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UnitedHealth Group
Network Medical Director - (Field-based /Remote)
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Based on Georgia data
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What they do
A Medical Director directs and manages a medical practice, clinic, lab or public health program. Organizes and manages of staff physicians, policy implementation, and ensures that standards for medical care are communicated and maintained.
$250,179 / year median in Georgia
+21% projected growth
Job Description
- Requisition number:
- 2364324
- Job category:
- Medical & Clinical Operations For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start
- Caring. Connecting. Growing together.
- The Optum Health MidAmerica market within the East Region is seeking an experienced medical director to support our care transformation efforts within the contracted network.
- , as well as work in the field as you take on some tough challenges.
Primary Responsibilities:
- + Partnership with market clinical leaders + Builds/maintains/manages market stakeholder relationships across multiple layers and functions + Lead and support 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 + Assist analytical efforts to identify and quantify new opportunities to improve the value of services delivered 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 + Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment, CMS STARs/HEDIS, and overall population health approach to patient care in both formal presentations and off the cuff at impromptu opportunities + Clinical support for operational teams + 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 physicians + Emotional maturity for effective change management + Establish solid and lasting, trust-based relationships within team and external partners + Take initiative and self-start attitude to approach problems with energy and passion + Utilize a solid fact base to influence and lead physicians and support staff to implement change programs + Ensures overall program success + Reducing barriers for and working collaboratively with program implementation teams, including anticipating and responding to potential roadblocks + Conducts deep dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement + 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 + Travel within their assigned state(s) on a regular basis as needed with occasional overnight travel 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.
Preferred Qualifications:
- + 2+ years of experience in a physician leadership role in medical facility or related environment + 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 + Understanding of healthcare finance and has worked in data intensive and metrics driven environment + Proven track record of working well with Physicians, APRN, Physician Assistants, Coders, Schedulers, Managers, Directors, and Executives + Proven ability to quickly customize the conversation with contracted groups at various stages of population health development •All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.