United Spinal Association Jobs

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey, and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.

The Optum Health East region is seeking an experienced medical director to support our care transformation efforts. Working with the Chief Clinical and Value Officer of Optum East, this key physician will provide expertise in population health and clinical operations, lead reviews and improvements of clinical programs and processes, and drive the strategy, design and implementation of existing and future value-based initiatives and programs.

This is a role that partners with external leaders and requires collaboration and the ability to build relationships across all levels of the organization to ensure goals are met. This physician will be comfortable interacting daily with clinical, business and finance executives, as well as frontline clinicians and operational staff.

The successful candidate will be able to not only drive value in existing workstreams, but to build and expand our portfolio of solutions in additional domains.

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

Primary Responsibilities:

• Hospital and medical group engagement and relationship management

• Collaborate with hospital-based physicians and other stakeholders (e.g., nurses, case managers, social workers) to coordinate care transitions from the outpatient and inpatient environments

• Provide strategic direction to navigate conversations and drive alignment across multiple stakeholder groups (Optum Health, Hospitals, SNF’s, Home Health Vendors, etc.)

• Own the ongoing relationship with key stakeholders at multiple levels across hospital systems, IPA participants, vendors, and Optum Health businesses

• Clinical leadership for operational teams

• Operate as the physician lead for JOCs with medical group partners and hospital-based stakeholders

• Establish and maintain evidence-based standards for clinical documentation and care coordination activities

• Navigate professional body guidelines, published literature, coding rules and regulations to provide thought leadership and recommended actions to physicians

• Perform longitudinal outcome reviews and quality assurance for operational teams

• Partnership with market clinical leaders

• Builds/maintains/manages market stakeholder relationships across multiple layers and functions

• Lead physician-to-physician discussions and problem-solving with medical group leaders, hospitalists, specialists, market CMO’s, and clinical leaders from market vendors and service providers

• Guide analytical efforts to identify and quantify new opportunities to improve the value of services delivered to reduce low-value utilization while also improving quality, patient and provider experience

• Proactively work with team to synthesize and communicate findings and bring together multiple stakeholders to deploy programs

• Emotional maturity for effective change management

• Establish solid and lasting, trust-based relationships within team and external partners

• Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability

• Take initiative and self-start attitude to approach problems with energy and passion

• Demonstrate preference for working in a tight-knit team environment with diverse professional groups

• Utilize a solid fact base to influence and lead physicians and support staff to implement change programs

• Ensures overall program success

• Reducing barriers for program implementation teams, including anticipating and responding to potential roadblocks

• Active problem solving to meet evolving challenges in a highly dynamic environment

• Distributing performance management reporting to market leaders and synthesizing information for adjustment and optimization

• Conducts deep dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement

• Works collaboratively to inform new, innovative, or complimentary program ideas at scale

• Collaborates with other team members to align on meeting expectations and material preparation

• Interacts with senior management by providing thoughtful analysis on key decision points to drive initiatives forward

• Demonstrates understanding of budgeting and forecasting tools, terminology, and processes

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:

• M.D. or D.O. degree

• Current unrestricted license to practice medicine

• Board certified in Internal Medicine, Family Medicine, or other specialty

• 5+ years of clinical experience

• Ability to influence without authority

• Ability to successfully operate in a dynamic and changing environment

• Ability to implement complex programs and monitor implementation and necessary modifications

• Ability to manage multiple priorities and deadlines in an expedient and decisive manner

• Innovative thought process and problem-solving skills

• Solid presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups

• Solid verbal and written communication skills

Preferred Qualifications:

• Experience on the payer side as a health plan medical director

• General knowledge of clinical programs, trends and medical management, medical care delivery systems, utilization management, disease management, analytics quality management, contracting, provider relations and customer service

• Understanding of healthcare finance and has worked in data intensive and metrics driven environment

• Executive level business acumen

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $383,977 to $561,553 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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 make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.