UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.
The Market Medical Director has accountability for ensuring that UnitedHealth Clinical Advancement (UCA) initiatives focusing on affordability, clinical excellence, growth and focused improvement are implemented and successfully managed to achieve targets. This position is responsible for leadership and execution of all market medical expense management and clinical quality activities. Collaborates with the market CEO, UCA staff, and other market staff to implement programs to support and meet market and national clinical operations goals, as well as market, network and sales objectives. Also responsible for direct management and oversight of local market UCA staff.
Overview of Major Responsibilities:
Affordability: Responsibilities for MEM activities include hospital data sharing, physician data sharing, managing the onsite nurses and catastrophic nurse case managers if appropriate.
Clinical Excellence: Oversee the HEDIS data collection process and drive Health Plan accreditation activities.
Growth: Deliver the clinical value proposition in support of the sales and growth activities of the Health Plan including conducting Broker/Client presentations and participating in customer consultations.
Focused Improvement: Responsible for identifying opportunities through participation in local Medical Expense Committees or Market reviews. Active participation in support of Joint Operating Committees.
Management & Other Activities: Responsible for oversight and direct management of Health Plan staff to include completion of performance appraisals, annual salary planning, time and attendance management, overall employee satisfaction.
Excellent telephonic communication skills; excellent interpersonal communication skills.
Ability to develop relationships with network and community physicians and other providers.
Strong knowledge of managed care industry.
Excellent project management skills.
Data analysis and interpretation skills.
Ability to focus on key metrics.
Excellent presentation skills for both clinical and non clinical audiences. Familiarity with current medical issues and practices.
Creative problem solving skills.
Visibility and involvement in medical community.
Strong team player and team building skills.
Unrestricted medical licensed physician; Board Certified in ABMS specialty
5+ years clinical practice experience.
Supervisory skills including clinical mentoring and coaching skills.
To apply for this position, please submit your resume to sseverson@uhc.com, phone 952-936-6499 or apply online at www.unitedhealthgroup.com/careers, req #162177.
UnitedHealth Group invests in employees through a comprehensive compensation and benefits program, 401(k) savings, retirement and stock plans, education reimbursement, and much more.
Diversity creates a healthier atmosphere: an equal opportunity employer, M/F/D/V.
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Market Medical Director (Cleveland) – Unitedhealth Clinical Advancement
Job ID 162177
Position Type Full-Time Employee
Company Name UnitedHealth Group
Location Cleveland, OH
Salary Unspecified
Experience 5-10 Years Experience
Desired Education Level Other
