Optum New Mexico - IPA Medical Director

Optum NM is seeking a IPA Medical Director to join our team in Albuquerque, NM. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim.

Primary Responsibilities:

• Ability to build relationships to support and educate IPA providers on the benefits of a value-based care model
• Drive IPA clinical performance, risk quality, and affordability
• Apply understanding of patient care quality metrics (eg, HEDIS; 5 STAR; disease-based metrics) in order to drive/achieve quality outcomes
• Leads and manages the operations of specific medical programs, patient clinics or company initiatives in partnership with operations dyad partner(s)
• Ensure an in-person presence in all supported clinics for at least 90% of allocated FTE on a weekly basis Ability and willingness to travel to IPA clinics across the state
• Provides financial leadership and business management education to physicians and other clinicians in a 1:1 or group setting for all supported providers on a monthly cadence
• Provides leadership coaching and developmental feedback to physicians and other clinicians monthly
• Collaborate with Medical and Operations Leadership to implement an infrastructure and system in place to measure quality and provide timely data to physicians and other clinicians on their performance. Implement measurable quality indicators
• Directs and integrates the activities of projects; ensuring the project efforts are generally cohesive, consistent, and effective in supporting the Medical Group’s mission, goals, and strategic plan
• Represents the department to internal and external communities, business and industry, government, and the general community on a as needed basis
• Promote and enhance the image of The Group, the department and participate in appropriate professional and academic organizations
• Knowledge of current principles, methods and procedures for the delivery of medical evaluation diagnosis and treatment in area of expertise
• Ability to cover patient care in the form of annual wellness visits in the community center, mobile unit, or home visits

Required Qualifications:

• Current MD/DO medical license in the state of New Mexico; Board Certified or in the process of obtaining certification unless granted an exemption by Credentialing Committee. New Mexico Pharmacy/DEA Registration if applicable to practice. Current BLS Certification
• Thorough understanding of medical group business models and clinical processes
• Excellent understanding of medical group financial concepts, including revenue cycle, physician compensation models, and preferably including managed care financial concepts (capitation, IBNR, MLR)
• Ability to comfortably use Microsoft Word, Excel, and PowerPoint
• Proven excellent communication skills, both verbal and written

Preferred Qualification:

• 3+ years of experience as a practicing physician. Experience in both fee-for-service and managed care operations

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.