Market Medical Director - OH and MI

Optum Home & Community Care Solutions, part of the UnitedHealth Group family of businesses, is seeking a Market Medical Director (MMD) to lead clinical strategy and quality initiatives across Ohio and Michigan markets. This role is central to our mission of delivering integrated, patient-centered care that addresses the physical, mental, and social needs of our members.

As a member of the broader Home and Community Care team, you’ll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care.

Primary Responsibilities:
Clinical Leadership & Strategy:

• Partner with market leaders to develop and execute clinical strategies that improve patient outcomes and reduce avoidable utilization
• Provide clinical consultation and support to advanced practice clinicians (APCs) and care teams
• Serve as a subject matter expert in geriatrics, palliative care, and population health management
• Participate in the development and implementation of Market Action Plans (MAPs) using data-driven insights

Quality & Performance Improvement:

• Lead initiatives to meet NCQA, HEDIS, and Model of Care (MOC) standards
• Support quality improvement efforts, including documentation accuracy and clinical education
• Investigate and resolve quality-of-care concerns and patient complaints
• Monitor and drive performance against key clinical and operational metrics

Team Collaboration & Education:

• Collaborate with interdisciplinary teams (IDTs) to ensure coordinated, high-quality care
• Provide ongoing education and mentorship to clinical staff, including case reviews and training on clinical protocols
• Participate in clinical escalations and co-visits as needed

Community & Health Plan Engagement:

• Build relationships with community providers, health systems, and health plan partners
• Represent Optum at Home in meetings with Chief Medical Officers and other stakeholders
• Advocate for the clinical model and support business development efforts

Standardization & Compliance:

• Support the Regional Medical Officer in enforcing clinical standardization across the market
• Ensure compliance with state-specific collaborative practice agreements and regulatory requirements
• Participate in enterprise-wide initiatives and special projects as needed

Required Qualifications:

• MD or DO with an active, unrestricted medical license
• Able and willing to obtain an OH medical license
• Board Certified or Board Eligible in Internal Medicine, Family Medicine, Emergency Medicine, Geriatrics, or Palliative Medicine
• 5+ years of clinical experience with geriatric or seriously ill populations
• Demonstrated experience in clinical leadership, quality improvement, and interdisciplinary collaboration
• Solid understanding of managed care principles, utilization management, and healthcare delivery systems

Preferred Qualifications:

• Advanced degree (MBA, MPH, etc.) or equivalent leadership experience
• Experience in home-based or community-based care models
• Familiarity with Medicare Advantage, SNP regulations, and risk adjustment methodologies
• Excellent communication, presentation, and strategic thinking skills

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.