[Hiring] Clinical Program Director @UnitedHealth Group

Role Description

The Clinical Program Director for Heart Failure & Cardiovascular Programs is responsible for ideating, designing, and developing innovative technology-enabled specialty clinical programs focused initially on improving affordability, health outcomes, and member and provider experience for individuals with heart failure and closely related cardiovascular and cardiometabolic conditions. This role provides clinical leadership and oversight for the development and implementation of care pathways that support rapid initiation and optimization of guideline-directed medical therapy (GDMT) for heart failure.

Recognizing that individuals with heart failure frequently have interconnected cardiovascular and cardiometabolic conditions, the Director will apply this expertise to related care pathways and, as organizational priorities evolve, contribute to the broader portfolio of cardiovascular program development, including:

• Coronary artery disease
• Arrhythmia management
• Cardiovascular devices
• Vascular disease
• Stroke
• Aneurysm care

The Director works with healthcare analytics, pharmacy, clinical implementation, case management, technology, and medical management teams to develop, monitor, and continuously improve Cardiovascular Health Clinical Programs at UnitedHealthcare.

The Director serves as a clinical subject matter expert, providing consultation on complex cases, evaluating program performance and outcomes, and identifying opportunities to optimize clinical pathways, improve operational efficiency, and enhance affordability and quality outcomes.

The Director reports to the National Medical Director of Cardiovascular Health at UnitedHealthcare Clinical Services. The ideal candidate combines deep heart failure clinical expertise, broad cardiovascular knowledge, strategic thinking, an innovative mindset, program development capabilities, operational leadership experience, adaptability, and data-driven decision-making skills to create impactful solutions for members and providers.

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

Qualifications

• 5+ years of clinical experience in heart failure, advanced cardiovascular care, or a related cardiovascular specialty
• Solid healthcare analytics experience utilizing claims, clinical, pharmacy, quality, and operational data to drive program performance and outcome measurement
• Experience designing, implementing, scaling, and optimizing cardiovascular, population health, value-based care, or technology-enabled clinical programs
• Experience developing KPIs, interpreting dashboards, and translating data into actionable clinical and operational strategies
• Experience collaborating with physicians, advanced practice clinicians, pharmacists, care management teams, provider organizations, and business partners to improve care delivery and outcomes
• Experience leading heart failure clinics, disease management programs, or advanced cardiovascular services
• Deep clinical expertise in heart failure, cardiovascular disease, GDMT optimization, evidence-based guidelines, and associated cardiometabolic conditions
• Familiarity with health plan regulatory, accreditation, compliance, privacy, documentation, and clinical governance requirements
• Proven success improving quality, utilization, affordability, operational performance, and patient outcomes through clinical program leadership
• Proven ability to lead and influence cross-functional teams in a matrixed healthcare environment
• Demonstrated ability to manage ambiguity, competing priorities, and complex initiatives while driving measurable results
• Demonstrated exceptional communication, presentation, negotiation, and stakeholder management skills

Requirements

• Experience within payer, value-based care, accountable care, population health, or technology-enabled care environment
• Experience applying AI-enabled analytics, machine learning tools, clinical decision-support tools, or large language model capabilities in healthcare program design, clinical operations, or outcome measurement

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

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.