Chief Medical Officer, Population Health and Organized Systems of Care

    • Minnetonka, MN

Position Description

This position will report to the Chief Medical Officer of UnitedHealthcare and will be responsible for leading Health Care Value through Accountable Care Organizations and organized systems of care across all Lines of Business in UnitedHealthcare. The CMO of Population Health will collaborate with UnitedHealthcare Network on design and implementation of innovative, value-based contracts and evolving reimbursement models and work with leaders across the enterprise in support of Health Care Value initiatives.

The SVP/CMO of Health Care Value will be a critical part of the UCS leadership team and will hold delegate decision making authority on behalf of the Chief Medical Officer of 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:

  • Collaborate with UHN on design and implementation of innovative, value-based contracts and evolving reimbursement models: pay-for-performance, shared-savings, limited capitation and full risk
  • Direct and oversee development of analytics, actionable information, tools and programs needed for network providers to optimize performance in value-based contracts - achieving shared goals of quality, safety affordability and improved member and provider experience
  • Lead the Health care value team in engaging providers and driving uptake of programs and tools that support practice transformation and a path to risk for physician-led and health system- supported ACO's
  • Develop partnerships with ACO leaders and network providers to support care process redesign, clinical performance improvement and a better experience for members and providers
  • Collaborate with UCS clinical leaders to stratify the population, develop and implement programs that successfully achieve measurable improvement in quality, safety, service and financial outcomes
  • Educate and update providers on new UHC programs, tools and benefits and actively listen to their feedback
  • Actively participate in the design and implementation of provider tools with the goals of integrating member-centric programs into the provider workflow
  • Collaborate closely with UHN Market teams including the Market Medical Directors

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:

  • Active, unrestricted Medical license with 10+ years clinical practice and 8+ years in a leadership in physician practice or payer overseeing risk contracts
  • Board Certification in and ABMS clinical specialty
  • Strong strategic, analytic 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.
  • Demonstrated ability to inform design, build and implementation of IT systems to support innovative clinical program - including workflow, data use and reporting requirements.
  • Experience in overseeing the execution and metric-driven performance evaluation of vendors, operations teams and financial return on investment.
  • Demonstrated ability to transform care models, engage members and providers and succeed in risk-based and alternative payment models
  • Effective strategic and critical thinking skills needed to focus on actionable information and drive results.
  • Proven ability to drive, lead and communicate change effectively in a fast-paced environment and be adaptable within the changing environment
  • Ability to manage programs and projects in a strategic and professional manner
  • Ability to manage and support organizational change and help assist individuals through the transition
  • Strong ability to communicate effectively and efficiently (both verbal and written) at multiple levels of large, complex organizations.
  • Motivate and influence others at all levels within the organization
  • Solid organizational, management, administrative and human relations skills, and a style which exhibits emotional maturity, leadership, collaboration and teamwork
  • Demonstrated ability in systems thinking and enterprise insight to solve complex business problems and strong analytical skills with ability to drive transformational, consumer - centric change and manage long - term programs
  • Strong history of quickly building relationships, gaining credibility and partnering with business leaders. Must excel at building teams and collaborating across multiple distinct business groups
  • Ability and willingness to travel

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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)

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, Remote, Nationwide

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