[Hiring] E&I Market Chief Medical Officer @UnitedHealth Group

Role Description

UnitedHealthcare’s Market CMOs serve as the local senior clinical executive for their line of business, with accountability for:

• Achieving defined clinical outcomes, affordability goals and growth targets, in partnership with their health plan leadership team.
• Providing clinical insight into market data and implementing tailored interventions to address clinical trends and opportunities for their state or region.
• Serving as a central health plan leader accountable to facilitate coordination with UnitedHealthcare and Optum national clinical and operational functions.
• Actively engaging and helping drive performance with market-level quality, network, and compliance teams.
• Building and deepening relationships with area hospitals, physicians, and other health care providers.
• Advocating for UnitedHealthcare’s clinical value story, evidence-based medical policies, and member health with government/state regulatory entities, professional and medical society chapters, employers, and as part of external communications and media relations.
• Providing subject/specialty based clinical expertise and leadership to UCS and the enterprise, as needed.

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

Primary Core Accountabilities:

• Clinical Affordability: CMOs are responsible for achieving their assigned incremental savings goal and support the national savings target for the year.
• Network / Provider Engagement: The CMO serves as the local clinical point of contact for physicians, systems, and other care providers.
• Market Relationships: The CMO is the clinical face of UnitedHealthcare to elected officials, policy makers, plan sponsors, medical and professional societies, news media, and community-based organizations.
• Quality & Compliance: The CMO maintains a strong working knowledge of all government mandates and provisions, working across the enterprise to implement and maintain compliant clinical programs and procedures.

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.

Qualifications

• Active and unrestricted MN/WI Medical License.
• Reside in, or be willing to relocate to MN/WI; within proximity to UHC corporate offices.
• Board Certified in an ABMS or AOA specialty.
• 5+ years clinical practice experience.
• Solid knowledge of managed care industry.
• Familiarity with current medical issues and practices.
• Solid knowledge of health care utilization data and analytics.
• Proven ability to identify an improvement opportunity through data, implement a solution and achieve measurable impact.
• Solid data analysis and interpretation skills; KPI metrics driven.
• Ability/experience in developing collaborative relationships with health system clinical leadership.
• Proven ability to develop relationships with network and community physicians and other providers.
• Ability to travel within the assigned market—30% travel required.
• Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint).
• Capable to quickly become facile with UHC/UHG specific data systems.

Requirements

• Prior health plan experience in similar leadership capacity.
• Advanced Business, Public Health, Medical Management degree.
• Solid team player and team building skills.
• Strategic thinking with proven ability to communicate a vision and drive results.
• Solid negotiation and conflict management skills.
• Creative problem-solving skills.
• Excellent interpersonal communication skills and ability to influence in executive settings.
• Superior presentation skills for both clinical and non-clinical audiences.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• Salary range from $238,000 to $357,500 annually based on full-time employment.

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.

Company Description

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. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.