19 days old

National Medical Director, Internal Medicine - Value Creation - Telecommute

Minnetonka, MN 55345 Work Remotely
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  • Job Code
    897245

Medical Director 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. Join us. And start doing your life's best work.

 

This specialty line of service is charged with improving the affordability and quality of medical care across several related medical specialties.  This small entrepreneurial team uses the company's health care analytical tools, medical literature, clinical experience, and provider and member feedback to identify, design and implement clinical programs to lower cost, simplify healthcare delivery and improve quality and outcomes.  The team is also accountable for post-deployment measurement of results.  This position reports to the Senior Vice President of Value Creation for UnitedHealthcare. 

 

This role will require a strategic and critical thinking mindset with the ability to handle multiple priorities as well as the ability to articulate and represent both UHC and Optum's strategy to executive leaders across the enterprise and external stakeholders.   

 

Key Responsibilities:

  • The National Medical Director must have strong clinical and operational knowledge.
  • Design, develop and evaluate clinical programs in collaboration with other internal teams and to oversee effective implementation in partnership with business partners.
  • The National Medical Director partners closely with ACO/Organized Systems of Care leadership, Clinical Policy and Appeals/Grievances in decision-making, program management, and initiative implementation.
  • Exhibit a provider and member-centered mindset by reflecting on all their needs and focusing on personalized care journeys when designing and evaluating programs.  Consider Social Determinants of Health and leveraging community resources in program designs. 
  • Reviews metrics and processes of clinical programs and develops value-based criteria tied to provider contracts.
  • Quantitative Analysis
    • The team often requires evaluation of data sets and/or development of research methods to evaluate a problem.
    • The Medical Director works with experienced data analysts who perform the technical data retrieval and analysis
    • This person must be able to direct the analytics team as they work through hypothesis and problems and synthesize the results
    • Each project requires financial modeling to calculate the costs and returns of the programs
    • The National Medical Director works with the financial experts on the team to assure model assumptions are accurate
  • Qualitative analysis and strategic problem solving
    • Many of the issues presented to the team require qualitative approaches with minimal data available
    • The director should be comfortable making decisions using input from subjective sources
  • Presentation ability
    • The director is the face to external and internal customers and must possess the ability to speak clearly on complex problems
    • Audience size ranges from small teams to more than 1,000. 
  • Deliver Operational Excellence to make health care hassle-free for members while reducing administrative costs and provider administrative burden
  • Build and develop relationships across teams to ensure effective feedback loops and that deliverables are met.
  • Advocates with leadership across the organization to create better alignment with business partners, business segments, and functional areas, thereby ensuring internal and external coordination and a unified approach to the market and associated constituents.
  • Collaborates with the CMO, clinical, network and Optum leaders on top priorities and goals
  • Coordinates efforts of clinical, network, operations and HCE teams to support expansion of value-based programs delivered through our providers. 

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Posted: 2020-11-06 Expires: 2020-12-06

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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National Medical Director, Internal Medicine - Value Creation - Telecommute

UnitedHealth Group
Minnetonka, MN 55345

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