Role Description
Optum Health Solutions is on a mission to shape the future of population health through clinically differentiated, value-based solutions that improve health outcomes, enhance experiences, and deliver meaningful affordability. We are seeking a Senior Medical Director, Population Health, who will help transform how healthcare is delivered by advancing population health strategies, clinical innovation, and evidence-based care models. This leader will collaborate with internal and external stakeholders to develop and scale solutions that improve patient outcomes, enhance healthcare experiences, and reduce the total cost of care.
Youβll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
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Lead the multidisciplinary Clinical Sciences Institute (CSI) team responsible for establishing, monitoring, and managing clinical criteria for Centers of Excellence (COE) network inclusion and for developing evidence-based clinical practice guidelines.
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Help identify opportunities to strengthen and expand the COE portfolio.
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Provide clinical expertise to the design and refinement of population health and care-management programs, including clinical criteria, safety considerations, measures of success, and how programs fit with care delivered in real-world clinical settings.
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Use clinical, claims, utilization, and other available data to help product teams identify and prioritize populations where targeted interventions may improve care and outcomes.
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Provide clinical and analytic expertise to the evaluation and development of products, services, and partnerships, including their clinical effectiveness, safety, quality, and feasibility within the healthcare delivery system.
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Partner with the Optum Health Solutions Innovation team to help determine how new offerings should be developed, tested, refined, and implemented.
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Represent the clinical perspective with clients, providers, health systems, executive leaders, and other stakeholders, and develop and support clinical talent across direct and matrixed teams.
Qualifications
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MD or DO with an active, unrestricted medical license and current ABMS or AOBS board certification.
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5+ years of clinical leadership experience, including managing teams and/or leading in a matrixed environment.
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3+ years of clinical practice experience post-residency and a solid understanding of how health care is delivered in real-world clinical settings.
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3+ years of experience in population health, care management, clinical program development, product strategy or evaluation, or related health care delivery work.
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Experience working within health plans, health care delivery organizations, or other settings that provide a solid understanding of how care is organized, financed, and delivered.
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Demonstrated solid analytic skills, including the ability to critically evaluate clinical evidence, data, and methodology and apply findings to the evaluation and development of clinical programs, products, services, and care models.
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Demonstrated solid written and verbal communication skills and demonstrated ability to influence and work effectively across clinical, product, analytic, operational, and business teams.
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Willingness to travel up to 25% as needed.
Preferred Qualifications
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MPH, fellowship, master's degree, or other advanced training in health services research, epidemiology, public health, outcomes research, biostatistics, or a related analytic field.
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Experience developing evidence-based clinical guidelines, population health models, COE evaluation criteria, or related clinical decision frameworks.
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Experience designing or evaluating programs for complex, high-risk, high-cost, rare, or specialty populations.
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Experience evaluating clinical products, vendors, partnerships, or emerging care models.
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Experience working across Commercial, Medicare, and/or Medicaid populations and different health care delivery and payment models.
Benefits
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Comprehensive benefits package.
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Incentive and recognition programs.
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Equity stock purchase and 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.