Executive Director of Managed Care

UniHealth Solutions is an innovative leader in the health and well-being industry. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
UniHealth Solutions is one of Atlanta’s most experienced and trusted providers of health care solutions for the aged, disabled and chronically ill population. We provides access to resources and services to help people remain self-sufficient and independent for as long as possible. We strive to meet the distinct needs of people in all phases of long-term care: nursing homes, assisted living, in the community and hospice and palliative care.

This is a leadership position which directs the strategic development, growth, and operations of the company in providing innovative care to insurance companies by managing the discharge placement of their customers as they are released from hospitals into rehab and long term care settings. Overall goals of this position are to meet revenue, operating income objectives, develop appropriate care networks/contracts and create a successful, collaborative team of people to achieve these goals.

Responsibilities Include:
1. Develop and maintain strategic market relationships.
2. Direct and effectively develop strategic goals into specific operating and business plans and decisions.
3. Provide leadership, direction and skill development to direct reports. Ensure appropriate prioritization of initiatives and good personnel management.
4. Develop the appropriate product, marketing and operating
strategy to maximize revenue and profit.
5. Develop marketing plans to enhance company and product awareness, direct the sales team to maximize growth, optimize our service area, develop collaborative relationships with key partners to enhance revenue.
6. Ensure the appropriate coordination and delivery of medical care within the benefit structure.
7. Responsible for all network strategy including network development, service area expansion, contracting, provider relations, and relationships with the contracting function.
8. Establish and maintain on-going relationships with the key physicians, hospitals, long-term care facilities, and other pertinent providers.
9. Develop and maintain strong relationships within the community including providers, business partners and community alliances, etc.
10. Maintain active client/customer relationship management including the development and implementation of strategic partnership growth initiatives.
11. Promote a positive image of UniHealth Solutions with local providers, state regulators, and customers.
12. Ensure Regulatory compliance.Job Requirements
Must be a superstar of Managed Care and Customer Service
Degree in Business Administration, Health Care Administration or MBA Preferred. Operations experience in a Medicare/Medicaid industry, managed care environment.
Long term care or nursing home experience a plus.
Previous P&L experience required.
Experience in strategic planning and development.
Demonstrated successful leadership skills in program execution and people management.
Proven leadership skills in both internal and external environments.
Ability to execute short and long term growth and profiitability targets.

Equal Opportunity Employer and a Drug Free Workplace
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