Optum New Mexico – IPA Medical Director

Optum NM is seeking a IPA Medical Director to join our team in Albuquerque, NM. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Independent Physician Association (IPA) Medical Director provides leadership to physicians, other clinicians, and staff.  Partners cohesively with operation and medical leadership to ensure goals are met. Ensures that high quality medical care and high-quality service is provided in the clinics. Directs and integrates the activities of multiple projects; in supporting the Medical Group’s mission, goals, and strategic plan. Integrate the clinics to function in a cohesive fashion; aiding departments with institutional issues, interface with the leadership to develop and implement new business strategies, quality initiatives and lines of business. Adheres to policies, procedures, and regulations to ensure compliance and patient safety. Participation in Compliance training and other important training is a condition of employment. 

Primary Responsibilities:

• Ability to build relationships to support and educate IPA providers on the benefits of a value-based care model
• Drive IPA clinical performance, risk quality, and affordability 
• Apply understanding of patient care quality metrics (eg, HEDIS; 5 STAR; disease-based metrics) in order to drive/achieve quality outcomes
• Leads and manages the operations of specific medical programs, patient clinics or company initiatives in partnership with operations dyad partner(s) 
• Ensure an in-person presence in all supported clinics for at least 90% of allocated FTE on a weekly basis Ability and willingness to travel to IPA clinics across the state 
• Provides financial leadership and business management education to physicians and other clinicians in a 1:1 or group setting for all supported providers on a monthly cadence
• Provides leadership coaching and developmental feedback to physicians and other clinicians monthly 
• Collaborate with Medical and Operations Leadership to implement an infrastructure and system in place to measure quality and provide timely data to physicians and other clinicians on their performance. Implement measurable quality indicators 
• Directs and integrates the activities of projects; ensuring the project efforts are generally cohesive, consistent, and effective in supporting the Medical Group’s mission, goals, and strategic plan
• Represents the department to internal and external communities, business and industry, government, and the general community on a as needed basis 
• Promote and enhance the image of The Group, the department and participate in appropriate professional and academic organizations
• Knowledge of current principles, methods and procedures for the delivery of medical evaluation diagnosis and treatment in area of expertise
• Ability to cover patient care in the form of annual wellness visits in the community center, mobile unit, or home visits 

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:

• Current MD/DO medical license in the state of New Mexico; Board Certified or in the process of obtaining certification unless granted an exemption by Credentialing Committee. New Mexico Pharmacy/DEA Registration if applicable to practice. Current BLS Certification
• Thorough understanding of medical group business models and clinical processes
• Excellent understanding of medical group financial concepts, including revenue cycle, physician compensation models, and preferably including managed care financial concepts (capitation, IBNR, MLR)
• Ability to comfortably use Microsoft Word, Excel, and PowerPoint
• Proven excellent communication skills, both verbal and written

Preferred Qualification:

• 3+ years of experience as a practicing physician. Experience in both fee-for-service and managed care operations

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.

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.