UnitedHealthcare, National Medical Director - Care Management

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The National Medical Director of Care Management is responsible for modernizing all aspects of Care Management. This role will work with leaders across the enterprise to evaluate and design every aspect of UHC’s Care Management programs, including risk stratification optimization, care assessment development and improvement, related member interventions and care coordination with treating providers across a broad population. This role will partner with teams and leaders across Optum Health and Enterprise Clinical Services to review, evaluate, advise and drive new program innovation and program enhancements. The role will evaluate the financial viability of program components, recommend changes, lead all program implementation efforts and will be accountable for post-deployment measurement of results to drive continuous program improvement.

The National Medical Director for Care Management will require a strategic and critical thinking mindset with the ability to handle multiple priorities as well as the ability to articulate and represent both UHC and Optum’s Care Management strategy to executive leaders across the enterprise and external stakeholders. This team uses the company’s health care analytic tools, medical literature, clinical experience and provider and member feedback to identify, design and implement programs to lower cost, simplify care coordination and improve member quality and outcomes. This position reports to the Senior Vice President of Value Creation for UnitedHealthcare.

You’ll enjoy the flexibility to work remotely - from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• The National Medical Director must have a proven track of effective Care Management program design and implementation in the Payer space
• The National Medical Director will partner closely with teams in Clinical Operations, Technology, Finance, Health Care Economics and Network Contracting to design, implement and monitor all aspects of program development
• Regularly reviews program metrics including all operational, financial and clinical outcomes
  
  

Quantitative and Qualitative Analysis & Strategic Problem Solving

• Evaluate data sets and/or development of research methods to measure program results
• Work with experienced data analysts who perform the technical data retrieval and analysis
• Direct the analytics team as they work to problem solve, innovate and summarize program results
• Experience in financial modeling to calculate the cost and return of the programs
• Work with financial experts on the team to assure model assumptions are accurate
  
  

Communication Skills And Executive Presence

• This leader is the face to external and internal customers and must possess the ability to speak clearly on complex problems with audiences ranging from small teams to more than 1,000
• This leader will build and develop relationships across teams to ensure effective feedback loops and that key program milestones are met
• This leader will collaborate with the CMO and various members of the Clinical Leadership Team, Network and Optum leaders on top priorities and goals
  
  

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

• Licensed Physician, Board Certified
• ABMS specialty preferred
• 15+ years of healthcare experience in a Payer, Health System or large Clinical Practice
• 5+ years of management experience with a proven track record designing and implementing large scale Care Management programs
• Demonstrated ability to understand program performance data, program ID Strat (inclusion & exclusion criteria), financial impact data as well as program auditing and compliance review results.
• Solid strategic, analytic and critical thinking skills with proven ability in designing, implementing and ongoing evaluation of program outcomes
• Demonstrated ability to directly inform program design, systems development and implementation of IT systems to support Care Management innovation
• Experience in overseeing the execution and metric-driven performance evaluation of vendors, operations teams and financial return on investment
• Proven ability to drive, lead and communicate change effectively in a fast-paced environment and be adaptable within the changing environment
• Ability to make strategic, operational and administrative decisions in response to emerging program insights
• Ability to lead large scale program implementations
• Solid ability to communicate effectively and efficiently (both verbal and written) at multiple levels of large, complex organizations
• Motivate, mentor and influence others within your direct hierarchy and at various levels across the organization
• Solid organizational, management, administrative and human relations skills, and a style which exhibits emotional maturity, leadership, collaboration and teamwork
• Experience delivering effective public presentations
• Ability and willingness to travel
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $411,494 to $507,775 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.