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National Medical Director for Value Based Care - Telecommute

Company: Optum
Location: Eden Prairie
Posted on: May 12, 2022

Job Description:

Medical Director opening in Eden Prairie, Minnesota. This and other physician jobs brought to you by DocCafe.com

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Looking for a chance to drive measurable and meaningful improvement in the use of evidence-based medicine, patient safety, practice variation and affordability? You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare, Medicaid and commercial members and plan sponsors. Be part of changing the way health care is delivered while working with a Fortune 5 industry leader. Transforming health care and millions of lives starts with the values you embrace and the passion you bring. Find out more and join us.

The Optum National Medical Director for Value Based Care will lead Optum's Clinical Sciences Institute (CSI), a multi-disciplinary team that manages the clinical evaluation process for Optum's nationally recognized Centers of Excellence (COE) in the areas of organ transplantation, congenital heart disease, bariatric surgery, infertility, and orthopedic procedures. As Optum Health Solutions expands the scope of CSI into new innovative clinical areas to guide more individuals to highest quality care, this newly created role requires an innovative, hands - on, action - oriented clinical leader who can build upon the existing strong foundation to drive transformational change in the care for complex and/or rare conditions. This is an exciting an opportunity for a clinical leader who can think strategically while at the same time staying closely connected to the details necessary to drive excellence in a team focused on leveraging data and analytics to extract meaningful clinical insights for programs that impact the lives of millions of individuals in need of highly specialized medical care.

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

Primary Responsibilities:


  • Implement new innovative methodologies for evaluating the quality of care at facilities or practices under consideration for a COE or other value-based care program
  • Evaluate clinical and other data (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care through COE criteria, network design, or value-based care models
  • Provide thought leadership on opportunities for innovation and enhancement of value based programs across Optum and UnitedHealth Group as well as to clients and external stakeholders
  • Present Optum's strategy and programs to deliver value-based care to small and large audiences of internal and external stakeholders, including clients, provider groups, health care systems, professional conferences and thought leaders
  • Collaborate with operational and business partners to develop novel contracting strategies to improve the quality and value of care for members served by Optum Health Solutions
  • Lead Optum Health Solutions Clinical Sciences Institute, a multi-disciplinary team that manages the clinical evaluation process for Optum's nationally recognized Centers of Excellence (COE) in the areas of organ transplantation, congenital heart disease, bariatric surgery, infertility, and orthopedic procedures.
  • Provide the clinical leadership to expand the scope of the Clinical Sciences Institute to encompass new clinical areas, such as gene therapy, neuromuscular disorders, rare diseases
  • Manage the team that develops clinical guidelines used to determine the clinical appropriateness of care in Optum programs and ensure that they are consistent with evidence-based medicine standards
  • Monitor program outcomes to ensure compliance, quality, affordability, and NPS are achieved/ exceeded.


    At Optum, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.


    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 ABMS or AOBS Board Certification
    • 7+ years clinical practice experience
    • Proven leadership experience managing a team
    • Demonstrated accomplishments in COE design and implementation, research and/or evaluation of clinical criteria or models of value-based care, or value-based care model development
    • Solid analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities and measure process, clinical and financial outcomes
    • Ability and willingness to travel
    • Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance


      Preferred Qualifications:


      • Experience in managed care industry
      • Experience developing clinical guidelines or health plan coverage policies
      • Outstanding written and verbal communication
      • Solid consensus builder and effective influencer and motivator of teams, staff, providers and ability to lead through influence in a matrixed organization
      • Solid strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives



        To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

        Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

        *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.


        Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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

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Keywords: Optum, Eden Prairie , National Medical Director for Value Based Care - Telecommute, Executive , Eden Prairie, Minnesota

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