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National Medical Director, Institutional Value - Remote based in TX

Company: Optum
Location: Houston
Posted on: June 9, 2024

Job Description:

Job DescriptionClinical Performance, a national Optum Health team, is seeking an experienced Medical Director to join our growing care transformation efforts. This key executive Physician will provide expertise on population health and clinical operations. Leadership responsibilities include representing the Institutional Clinical Value 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.Our Clinical Performance team mission is effective implementation, monitoring, and execution of clinical programs that improve the patient and provider experience, while delivering superior outcomes at a sustainable cost. We aim to achieve repeatable, practical, sustainable, and compliant solutions that deliver value at scale to the Optum Health businesses. We serve as national support for our internal physician groups and businesses in achieving clinical improvement or capability-building initiatives.This is a role that partners with external leaders and requires collaboration and the ability to build relationships across all levels of the organization to ensure goals are met. This physician will be comfortable interacting daily with clinical, business and finance executives, as well as frontline clinicians and operational staff. The successful candidate will be able to not only drive value in existing workstreams, but to build and expand our portfolio of solutions in additional domains.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. There's no room for error. Join us and start doing your life's best work.You'll enjoy the flexibility to telecommute* from anywhere within the U.S! Expected travel: up to 50%Primary Responsibilities· Hospital engagement and relationship managemento Collaborate with hospital-based physicians and other stakeholders (e.g., nurses, case managers, social workers) to coordinate care transitions from the outpatient and institutional environmentso Deliver targeted education to Optum's hospital-based physicians on best practices spanning documentation and care coordinationo Provide strategic direction to navigate conversations and drive alignment across multiple stakeholder groups (Optum Health, Hospitals, SNF's, Home Health Vendors, etc.)o Own the ongoing relationship with key stakeholders at multiple levels across hospital systems, vendors, and Optum Health businesses· Clinical leadership for operational teamso Lead JOC's with medical group partners and hospital-based stakeholderso Establish and maintain evidence-based standards for clinical documentation and care coordination activitieso Navigate professional body guidelines, published literature, coding rules and regulations to provide thought leadership and recommended actions to hospital-based physicianso Develop standard operating procedures specific to high-frequency chief complaints and diagnoseso Perform longitudinal outcome reviews and quality assurance for operational teams· Partnership with market clinical leaderso Builds/maintains/manages market stakeholder relationships across multiple layers and functionso 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 providerso 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 experienceo Proactively work with team to synthesize and communicate findings and bring together multiple stakeholders to deploy programso Plans and facilitates regional Steering Committee meetings with clinical leaders· Emotional maturity for effective change managemento Establish strong and lasting, trust-based relationships within team and external partnerso Foster exemplary teamwork and strengthen a culture of continuous improvement and accountabilityo Take initiative and self-start attitude to approach problems with energy and passion o Demonstrate preference for working in a tight-knit team environment with diverse professional groupso Utilize a strong fact base to influence and lead physicians and support staff to implement change programs· Ensures overall program successo Reducing barriers for program implementation teams, including anticipating and responding to potential roadblockso Active problem solving to meet evolving challenges in a highly dynamic environmento Distributing performance management reporting to market leaders and synthesizing information for adjustment and optimizationo Conducts deep dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvemento Works collaboratively to inform new, innovative, or complimentary program ideas at scaleo Collaborates with and oversees efforts of other team members to align on meeting expectations, material preparation, and division of roles and responsibilitieso Interacts with senior management by providing thoughtful analysis on key decision points to drive initiatives forwardo Demonstrates understanding of budgeting and forecasting tools, terminology, and processesRequired Qualifications:

  • M.D. or D.O. degree
  • Current unrestricted license to practice medicine
  • Board certified in Emergency Medicine, Internal Medicine, Critical Care or another specialty with hospital-based practice
  • 3+ years of clinical experience in a hospital-based settingPreferred Qualifications:
    • MBA, MPH or other advanced degree
    • Innovative thought process and problem-solving skills
    • Executive level business acumen
    • Ability to influence without authority
    • Leadership experience managing a group of hospital-based physicians (e.g., Lead Hospitalist, ED Medical Director)
    • Demonstrates understanding of healthcare finance and has worked in data intensive and metrics driven 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
    • Ability to successfully operate in a dynamic and changing environment
    • Ability to implement complex programs and monitor implementation and necessary modifications
    • Ability to manage multiple priorities and deadlines in an expedient and decisive manner
    • Excellent presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups
    • Excellent verbal and written communication skills
    • Strong appetite for learningTransforming health care and millions of lives starts with the values you embrace and the passion you bring. Find out more and join us. It's an opportunity to do your life's best work.SMCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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.SMDiversity 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.

Keywords: Optum, Houston , National Medical Director, Institutional Value - Remote based in TX, Executive , Houston, Texas

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