Senior Medical Director - Clinical Strategy and Affordability - Remote

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.

Primary Responsibilities:

• Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
• Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
• Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
• Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
• Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards

Required Qualifications:

• MD or DO with active, unrestricted medical license
• Board certification in an ABMS or AOBMS specialty
• 3+ years of leadership experience managing clinical teams
• 3+ years of experience in population health or value-based care initiatives
• Demonstrated ability to analyze and synthesize complex clinical and operational data
• Proven leadership and collaboration skills in a matrixed environment

Preferred Qualifications:

• Advanced degree; MBA or MPH
• Experience working in large size health care organizations that are geographically widely distributed and heavily virtual (“remote workers”)
• Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
• Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
• Excellent program and project management skills
• Demonstrated ability in developing concepts for program improvement and program development
• Proficient with MS Office (MS Word, Excel, and Power Point)

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives.

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.