Medical Director Oncology – Whole Health Solutions – Remote

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 to start Caring. Connecting. Growing together. 

Optum’s Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes. 

The Optum Whole Health Solutions (WHS) Medical Director for Oncology will provide clinical guidance to drive the transformation on cancer care at Optum and its partner health plans. This position will provide clinical oversight of Optum’s programs and solutions ensure our members receive high quality, evidence based and cost-effective care. The medical Director will also be responsible for driving Optum’s value-based care initiatives in oncology. This role requires an innovative clinician leader with clinical experience in oncology. 
 
 
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 
  
  
Primary Responsibilities: 

• Provide clinical oversight and ensure the clinical quality of oncology case management programs and identify opportunities of improvement and innovation
• Deliver innovative member-centered services and care that impacts the overall health and wellness of oncology members through program enhancement, planning, strategy implementation, and program oversight. This includes comprehensive care, utilization, and cancer care management
• Perform P2P as needed with providers to address gaps in care 
• Collaborate with oncology case managers, social workers, pharmacists, and behavioral health experts as part of integrated care team 
• Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes
• Collaborate with operational and business partners on enterprise – wide research, clinical and quality initiatives to enhance Optum impact in the oncology field
• Develop and implement measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs
• Identify training and education opportunities and direct the training or provide education to support the clinical team
• Collaborate with clinical, analytics and business partners to develop criteria for centers of excellence and value-based care models and provide clinical leadership for the evaluation process
• Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience
• Collaborate with internal partners and team developing and maintaining evidence-based cancer pathways
• Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design
• In conjunction with Clinical Operations leadership, assure that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement
• Work in a highly matrixed environment and use influence to work with lead physicians and their staff in local markets to implement programs to meet affordability targets
• Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations
• Develop and deliver presentations to a variety of internal and external audiences
• Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability

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. 

Required Qualifications: 

• MD or DO with an active, unrestricted medical license
• Current Board Certification in an Oncology specialty
• 5+ years of clinical practice experience
• Demonstrated accomplishments in at least one of the following areas: quality improvement/management, implementing change in health care delivery systems, utilization management, case management, and/or development of clinical pathways
• Presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups
• Analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes
• Ability to communicate effectively and efficiently (both verbal and written) in a highly matrixed organization
• Consensus builder and effective influencer and motivator of teams, staff, providers, and ability to lead through influence in a matrixed organization
• Strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives 
• Ability and willingness to travel 25% as needed

Preferred Qualifications: 

• Master’s degree or fellowship in a population health science (e.g. epidemiology, health services research), Masters in Business Administration or comparable experience
• Experience in palliative care or hospice care
• Experience in managed care
• Experience in design and/or implementation of value-based care payment models and/or initiatives to improve the value of cancer care
• Experience presenting at national conferences and major academic meetings
• Experience in client – facing customer relationship management
• Experience with analyzing medical cost trends and implementing clinical programs to improve value and lower the total cost of care
• Demonstrated ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees and supporting ongoing training and development of staff
• Proven ability to quickly gain credibility, influence and partner with staff and the clinical community

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.    
 
 
  
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.   
   
   
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.