Director, Provider Enablement and Engagement Strategy

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Role Overview

The Director, Provider Enablement & Engagement Strategy owns the primary care provider (PCP) enablement and engagement strategy for the Optum Care at Home (OCAH) product. OCAH delivers wraparound clinical and non-clinical support to dual-eligible (D-SNP) members at scale across the country. This senior individual contributor and matrix leader sits within the Network Enablement & Innovation team in the Office of the Chief Medical Officer.

The role decides which provider collaborations to advance, pilot, scale, or stop; leads the conversations with provider group leaders; and sets direction that product, clinical, operations, data, and technology teams execute against. It operates with significant autonomy from leadership on strategic matters, is recognized as the functional authority for provider enablement and engagement, and makes decisions with substantial clinical, financial, and operational impact on OCAH members, customers, and the provider network.

Authority comes from strategy ownership, decision rights, and cross-functional leadership. Direct reports and independent budget ownership are not established in the current scope of the role.

Primary Responsibilities:

• Strategy ownership and decision rights
  • Own the PCP enablement and engagement strategy and innovation agenda for OCAH, including vision, priorities, roadmap, and success measures, grounded in clinical and financial performance data
  • Decide which collaborations, pilots, and incentive concepts move forward, scale, change, or stop for specific provider groups; bring only the decisions that require senior management approval, with a clear recommendation and the risk of inaction
  • Set direction for multiple teams across product, clinical, operations, network/provider partnerships, data, and technology who execute against the strategy
  • Make decisions with substantial clinical, financial, and operational impact and remain accountable for the outcomes
• Provider and partner leadership
  • Lead engagement with external and internal provider groups to improve care coordination, advance OCAH clinical interventions, and drive better patient outcomes, including influencing senior leaders at external provider organizations
  • Ensure OCAH fulfills key commitments to customers related to provider engagement and clinical care coordination
  • Be recognized as the functional authority for provider enablement and engagement across Optum and UnitedHealthcare, and lead strategy execution by influencing internal teams and stakeholders
• Pilots, workflows, and scale
  • Devise, pilot, and scale strategies that improve clinical and financial performance through clinical collaboration with provider groups and incentive planning
  • Oversee the creation and adoption of new or updated workflows, internal and external, in partnership with clinician leaders and cross-functional teams
  • Drive the scaling of existing provider network engagement capabilities, especially by leveraging technology and AI
• Data, reporting, and interoperability
  • Drive data and reporting alignment that supports clinical collaboration with provider groups and key business decisions
  • Align OCAH's interoperability strategy with the broader provider enablement and engagement strategy
• Vendors, governance, and risk
  • Lead vendor vetting and contracting as needed, in partnership with Procurement, Legal, Compliance, Finance, and Technology
  • Document decisions, assumptions, owners, dependencies, risks, and outcomes; escalate material clinical, financial, operational, privacy, security, or compliance risks through established governance channels
  • Protect confidential patient, provider, workforce, and business information and comply with company policies and regulatory requirements Perform other duties as assigned that are consistent with the role's purpose and level

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:

• 10+ years of relevant experience (for example, healthcare consulting, strategy, clinical operations, provider engagement, or health plans)
• Deep experience designing and scaling clinical workflows through an iterative, consultative process with clinical teams and leaders
• Proven seasoned strategic thinker who turns complex qualitative and quantitative data into actionable, high-impact strategies and pilots
• Proven record of owning strategy and making decisions that other teams execute against, with substantial clinical, financial, or operational impact
• Proven record of translating strategy into execution across functions, working effectively at both detailed and big-picture levels
• Proven aptitude for care transformation and change management, including the ability to decipher complex clinical models, processes, and dependencies
• Demonstrated success influencing internal and external stakeholders independently in a matrixed environment, including senior leaders at external provider groups
• Demonstrated success managing multiple projects and deliverables in a fast-paced environment, prioritizing the most important work and anticipating barriers
• Willingness and ability to travel up to 10%

Preferred Qualifications:

• Experience working directly in outpatient provider settings or in provider engagement
• Experience aligning reporting to key business needs while working with data and reporting teams, including how underlying data infrastructure maps to end-user reporting
• Experience using AI to enhance or simplify clinical workflows and create efficiencies
• Experience with vendor evaluation, due diligence, and contracting
• Deep knowledge of healthcare technology and interoperability concepts that enable clinical collaboration workflows
• Demonstrated ability to read the room and adapt in real time to advance key goals and address objections
• Proven financial acumen in value-based care arrangements and total cost of care management; experience with provider incentives
• Proven thrives with ambiguity and autonomy and is comfortable defining direction and pivoting as work evolves
• Proven excellent written, verbal, and executive-level communication and presentation skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $134,600 - $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.