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SVP, Associate Chief Medical Officer - Telecommute

Company: Optum
Location: Eden Prairie
Posted on: August 4, 2022

Job Description:

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

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)



OptumRx Business Overview:


  • OptumRx exists to lower costs and create value for our clients and members. We drive improved quality of pharmaceutical care and create a seamless consumer experience.
  • Optum Rx is the third largest Pharmacy Benefits Manager (PBM) in the U.S.
  • Complementary services include our Home Delivery and Specialty Pharmacies, Infusion Services, Worker's Compensation and Pharmacy Discount Services products.
  • In 2021, OptumRx processed over 1.3B prescriptions, managed nearly $100B in total pharmacy spend and served 60M pharmacy members.
  • OptumRx is differentiating in the market by aligning our model with the interests of those we serve and partnering with pharma and retail in innovative ways.




    The Assoc CMO OptumRx will collaborate with business leaders across the OptumRx PBM, including the Account Management, Operations, Product Management, Clinical Services, Analytics & Reporting, Pharmacy Networks and Pharmaceutical Industry Relations, to communicate the clinical value proposition to PBM clients/prospects and improve the clinical quality of the PBM services we provide. This individual will work across Optum, to help provide input into product development that PBM clients expect. Also, this individual will become a member of OptumRx's independent Pharmacy & Therapeutics committee. The CMO, PBM reports to the Chief Medical Officer of OptumRx.



    The Chief Medical Officer, PBM has accountability clinical market strategies, improving clinical and cost outcomes, monitoring clinical outcomes and operational performance, driving drug affordability and performance, overseeing development and implementation of initiatives to meet quality standards, and ensuring compliance with applicable Federal, State and local laws.



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



    Primary Responsibilities:


    • Develop and implement clinical pharmacy policy in collaboration with other members of clinical leadership team in accordance Pharmacy & Therapeutic (P&T) guidelines
    • Work with regional leaders to adapt the clinical strategy for different client circumstances
    • Pharmacy & Therapeutics committee membership
    • Support Superior Clinical Product Design
    • Ensure services are delivered to members at the highest quality standards, that initiatives meet or exceed HEDIS and accreditation standards such as NCQA
    • Drive change and innovation and create a culture that thrives on continuous change
    • Own Market Strategies to meet the Needs of and deliver value to PBM Customers
    • Work across PBM book of business to identify clinical opportunities among membership and improve clinical outcomes, consistent with the UHG mission


      Demonstrated Skills and Experience:


      • Understanding of FDA drug approval process and ability to evaluate scientific literature in support of drug efficacy and drug value
      • Experience as a member of or the oversight over a Pharmacy & Therapeutics Committee
      • Clinical policy development experience
      • Proven record of executive clinical leadership in a pharmacy benefit manager, managed care organization or hospital system
      • Ability to lead, build and inspire a team to maximal performance
      • Capable of executing with discipline and urgency to drive improvements against stated goals
      • Ability to develop relationships with network both inside and external to United Health Group
      • Ability to successfully function in a matrix organization



        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:


        • Medical Doctor
        • Current, unrestricted licensed Physician
        • Board Certification (Does not have to be active)
        • 5+ years hands-on business and clinical management responsibilities within a clinical leadership role for a managed care organization, pharmacy benefits manager and/or hospital system
        • Experience in clinical policy for case management and disease management
        • Direct clinical practice experience post-residency
        • Familiarity with current medical issues and practices
        • Ability to navigate ambiguity, develop networks and manage in a matrix
        • Strategic ability to align clinical strategies with business objectives
        • Ability to travel up to 50% nationally (leadership/product team meetings, client meetings, conferences)
        • Full COVID-19 vaccination is an essential job function 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. Candidates must be able to perform all essential job functions with or without reasonable accommodation


          Required Capabilities:


          • Excellent interpersonal communication skills ability to influence in executive settings
          • Superior presentation skills for both clinical and non-clinical audiences
          • Proven ability to develop relationships with network and community physicians and other providers
          • Solid data analysis and interpretation skills; ability to focus on key metrics
          • Team player and team building skills
          • Strategic thinking with proven ability to communicate a vision and drive results
          • Solid negotiation and conflict management skills
          • Creative problem-solving skills
          • Consensus builder and effective influencer and motivator of teams, staff, providers


            Preferred Qualifcations:


            • Advanced Business, Public Health, Medical Management degree
            • Knowledge of commercial and government markets





              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 OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)



              Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado/Connecticut/Nevada residents is $275,000-$350,000 The role is also eligible to participate in UHG's annual bonus and long term incentive plans. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.



              *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.



              Keyphrases: health administration jobs, medical director jobs, hospital administration jobs, hospital administrative jobs, healthcare administration jobs, administration jobs, healthcare administrator jobs, medical administration jobs, chief medical officer jobs, medical director position jobs, associate medical director jobs, medical ceo jobs, healthcare ceo jobs, medical administrative jobs, executive director jobs

Keywords: Optum, Eden Prairie , SVP, Associate Chief Medical Officer - Telecommute, Healthcare , Eden Prairie, Minnesota

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