Skip to main content

Director of Clinical Operations - Medicaid - Washington, DC


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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work. (sm)

Director of Clinical Operations/Medicaid DC careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come.

The Director of Clinical Operations/Medicaid DC designs and implements complex clinical programs, leads business and clinical initiatives across the DC market to develop, establish and expand programs that support improved health outcomes for individuals with complex illness.

Primary Responsibilities:

  • Leads strategic planning for clinical model for LTSS populations within the District of Columbia
  • Lead highly complex projects and strategic initiatives across Medicaid populations for those with complex needs
  • Leads design and development of clinical model to support individuals with complex health and social needs
  • Define performance and results and manage vendors and service providers
  • Determine time frames, funding needs, procedures for accomplishing project, staffing requirements, allotment of resources to various phases of projects and lead others in the organization to make meaningful process improvements
  • Develop business and program plan plans and cost benefit analysis for assessment by Regional/Senior Leadership
  • Investigate non-standard requests and problems, makes presentations to senior leadership, ensure project documentation is accurate and ensure projects are completed on time and within scope
  • Pertinent data and facts will be reviewed to identify and solve issues and mitigate risks, prioritize your team's workload, ad hoc projects as assigned and develop pioneering approaches to emerging industry trends

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:

  • Master's degree in Healthcare or business-related field and/or equivalent education and experience
  • 10+ years of healthcare or related business experience
  • 5+ years of experience in HCBS and/or Medicaid LTSS clinical models
  • 5+ years of experience influencing strategic decision making at the senior leadership level
  • 5+ years of clinical product/model design and rollout in HCBS and/or Medicaid LTSS clinical models
  • 5+ years of experience influencing strategic decision making at the senior leadership level
  • Intermediate level of proficiency with MS Project, Excel, PowerPoint, SharePoint and Visio
  • Resident of DC - District of Columbia
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Experience in analyzing complex data
  • Demonstrated ability to communicate ideas clearly and concisely
  • Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities

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)

**PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

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: Director of Clinical Operations, Clinical Operations, Medicaid DC, Medicaid, LTSS, Healthcare, HCBS, Medicaid LTSS, Model Design, Visio, District of Columbia, Washington, DC

Director of Clinical Operations - Medicaid - Washington, DC

United Health Group
Washington, DC
Full Time

Published on 11/22/2021

Share this job now