National Medical Director – Institutional Value – Remote anywhere in US Position Available In New York, New York

Job Order Number:

DG0213734

Job Title:

National Medical Director – Institutional Value – Remote anywhere in US

Company:

UnitedHealth Group Location:

New York, NY

Salary:

Education:

Information Not Provided

Experience:

Information Not Provided

Hours:

Duration:

Full Time, Regular

Shift:

Description:

 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 sta