Description

Optum is seeking a Director of Care Coordination to join our team in Arizona and New Mexico. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Director of Care Coordination leads a multi-state program across Arizona and New Mexico, overseeing field-based and centralized teams that support high-risk members through care management, transitions of care, medication management, behavioral health coordination, and social care support. This leader builds scalable workflows, staffing models, performance processes, and cross-functional partnerships to improve outcomes, reduce avoidable utilization, and advance value-based care performance.

Primary Responsibilities:

• Design, launch, and scale care coordination programs for Medicare Advantage and risk-based populations
• Build workflows, staffing models, reporting, productivity standards, and quality processes
• Lead field-based and telephonic care coordination teams across Arizona and New Mexico
• Oversee care management, transitions of care, readmission reduction, and support for high-risk members
• Drive improvement in HEDIS, Stars, medication adherence, member engagement, affordability, and utilization
• Use analytics to identify opportunities, prioritize resources, close gaps, and measure impact
• Partner with providers, practices, pharmacy, operations, national care management, and community partners while ensuring regulatory, accreditation, and organizational compliance

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 Registered Nurse (RN) license in AZ or NM or compact license
• Residence in AZ or NM
• 7+ years of progressive healthcare experience in care management, population health, utilization management, or clinical operations
• 5+ years of leadership experience managing clinical teams, programs, or operations
• Experience leading interdisciplinary teams across multiple locations, markets, or business units
• Experience with Medicare Advantage, value-based care, risk-bearing populations, and population health programs

Preferred Qualifications:

• Certified Case Manager (CCM), ACM-RN, or other relevant care management certifications
• Experience leading field-based, community-based, or multi-state care coordination programs
• Experience supporting HEDIS, Medicare Stars, risk adjustment, and value-based care initiatives

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k 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. The salary for this role will range from $134,600 - $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

OptumCare 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.

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