650 Clinical Strategy jobs in the United States
Clinical Strategy Consultant
17011 Camp Hill, Pennsylvania
Highmark Health
Posted 16 days ago
Job Viewed
Job Description
**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job supports the acquisition of new accounts and retention of existing accounts by working directly with client managers within national and regional markets. The incumbent is primarily accountable for the delivery of clinical analysis and strategies for Highmark customers, including healthcare consultants and brokers. Provides and interprets client specific clinical data to facilitate the sale and implementation of optimal clinical interventions that deliver clinical and financial results. The incumbent is also expected to stay current on market trends, understand the competition, and assist the product, clinical, and analytic internal partners to execute on strategy. Represents the Organization as the subject matter expert for all clinical programs, products and recommendations to clients. Will assist with team development through mentoring, training and education.
**This is a Hybrid based role in Pittsburgh or Camp Hill. T, W, Th onsite. This role will also go out and visit clients within that footprint.**
**ESSENTIAL RESPONSIBILITIES**
+ Performs as the clinical subject matter expert for clinical, quality, care, utilization, high cost claim and population health management as the part of the clinical presentations with external clients, brokers/producers and new to blue prospects.
+ Develop strategy to support acquisition and renewal of membership; prepare for and provide clinical perspective on clinically-related discussions as needed; provide clinical and operational insights back to internal stakeholders and accounts after customer discussions.Participate in ad-hoc and annual clinical review meetings as needed to provide clinical, health and wellness perspective; provides broad clinical insights back to internal stakeholders and accounts after customer discussion.
+ Developing and managing positive and effective relationships with key internal and external partners and decision makers including sales, product, provider, quality, clinical, pharmacy, partner plans, consulting firms, and third party vendors.Keep pace with fast-changing environment, client cultures and trends to better support behavior change by increasing senior level support, improving value proposition with a goal of focused interventions, creative strategies and execution of all core clinical principles and programs.
+ Collaborate with Clinical Strategy Analysts to create a message and deliver relevant metrics and clinical reports as well as quarterly and annual outcomes and trends for al clinical strategies for all current and emerging care models. Articulating the 'so what' to the customer by alignment of analytics and performance metrics to track quantitative clinical and financial results, and communicating value and progress for clients which contributes to sales and retention.
+ In coordination with Sales, strategize to develop and implement data-driven, clinical intervention plans and strategies for the Organization's clients to effectively impact behavior change, risk, medical costs and productivity impairment.
+ Research and stay current on health, wellness, productivity, risk and care management trends in the market place in order to share insights and best practices in sales discussions; attend conferences and contribute to publications as needed to support the clients, consultants, partners and centers of excellence function.
+ Coordinate all post sale and ongoing aspects of clinical product implementation and outcomes with senior level executives at the client level, external vendors and brokers.Tracking, communicating and implementing best practices and industry specific successes and challenges for all markets.
+ Participates in departmental strategic planning, goal setting and strategic initiative coordination and leads the portion associated with the Clinical Strategy Consultants.Responsible for identifying and completing a process improvement project at least annually in conjunction with Clinical Strategy leadership team.
+ Primary client contact for clinical related issues/questions.Participate in internal groups as needed, as a subject matter expert.Assist by providing appropriate content and consultation to support the RFP / RFI process.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's Degree in Nursing, Pharmacy, Physician Assistant or a clinical field
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business or a clinical field
**EXPERIENCE**
**Required**
+ 5 years in a Clinical or Managed care setting
**Preferred**
+ 3 years of Client Sales Support
+ 3 years of external client facing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Registered Nurse (RN)
+ Physician Assistant License - PA
+ Pharmacist (PharmD)
**Preferred**
+ None
**SKILLS**
+ Critical thinking skills
+ Understanding of key clinical concepts
+ Effective problem solving and decision making skills
+ Excellent inter-personal, presentation, communication and listening skills
+ Strong business acumen
+ Demonstrated effective presentation delivery
+ Conflict and crisis management skills
**Language (Other than English):**
None
**Travel Requirement:**
25% - 50%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Never
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job supports the acquisition of new accounts and retention of existing accounts by working directly with client managers within national and regional markets. The incumbent is primarily accountable for the delivery of clinical analysis and strategies for Highmark customers, including healthcare consultants and brokers. Provides and interprets client specific clinical data to facilitate the sale and implementation of optimal clinical interventions that deliver clinical and financial results. The incumbent is also expected to stay current on market trends, understand the competition, and assist the product, clinical, and analytic internal partners to execute on strategy. Represents the Organization as the subject matter expert for all clinical programs, products and recommendations to clients. Will assist with team development through mentoring, training and education.
**This is a Hybrid based role in Pittsburgh or Camp Hill. T, W, Th onsite. This role will also go out and visit clients within that footprint.**
**ESSENTIAL RESPONSIBILITIES**
+ Performs as the clinical subject matter expert for clinical, quality, care, utilization, high cost claim and population health management as the part of the clinical presentations with external clients, brokers/producers and new to blue prospects.
+ Develop strategy to support acquisition and renewal of membership; prepare for and provide clinical perspective on clinically-related discussions as needed; provide clinical and operational insights back to internal stakeholders and accounts after customer discussions.Participate in ad-hoc and annual clinical review meetings as needed to provide clinical, health and wellness perspective; provides broad clinical insights back to internal stakeholders and accounts after customer discussion.
+ Developing and managing positive and effective relationships with key internal and external partners and decision makers including sales, product, provider, quality, clinical, pharmacy, partner plans, consulting firms, and third party vendors.Keep pace with fast-changing environment, client cultures and trends to better support behavior change by increasing senior level support, improving value proposition with a goal of focused interventions, creative strategies and execution of all core clinical principles and programs.
+ Collaborate with Clinical Strategy Analysts to create a message and deliver relevant metrics and clinical reports as well as quarterly and annual outcomes and trends for al clinical strategies for all current and emerging care models. Articulating the 'so what' to the customer by alignment of analytics and performance metrics to track quantitative clinical and financial results, and communicating value and progress for clients which contributes to sales and retention.
+ In coordination with Sales, strategize to develop and implement data-driven, clinical intervention plans and strategies for the Organization's clients to effectively impact behavior change, risk, medical costs and productivity impairment.
+ Research and stay current on health, wellness, productivity, risk and care management trends in the market place in order to share insights and best practices in sales discussions; attend conferences and contribute to publications as needed to support the clients, consultants, partners and centers of excellence function.
+ Coordinate all post sale and ongoing aspects of clinical product implementation and outcomes with senior level executives at the client level, external vendors and brokers.Tracking, communicating and implementing best practices and industry specific successes and challenges for all markets.
+ Participates in departmental strategic planning, goal setting and strategic initiative coordination and leads the portion associated with the Clinical Strategy Consultants.Responsible for identifying and completing a process improvement project at least annually in conjunction with Clinical Strategy leadership team.
+ Primary client contact for clinical related issues/questions.Participate in internal groups as needed, as a subject matter expert.Assist by providing appropriate content and consultation to support the RFP / RFI process.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's Degree in Nursing, Pharmacy, Physician Assistant or a clinical field
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business or a clinical field
**EXPERIENCE**
**Required**
+ 5 years in a Clinical or Managed care setting
**Preferred**
+ 3 years of Client Sales Support
+ 3 years of external client facing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Registered Nurse (RN)
+ Physician Assistant License - PA
+ Pharmacist (PharmD)
**Preferred**
+ None
**SKILLS**
+ Critical thinking skills
+ Understanding of key clinical concepts
+ Effective problem solving and decision making skills
+ Excellent inter-personal, presentation, communication and listening skills
+ Strong business acumen
+ Demonstrated effective presentation delivery
+ Conflict and crisis management skills
**Language (Other than English):**
None
**Travel Requirement:**
25% - 50%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Never
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
View Now
0
Clinical Strategy Consultant
15222 Pittsburgh, Pennsylvania
Highmark Health
Posted 16 days ago
Job Viewed
Job Description
**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job supports the acquisition of new accounts and retention of existing accounts by working directly with client managers within national and regional markets. The incumbent is primarily accountable for the delivery of clinical analysis and strategies for Highmark customers, including healthcare consultants and brokers. Provides and interprets client specific clinical data to facilitate the sale and implementation of optimal clinical interventions that deliver clinical and financial results. The incumbent is also expected to stay current on market trends, understand the competition, and assist the product, clinical, and analytic internal partners to execute on strategy. Represents the Organization as the subject matter expert for all clinical programs, products and recommendations to clients. Will assist with team development through mentoring, training and education.
**This is a Hybrid based role in Pittsburgh or Camp Hill. T, W, Th onsite. This role will also go out and visit clients within that footprint.**
**ESSENTIAL RESPONSIBILITIES**
+ Performs as the clinical subject matter expert for clinical, quality, care, utilization, high cost claim and population health management as the part of the clinical presentations with external clients, brokers/producers and new to blue prospects.
+ Develop strategy to support acquisition and renewal of membership; prepare for and provide clinical perspective on clinically-related discussions as needed; provide clinical and operational insights back to internal stakeholders and accounts after customer discussions.Participate in ad-hoc and annual clinical review meetings as needed to provide clinical, health and wellness perspective; provides broad clinical insights back to internal stakeholders and accounts after customer discussion.
+ Developing and managing positive and effective relationships with key internal and external partners and decision makers including sales, product, provider, quality, clinical, pharmacy, partner plans, consulting firms, and third party vendors.Keep pace with fast-changing environment, client cultures and trends to better support behavior change by increasing senior level support, improving value proposition with a goal of focused interventions, creative strategies and execution of all core clinical principles and programs.
+ Collaborate with Clinical Strategy Analysts to create a message and deliver relevant metrics and clinical reports as well as quarterly and annual outcomes and trends for al clinical strategies for all current and emerging care models. Articulating the 'so what' to the customer by alignment of analytics and performance metrics to track quantitative clinical and financial results, and communicating value and progress for clients which contributes to sales and retention.
+ In coordination with Sales, strategize to develop and implement data-driven, clinical intervention plans and strategies for the Organization's clients to effectively impact behavior change, risk, medical costs and productivity impairment.
+ Research and stay current on health, wellness, productivity, risk and care management trends in the market place in order to share insights and best practices in sales discussions; attend conferences and contribute to publications as needed to support the clients, consultants, partners and centers of excellence function.
+ Coordinate all post sale and ongoing aspects of clinical product implementation and outcomes with senior level executives at the client level, external vendors and brokers.Tracking, communicating and implementing best practices and industry specific successes and challenges for all markets.
+ Participates in departmental strategic planning, goal setting and strategic initiative coordination and leads the portion associated with the Clinical Strategy Consultants.Responsible for identifying and completing a process improvement project at least annually in conjunction with Clinical Strategy leadership team.
+ Primary client contact for clinical related issues/questions.Participate in internal groups as needed, as a subject matter expert.Assist by providing appropriate content and consultation to support the RFP / RFI process.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's Degree in Nursing, Pharmacy, Physician Assistant or a clinical field
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business or a clinical field
**EXPERIENCE**
**Required**
+ 5 years in a Clinical or Managed care setting
**Preferred**
+ 3 years of Client Sales Support
+ 3 years of external client facing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Registered Nurse (RN)
+ Physician Assistant License - PA
+ Pharmacist (PharmD)
**Preferred**
+ None
**SKILLS**
+ Critical thinking skills
+ Understanding of key clinical concepts
+ Effective problem solving and decision making skills
+ Excellent inter-personal, presentation, communication and listening skills
+ Strong business acumen
+ Demonstrated effective presentation delivery
+ Conflict and crisis management skills
**Language (Other than English):**
None
**Travel Requirement:**
25% - 50%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Never
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job supports the acquisition of new accounts and retention of existing accounts by working directly with client managers within national and regional markets. The incumbent is primarily accountable for the delivery of clinical analysis and strategies for Highmark customers, including healthcare consultants and brokers. Provides and interprets client specific clinical data to facilitate the sale and implementation of optimal clinical interventions that deliver clinical and financial results. The incumbent is also expected to stay current on market trends, understand the competition, and assist the product, clinical, and analytic internal partners to execute on strategy. Represents the Organization as the subject matter expert for all clinical programs, products and recommendations to clients. Will assist with team development through mentoring, training and education.
**This is a Hybrid based role in Pittsburgh or Camp Hill. T, W, Th onsite. This role will also go out and visit clients within that footprint.**
**ESSENTIAL RESPONSIBILITIES**
+ Performs as the clinical subject matter expert for clinical, quality, care, utilization, high cost claim and population health management as the part of the clinical presentations with external clients, brokers/producers and new to blue prospects.
+ Develop strategy to support acquisition and renewal of membership; prepare for and provide clinical perspective on clinically-related discussions as needed; provide clinical and operational insights back to internal stakeholders and accounts after customer discussions.Participate in ad-hoc and annual clinical review meetings as needed to provide clinical, health and wellness perspective; provides broad clinical insights back to internal stakeholders and accounts after customer discussion.
+ Developing and managing positive and effective relationships with key internal and external partners and decision makers including sales, product, provider, quality, clinical, pharmacy, partner plans, consulting firms, and third party vendors.Keep pace with fast-changing environment, client cultures and trends to better support behavior change by increasing senior level support, improving value proposition with a goal of focused interventions, creative strategies and execution of all core clinical principles and programs.
+ Collaborate with Clinical Strategy Analysts to create a message and deliver relevant metrics and clinical reports as well as quarterly and annual outcomes and trends for al clinical strategies for all current and emerging care models. Articulating the 'so what' to the customer by alignment of analytics and performance metrics to track quantitative clinical and financial results, and communicating value and progress for clients which contributes to sales and retention.
+ In coordination with Sales, strategize to develop and implement data-driven, clinical intervention plans and strategies for the Organization's clients to effectively impact behavior change, risk, medical costs and productivity impairment.
+ Research and stay current on health, wellness, productivity, risk and care management trends in the market place in order to share insights and best practices in sales discussions; attend conferences and contribute to publications as needed to support the clients, consultants, partners and centers of excellence function.
+ Coordinate all post sale and ongoing aspects of clinical product implementation and outcomes with senior level executives at the client level, external vendors and brokers.Tracking, communicating and implementing best practices and industry specific successes and challenges for all markets.
+ Participates in departmental strategic planning, goal setting and strategic initiative coordination and leads the portion associated with the Clinical Strategy Consultants.Responsible for identifying and completing a process improvement project at least annually in conjunction with Clinical Strategy leadership team.
+ Primary client contact for clinical related issues/questions.Participate in internal groups as needed, as a subject matter expert.Assist by providing appropriate content and consultation to support the RFP / RFI process.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's Degree in Nursing, Pharmacy, Physician Assistant or a clinical field
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business or a clinical field
**EXPERIENCE**
**Required**
+ 5 years in a Clinical or Managed care setting
**Preferred**
+ 3 years of Client Sales Support
+ 3 years of external client facing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Registered Nurse (RN)
+ Physician Assistant License - PA
+ Pharmacist (PharmD)
**Preferred**
+ None
**SKILLS**
+ Critical thinking skills
+ Understanding of key clinical concepts
+ Effective problem solving and decision making skills
+ Excellent inter-personal, presentation, communication and listening skills
+ Strong business acumen
+ Demonstrated effective presentation delivery
+ Conflict and crisis management skills
**Language (Other than English):**
None
**Travel Requirement:**
25% - 50%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Never
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
View Now
1
Senior Medical Director - Clinical Strategy and Affordability - Remote
60684 Chicago, Illinois
UnitedHealth Group
Posted 1 day ago
Job Viewed
Job Description
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 to start **Caring. Connecting. Growing together.**
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
View Now
2
Senior Medical Director - Clinical Strategy and Affordability - Remote
33603 Tampa, Florida
UnitedHealth Group
Posted 2 days ago
Job Viewed
Job Description
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 to start **Caring. Connecting. Growing together.**
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
View Now
3
Senior Medical Director - Clinical Strategy and Affordability - Remote
02133 Boston, Kentucky
UnitedHealth Group
Posted 2 days ago
Job Viewed
Job Description
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 to start **Caring. Connecting. Growing together.**
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
View Now
4
Senior Medical Director - Clinical Strategy and Affordability - Remote
46202 Indianapolis, Indiana
UnitedHealth Group
Posted 2 days ago
Job Viewed
Job Description
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 to start **Caring. Connecting. Growing together.**
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
View Now
5
Senior Medical Director - Clinical Strategy and Affordability - Remote
77007 Houston, Texas
UnitedHealth Group
Posted 8 days ago
Job Viewed
Job Description
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 to start **Caring. Connecting. Growing together.**
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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6
Senior Medical Director - Clinical Strategy and Affordability - Remote
55344 Minneapolis, Minnesota
UnitedHealth Group
Posted 8 days ago
Job Viewed
Job Description
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 to start **Caring. Connecting. Growing together.**
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
View Now
7
Senior Medical Director - Clinical Strategy and Affordability - Remote
27608 Glenwood, North Carolina
UnitedHealth Group
Posted 8 days ago
Job Viewed
Job Description
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 to start **Caring. Connecting. Growing together.**
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
View Now
8
Senior Medical Director - Clinical Strategy and Affordability - Remote
19133 Philadelphia, Pennsylvania
UnitedHealth Group
Posted 8 days ago
Job Viewed
Job Description
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 to start **Caring. Connecting. Growing together.**
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
The Senior Medical Director for Care Variation will serve as a clinical leader responsible for driving consistency, quality, and performance across our specialty care network. This role leads a multidisciplinary team focused on minimizing unwarranted practice variation and ensuring that both employed and contracted specialists deliver care aligned with the highest clinical standards.
This leader will shape and execute strategies that elevate specialty care delivery, support clinical decision-making tools, and define benchmarks for optimal care. The role requires a visionary with strong clinical acumen, data fluency, and the ability to influence across a matrixed organization
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Specialty Preferencing Strategy: Lead the development and refinement of specialty preferencing protocols to guide optimal referral patterns and care pathways
+ Clinical Oversight of Order Utility (Optum Specialty Tool): Provide clinical leadership for OU, our specialty preferencing system, ensuring alignment with evidence-based practices
+ Specialty Quality Improvement: Design and implement education and performance improvement programs to elevate the quality of care delivered by contracted specialty providers
+ Network Strategy: Collaborate on specialty network selection and optimization to ensure access to high-performing providers
+ Optimal Care Program Ownership: Define and maintain benchmarks for specialty performance measures. Develop and disseminate educational tools and support the creation and distribution of provider scorecards
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 active, unrestricted medical license
+ Board certification in an ABMS or AOBMS specialty
+ 3+ years of leadership experience managing clinical teams
+ 3+ years of experience in population health or value-based care initiatives
+ Demonstrated ability to analyze and synthesize complex clinical and operational data
+ Proven leadership and collaboration skills in a matrixed environment
**Preferred Qualifications:**
+ Advanced degree; MBA or MPH
+ Experience working in large size health care organizations that are geographically widely distributed and heavily virtual ("remote workers")
+ Experience with integration of clinical and financial data and communication of performance data to physicians and other health care providers
+ Significant record of performance, by meeting and exceeding operational goals in health care quality and cost management
+ Excellent program and project management skills
+ Demonstrated ability in developing concepts for program improvement and program development
+ Proficient with MS Office (MS Word, Excel, and Power Point)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
**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._
_UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
View Now
9