Optum

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Optum’s Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes.

The Optum Whole Health Solutions (WHS) Sr. Medical Director, Population Health will provide clinical guidance to help transform the care for individuals with complex medical conditions and rare diseases. This solution will help ensure providers deliver high quality, evidence based and cost-effective care to our members. As such, this newly created role requires an innovative clinician leader.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience for individuals with complex conditions and rare disease. This role will play a critical part in executing on key outcomes
• Advises leadership on improvement opportunities and/or strategies regarding critical activities involving complex medical conditions and rare diseases
• Lead clinical strategy and develop new clinical models to create market-leading care management integrated with member advocacy
• Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design
• Lead and/or participate in team and committee quality and policy meetings, quality improvement projects, quality of care reviews, and process improvement activities
• Exhibit a patient-centered mindset by focusing on personalized care journeys when designing and evaluating programs. Consider Social Determinants of Health and leveraging community resources in program designs
• Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations
• Accountable for developing and implementing measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs
• Build and develop relationships across teams to ensure effective feedback loops and that deliverables are met
• Identify training opportunities and develop training to support clinical operations teams
• Develop and deliver presentations to a variety of internal and external audiences
• Attend national conferences to present data and meet with potential and existing customers
• In conjunction with Clinical Operations leadership assures that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement
  
  

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

• MD or DO with an active, unrestricted medical license
• Current ABMS or AOBS Board Certification in Primary Care
• 3+ years clinical practice experience post residency
• 3+ years of leadership experience in managing a team or in a matrix environment
• 3+ years of demonstrated accomplishments in population health/ care management and consumer experience
• Experience working in a health plan
• Demonstrated excellence with verbal and written presentations to clients and at conferences to meet client needs in partnership with Product and Sales Teams
• Proven analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities and measure process, clinical and financial outcomes
• Willing to travel 25% as needed
  
  

Preferred Qualifications

• Master’s degree or fellowship in a population health science (e.g. epidemiology, health services research) or comparable experience
• Experience with Commercial plans and/ or Medicare/ Medicaid
• Experience in design, implementation, and oversight of care management programs
• Experience in design and/or implementation of digital health solutions
• Demonstrated ability to inform design, build and implementation of IT systems to support innovative clinical program - including workflow, data use and reporting requirements
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The salary range for this role is $278,000 to $417,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

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.

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