[Hiring] Medical Director @UnitedHealth Group

Role Description

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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

The Optum Community Care Services (CCS) Medical Director works diligently to oversee clinical quality provided from community care providers to Veterans. The medical director will:

• Work collaboratively with the Patient Safety Specialists in reviewing medical records and determining applicable standards of care.
• Chair the Med/Surg Peer Review Committee and ensure compliance with all applicable regulations and legal requirements.
• Facilitate and/or attend other committees including the Clinical Quality Improvement Program Committee.
• Ensure initiatives focused on clinical excellence and CCS clinical quality program requirements are implemented and managed.
• Perform clinical quality reviews of medical/surgical care and program integrity reviews involving regulatory compliance.
• Communicate effectively and professionally with internal and external partners, including clients.
• Provide leadership to clinical staff through case consultation and case reviews.
• Consult with Optum Serve Technology and Consulting Solutions on CMS and other Federal health Market consulting RFIs, RFPs, and contracts.

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

Qualifications

• MD or DO with an active, unrestricted license.
• Current board certification with Internal Medicine or Family Medicine, Surgery, Physiatry or Emergency Medicine preferred.
• 5+ years of clinical practice experience.
• Demonstrated familiarity with current medical issues and practices.
• Proficient understanding of Evidence Based Medicine and its application in care and decision making.
• Proven ability to develop relationships with network and community providers and VA providers.
• Proven data analysis and interpretation skills.
• Proven ability to focus on key metrics.
• Demonstrated superb communication skills.
• Demonstrated excellent time management skills.
• Demonstrated creative problem-solving skills.
• Demonstrated ability to focus on priorities.
• Demonstrated ability to timely and accurately complete time entries within Costpoint and Global Self Service per company policy.
• Demonstrated ability to comply with all UHG and Optum employee policies.
• Ability to travel less than 10%.

Requirements

• 5+ years of experience in clinical quality preferred.
• Experience with Veterans and/or Military medical management preferred.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• Salary range: $248,500 - $373,000 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.