oversight of our Shared Services clinical team, clinical data analysis to improve clinical and cost outcomes, new clinical program implementations, monitoring and valuing clinical outcomes and operational performance, driving affordability pipeline and performance, overseeing development and implementation of initiatives to meet quality standards, ensuring compliance with state Medicaid compliance standards-where applicable, and value based initiatives through clinical and vendor organizations. The Indiana CMO is also responsible for the clinical relationships with our state client and key clinical leaders across Indiana.

If you are located in Indiana, you will have the flexibility to work remotely

  • as you take on some tough challenges.

Primary Responsibilities :

  • Clinical Quality and Operational Performance- Oversight of clinical processes and policy decisions with a focus on implementing plans of care that meet accepted guidelines and protocols to ensure that optimal and appropriate medical / clinical and Long-Term Support Services are provided in a cost-effective manner
  • Strategic Clinical Leadership and Innovation- Development, implementation, and oversight of the population health strategy
  • Serves as chairman of the Health Plan's Quality Improvement Committee (QIC)
  • Financial oversight- Drive improved affordability related to medical and pharmacy spend for lower TCOC, greater capture of state level quality-based incentive dollars, and improved provider diagnosis, documentation and capture of member chronic conditions
  • Ensure services are delivered to members at the highest quality standards. Oversee and ensure development and implementation of initiatives to meet or exceed HEDIS quality standards, and accreditation standards through working with and holding Quality Shared Services accountable
  • Develop solid collaborative partnerships across a highly complex and matrixed organization including key partnerships with the local Market leadership team, functional VPs, Market CMOs, health plan CEOs and Executive Directors across all lines of business (Commercial, Medicare, Medicaid)
  • Continuously improve HEDIS, and CAHPS scores for members and providers
  • Provide guidance and direction to physicians and nurses regarding all aspects of medical care and multi- level transitions of care including the referral process as well as any quality-of-care concern and related plans of correction
  • Review inpatient cases where applicable for successful bed-day management that meets established company goals
  • Analyze utilization data to identify trends and opportunities for process improvement related to medical treatment (inpatient and outpatient)
  • Serve as clinical subject matter expert for needs assessment, design, implementation, and evaluation of clinical programs to support continued growth and affordability of the Health Plan
  • State and Community Advocacy- Cultivate and sustain solid relationships across stakeholders to influence program design, develop support for program efforts, secure approvals and foster collaborative partnerships
  • Participate in senior medical management strategy development and implementation to ensure that appropriate care and services provided to members meet best practice standards as well as regulatory compliance requirements and Internal Quality Assurance Program
  • Educate physicians and nurses in effective management of Health Plan benefits and medical services that meet the needs of the members and utilizes resources appropriately
  • Oversee the development and revision of the Health Plan's clinical care standards and practice guidelines and protocols
  • 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 :

  • Active / unrestricted Indiana M.D / D.O. License
  • Active Board Certification
  • Indiana Resident or willing to relocate to Indiana
  • 5+ years of direct patient facing clinical work
  • 5+ years of progressively responsible management experience, in a managed care setting or large health-system / clinically integrated network population health leadership
  • Broad and comprehensive knowledge of medical management principles and insurance products for multiple and varied lines of business in a managed care environment
  • Solid knowledge of Population Health and its community health care environment, the provider network and managed care contracting processes
  • Good understanding of managed care systems, quality improvement and risk management
  • Demonstrated ability to drive performance across a matrixed environment
  • Core Competencies for the Indiana C&S CMO Role

  • Solid clinical foundation in primary care (preferably) or subspecialty care (Board Certification an absolute requirement)
  • Keen insight into the health care delivery system and how the various segments relate (MCOs, Hospitals, Physicians and Ancillary Services)
  • Solid understanding of Long-Term Support Service Programs
  • Understanding and demonstration of experience in Value Based Care, Physical / Behavioral Health Integration, HEDIS and NCQA Accreditation
  • Demonstrated ability to think strategically at a high level and set a clinical vision for the organization
  • Excellent verbal and written communication skills, persuasive abilities and abilities to present with presence
  • Ability to work well in a matrix structured organization where influencing others to participate in the health plans goals / agenda is imperative
  • Thought leadership at the Indiana Regulator level - very important to establish a solid relationship with the state CMO and exert influence on the cabinet's clinical agenda
  • Familiarity and facility with the concept of Population Health and evidence of the creation of at least one Population Health clinical program
  • Superior data analytic abilities in terms of understanding clinical data and how different metrics relate to each other, particularly as related to medical cost trend management
  • Very solid leadership skills and characteristics to include emotional intelligence and empathy
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • Compensation for this specialty generally ranges from $, to $,. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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