Optum
The Medical Director will take a member-centric approach to improve health system performance and promote best-in-class care management. Responsibilities include supporting case and disease management teams, leading clinical education sessions, consulting on high-risk members, and collaborating with operational and business partners on clinical and quality initiatives.
Key Responsibilities
- • Support case and disease management teams to achieve optimal clinical outcomes for high risk populations
- • Proficient in evidence based clinical guidelines and lead grand round clinical education sessions with nursing teams
- • Primary functions include RN case manager support and consultation about high risk members and assisting in account management team presentations
- • Be involved in telephonic outreach for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
- • Collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
- • Effectively engage and articulate the Optum and UHC value story to our external constituents such as physicians and our customers. There may also be opportunities to engage medical and specialty societies, hospitals and hospital associations, and state regulators
Required
- • MD or DO with an active, unrestricted medical license
- • Board certified in Internal Medicine or Family Medicine
- • 5+ years of clinical practice experience post residency
- • Sound understanding of Evidence Based Medicine (EBM)
- • Proficient with MS Office (MS Word, Email, Excel, and Power Point) with the ability to learn new systems and software
- • Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, and other similar personnel
Preferred
- • 2+ years of managed care, Quality Management experience and/or administrative leadership experience
- • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Benefits & Perks
- • Comprehensive benefits package
- • Incentive and recognition programs
- • Equity stock purchase
- • 401k contribution
We are currently seeking a National Accounts Medical Director to work remotely from anywhere in the United States. The Medical Director will take a member centric approach to help the health system work better and to promote best in class care management. This includes meeting with external stakeholders, program and product design improvement, site related audits and improvement initiatives.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Support case and disease management teams to achieve optimal clinical outcomes for high risk populations
- Proficient in evidence based clinical guidelines and lead grand round clinical education sessions with nursing teams
- Primary functions include RN case manager support and consultation about high risk members and assisting in account management team presentations
- Be involved in telephonic outreach for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
- Collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
- Effectively engage and articulate the Optum and UHC value story to our external constituents such as physicians and our customers. There may also be opportunities to engage medical and specialty societies, hospitals and hospital associations, and state regulators
Required Qualifications
- MD or DO with an active, unrestricted medical license
- Board certified in Internal Medicine or Family Medicine
- 5+ years of clinical practice experience post residency
- Sound understanding of Evidence Based Medicine (EBM)
- Proficient with MS Office (MS Word, Email, Excel, and Power Point) with the ability to learn new systems and software
- Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, and other similar personnel
- 2+ years of managed care, Quality Management experience and/or administrative leadership experience
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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.
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.
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