Leads population health strategy, clinical innovation, care-model design, and evidence-based program development. Uses clinical, claims, and utilization data to identify intervention opportunities and evaluates products, partnerships, clinical guidelines, and care programs. Represents clinical perspectives with providers, health systems, clients, and executives while developing clinical talent. Requires an active medical license, board certification, clinical leadership, clinical practice, population health experience, strong analytics, and communication skills.
Requisition Number: 2387306
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Optum Health Solutions is on a mission to shape the future of population health through clinically differentiated, value-based solutions that improve health outcomes, enhance experiences, and deliver meaningful affordability. We are seeking a Senior Medical Director, Population Health, who will help transform how healthcare is delivered by advancing population health strategies, clinical innovation, and evidence-based care models. This leader will collaborate with internal and external stakeholders to develop and scale solutions that improve patient outcomes, enhance healthcare experiences, and reduce the total cost of care.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $292,300 - $438,500 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Optum Health Solutions is on a mission to shape the future of population health through clinically differentiated, value-based solutions that improve health outcomes, enhance experiences, and deliver meaningful affordability. We are seeking a Senior Medical Director, Population Health, who will help transform how healthcare is delivered by advancing population health strategies, clinical innovation, and evidence-based care models. This leader will collaborate with internal and external stakeholders to develop and scale solutions that improve patient outcomes, enhance healthcare experiences, and reduce the total cost of care.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Clinical Sciences Institute and Centers of Excellence: Lead the multidisciplinary CSI team responsible for establishing, monitoring, and managing clinical criteria for COE network inclusion and for developing evidence-based clinical practice guidelines. Help identify opportunities to strengthen and expand the COE portfolio
- Care model design: Provide clinical expertise to the design and refinement of population health and care-management programs, including clinical criteria, safety considerations, measures of success, and how programs fit with care delivered in real-world clinical settings
- Population health: Use clinical, claims, utilization, and other available data to help product teams identify and prioritize populations where targeted interventions may improve care and outcomes
- Products, partnerships, and innovation: Provide clinical and analytic expertise to the evaluation and development of products, services, and partnerships, including their clinical effectiveness, safety, quality, and feasibility within the healthcare delivery system. Partner with the Optum Health Solutions Innovation team to help determine how new offerings should be developed, tested, refined, and implemented
- Clinical leadership: Represent the clinical perspective with clients, providers, health systems, executive leaders, and other stakeholders, and develop and support clinical talent across direct and matrixed teams
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:
- MD or DO with an active, unrestricted medical license and current ABMS or AOBS board certification
- 5+ years of clinical leadership experience, including managing teams and/or leading in a matrixed environment
- 3+ years of clinical practice experience post-residency and a solid understanding of how health care is delivered in real-world clinical settings
- 3+ years of experience in population health, care management, clinical program development, product strategy or evaluation, or related health care delivery work
- Experience working within health plans, health care delivery organizations, or other settings that provide a solid understanding of how care is organized, financed, and delivered
- Demonstrated solid analytic skills, including the ability to critically evaluate clinical evidence, data, and methodology and apply findings to the evaluation and development of clinical programs, products, services, and care models
- Demonstrated solid written and verbal communication skills and demonstrated ability to influence and work effectively across clinical, product, analytic, operational, and business teams
- Willingness to travel up to 25% as needed
Preferred Qualifications:
- MPH, fellowship, master's degree, or other advanced training in health services research, epidemiology, public health, outcomes research, biostatistics, or a related analytic field
- Experience developing evidence-based clinical guidelines, population health models, COE evaluation criteria, or related clinical decision frameworks
- Experience designing or evaluating programs for complex, high-risk, high-cost, rare, or specialty populations
- Experience evaluating clinical products, vendors, partnerships, or emerging care models
- Experience working across Commercial, Medicare, and/or Medicaid populations and different health care delivery and payment models
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $292,300 - $438,500 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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