National Medical Director – Institutional Value – Remote anywhere in US

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.

As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home.

We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

Optum Home & Community is seeking an experienced Medical Director to join our growing care transformation efforts. This key executive physician will provide expertise on institutional medicine, population health, and clinical operations.  Leadership responsibilities include representing the Home and Community team in senior executive meetings (e.g., Hospital C-Suite, Market Regional CMO’s), lead reviews and improvements of clinical programs and processes, and drive the strategy, design and implementation of existing and future value-based initiatives and programs.

Why Optum?

At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company’s technical vision and strategy.

Expected travel: up to 25%

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

Primary Responsibilities:

• Hospital engagement and relationship management
  • Collaborate with hospital-based physicians and other stakeholders (e.g., nurses, case managers, social workers) to coordinate care transitions
  • Deliver targeted education to Optum’s hospital-based physicians on best practices spanning documentation and care coordination
  • Provide strategic direction to navigate conversations and drive alignment across multiple stakeholder groups (Optum Health, Hospitals, SNF’s, Home Health Vendors, etc.)
  • Own the ongoing relationship with key stakeholders at multiple levels across hospital systems, vendors, and Optum Health businesses
• Clinical leadership for operational teams
  • Actively participate in JOC’s with medical group partners and hospital-based stakeholders
  • Establish and maintain evidence-based standards for clinical documentation and care coordination activities
  • Navigate professional body guidelines, published literature, coding rules and regulations to provide thought leadership and recommended actions to hospital-based physicians
  • Develop standard operating procedures specific to high-frequency chief complaints and diagnoses
  • Perform longitudinal outcome reviews and quality assurance for operational teams
• Partnership with market clinical leaders
  • Builds/maintains/manages market stakeholder relationships across multiple layers and functions
  • Lead physician-to-physician discussions and problem-solving with medical group leaders, hospitalists, specialists, market CMO’s, and clinical leaders from market vendors and service providers
  • Guide analytical efforts to identify and quantify new opportunities to improve the value of services delivered in the institutional setting to reduce low-value utilization while also improving quality, patient and provider experience
  • Proactively work with team to synthesize and communicate findings and bring together multiple stakeholders to deploy programs
  • Plans and facilitates regional Steering Committee meetings with clinical leaders
• Emotional maturity for effective change management
  • Establish Solid and lasting, trust-based relationships within team and external partners
  • Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability
  • Take initiative and self-start attitude to approach problems with energy and passion
  • Demonstrate preference for working in a tight-knit team environment with diverse professional groups
  • Utilize a Solid fact base to influence and lead physicians and support staff to implement change programs
• Ensures overall program success
  • Reducing barriers for program implementation teams, including anticipating and responding to potential roadblocks
  • Active problem solving to meet evolving challenges in a highly dynamic environment
  • Distributing performance management reporting to market leaders and synthesizing information for adjustment and optimization
  • Conducts deep dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement
  • Works collaboratively to inform new, innovative, or complimentary program ideas at scale
  • Collaborates with and oversees efforts of other team members to align on meeting expectations, material preparation, and division of roles and responsibilities
  • Interacts with senior management by providing thoughtful analysis on key decision points to drive initiatives forward
  • Demonstrates understanding of budgeting and forecasting tools, terminology, and processes

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:

• M.D. or D.O. degree
• Current unrestricted license to practice medicine
• Board certified in Emergency Medicine, Internal Medicine, Critical Care or another specialty with a hospital-based practice
• 3+ years of clinical experience in a hospital-based setting

Preferred Qualifications:

• MBA, MPH or other advanced degree
• Leadership experience managing a group of hospital-based physicians (e.g., Lead Hospitalist, ED Medical Director)
• General knowledge of clinical programs, trends and medical management, medical care delivery systems, utilization management, disease management, analytics quality management, contracting, provider relations and customer service
• Demonstrates understanding of healthcare finance and has worked in data intensive and metrics driven environment
• Demonstrated innovative thought process and problem-solving skills
• Demonstrated executive level business acumen
• Demonstrated ability to influence without authority
• Demonstrated ability to successfully operate in a dynamic and changing environment
• Demonstrated ability to implement complex programs and monitor implementation and necessary modifications
• Demonstrated ability to manage multiple priorities and deadlines in an expedient and decisive manner
• Demonstrated excellent presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups
• Demonstrated excellent verbal and written communication skills
• Demonstrated solid appetite for learning

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

Compensation for this specialty generally ranges from $278,000 – $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer 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 us, 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.