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UnitedHealthcare, National Medical Director - Maternal Child Health - Telecommute job in Atlanta at UnitedHealth Group

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UnitedHealthcare, National Medical Director - Maternal Child Health - Telecommute at UnitedHealth Group

UnitedHealthcare, National Medical Director - Maternal Child Health - Telecommute

UnitedHealth Group Work From Home, GA Full Time

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the healthcare industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Join us. And start doing your life's best work.

The UnitedHealthcare Maternal Child Health line of service is charged with improving the affordability and quality of medical care across several related medical specialties including Obstetrics/ Gynecology.  This small entrepreneurial team uses the company’s health care analytical tools, medical literature, clinical experience and provider and member feedback to identify, design and implement clinical programs to lower cost, simplify healthcare delivery and improve quality and outcomes.  The team is also accountable for post-deployment measurement of results.  This position reports to the Senior Vice President of Value Creation for UnitedHealthcare. 

This role will require a strategic and critical thinking mindset with the ability to handle multiple priorities as well as the ability to articulate and represent both UHC and Optum’s strategy to executive leaders across the enterprise and external stakeholders.   

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Possess as strong clinical and operational knowledge having worked in the designated medical specialty of Obstetrics/Gynecology
  • Proven expertise in the design, development and evaluation of clinical programs in collaboration with other internal teams and oversee effective implementation in partnership with business partners
  • The National Medical Director partners closely with ACO/Organized Systems of Care leadership, Clinical Policy and Appeals/Grievances in decision-making, program management and initiative implementation
  • Exhibit a provider and member-centered mindset and focusing on personalized care journeys when designing and evaluating programs while considering Social Determinants of Health and leveraging community resources in program designs
  • Review metrics and processes of clinical programs and develop value-based criteria tied to provider contracts
  • Quantitative Analysis 
    • The team often requires evaluation of data sets and/or development of research methods to evaluate a problem. 
    • The National Medical Director works with experienced data analysts who perform the technical data retrieval and analysis 
    • This person must be able to direct the analytics team as they work through hypothesis and problems and synthesize the results 
    • Each project requires financial modeling to calculate the costs and returns of the programs 
    • The National Medical Director works with the financial experts on the team to assure model assumptions are accurate
  • Deliver Operational Excellence to make health care hassle-free for members while reducing administrative costs and provider administrative burden
  • Coordinate efforts of clinical, network, operations and HCE teams to support expansion of value-based programs delivered through our providers

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • The Medical Director must have strong clinical skills with 15+ years of healthcare experience and 5+ years in an executive leadership role in a health system, clinical practice or a payer with an emphasis on Obstetrics and Gynecology
  • Strong strategic, analytical and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes
  • Experience in design, implementation and oversight of utilization management and care management programs
  • Demonstrated ability to inform design, build and implementation of systems to support innovative clinical programs – including workflow, data use and reporting requirements
  • Solid organizational, management, administrative and human relations skills, and a style which exhibits emotional maturity, leadership, collaboration and teamwork
  • Board certification in Obstetrics/Gynecology
  • Active Medical License and Board Certification
  • Advanced degree in Public Health, Analytics or Business preferred
  • Ability and willingness to travel 

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that’s second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado / Connecticut / Nevada residents is $169,500 to $322,500. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: telecommute, telecommuter, remote, work from home, 2024531. 

 

Recommended Skills

  • Decision Making
  • Leadership
  • Management
  • Claims
  • Critical Thinking
  • Health Care
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