
Optum
Medical Director for Clinical Risk & Value - Remote
Nashville, TN
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
This opportunity is an important clinical leadership position reporting to the National Medical Director/CMO. The Medical Director for Clinical Risk Value is responsible for diverse functions with a primary scope related to creation of clinical guidelines, workflows, and leading clinical risk adjustment program enablement within the organization. This role represents Optum’s Risk Value Ops Department.
Required Qualifications:
- Active/unrestricted Medical Degree and License in primary specialty
- Board certification
- 5+ years clinical experience providing patient care
- 2+ years Medicare Advantage risk adjustment and clinical guideline experience
- Experience in motivating and influencing others at all levels within the organization
- Thorough understanding of evidence-based medicine, with extensive experience in critical review of the medical literature and/or medical research publications
- Proficiency working in a matrix environment, with demonstrated ability in systems thinking and enterprise insight to solve complex business problems
- Demonstrated ability to think strategically, with proven ability to drive results
- Proven solid critical thinking and analytic skills
- Proven skills in communicating effectively and efficiently (both verbal and written)
- Proven leadership during organizational change to drive transformation effectively in a fast-paced environment, while being adaptable and assisting individuals through the transition
- Demonstrated growth mindset in being open and able to break through barriers, while having an ability to leverage innovation
- Proven extensive record of performance, by meeting and exceeding established goals
- Proven solid data analytic skills
- Demonstrated ability to make strategic, operational, and administrative decisions in response to emerging conditions and environmental circumstances
- Proven ability to provide recommendations and insight regarding improvements to internal and external processes
- Proven ability to manage multiple competing priorities
About Optum
Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare. We’re a global organization that’s evolving health care so everyone can have the opportunity to live their healthiest life. With our hands across all aspects of health, we'll provide you with a rewarding career that enables you to grow in the directions that best fit your passions. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together.
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Posted August 6, 2025