Optum

Sr Medical Director, Population Health - Remote

Chicago, IL

full-time
Inpatient and outpatient

Primary Responsibilities:

  • Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience for individuals with complex conditions and rare disease. This role will play a critical part in executing on key outcomes
  • Advises leadership on improvement opportunities and/or strategies regarding critical activities involving complex medical conditions and rare diseases
  • Lead clinical strategy and develop new clinical models to create market-leading care management integrated with member advocacy
  • Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design
  • Lead and/or participate in team and committee quality and policy meetings, quality improvement projects, quality of care reviews, and process improvement activities
  • Exhibit a patient-centered mindset by focusing on personalized care journeys when designing and evaluating programs. Consider Social Determinants of Health and leveraging community resources in program designs
  • Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations
  • Accountable for developing and implementing measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs
  • Build and develop relationships across teams to ensure effective feedback loops and that deliverables are met
  • Identify training opportunities and develop training to support clinical operations teams
  • Develop and deliver presentations to a variety of internal and external audiences
  • Attend national conferences to present data and meet with potential and existing customers
  • In conjunction with Clinical Operations leadership assures that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement

Required Qualifications:

  • MD or DO with an active, unrestricted medical license
  • Current ABMS or AOBS Board Certification in Primary Care
  • 3+ years clinical practice experience post residency
  • 3+ years of leadership experience in managing a team or in a matrix environment
  • 3+ years of demonstrated accomplishments in population health/ care management and consumer experience
  • Experience working in a health plan
  • Demonstrated excellence with verbal and written presentations to clients and at conferences to meet client needs in partnership with Product and Sales Teams
  • Proven analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities and measure process, clinical and financial outcomes
  • Willing to travel 25% as needed

Preferred Qualifications:

  • Master’s degree or fellowship in a population health science (e.g. epidemiology, health services research) or comparable experience
  • Experience with Commercial plans and/ or Medicare/ Medicaid
  • Experience in design, implementation, and oversight of care management programs
  • Experience in design and/or implementation of digital health solutions
  • Demonstrated ability to inform design, build and implementation of IT systems to support innovative clinical program - including workflow, data use and reporting requirements

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.

Posted June 28, 2025

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