UnitedHealthcare Market Chief Medical Officer - Arizona - Phoenix Preferred

Company: UnitedHealth Group
Location: Scottsdale
Posted on: January 16, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)If you are located in Phoenix, AZ, you will have the flexibility to telecommute* as you take on some tough challenges. -Primary Responsibilites:

• Achieving defined clinical outcomes, affordability goals and growth targets, in partnership with their health plan leadership team
• Provide clinical insight into market data and implementing tailored interventions to address clinical trends and opportunities for their state or region
• Serving as a central health plan leader accountable to facilitate coordination with UnitedHealthcare and Optum national clinical and operational functions
• Actively engage and help drive performance with market-level quality, network, and compliance teams
• Building and deepening relationships with area hospitals, physicians, and other health care providers
• Advocate for UnitedHealthcare's clinical value story, evidence-based medical policies, and member health with government/state regulatory entities, professional and medical society chapters, employers, and as part of external communications and media relations
• Provides subject/specialty based clinical expertise and leadership to UCS and the enterprise, as neededPrimary Core Accountabilities:
  • Clinical Affordability - CMOs are responsible for achieving their assigned incremental savings goal and support the national savings target for the year. Driving savings is a two-pronged, data-driven approach of local response and national implementation, where CMOs lead targeted clinical inventions to address local market trends and needs, and support on-the-ground alignment with national utilization management programs. Inform and drive local and national affordability initiatives: CMOs are expected to apply healthcare economics insights and escalate local issues and trends
  • Network / Provider Engagement - The CMO serves as the local clinical point of contact for physicians, systems, and other care providers and with UnitedHealth Networks colleagues. Key activities include UHC's Accountable Care Platform, value-based contracting, clinical practice transformation, patient-centered medical homes, and transparency initiatives such as UnitedHealth Premium - Designation and/or High Performing Physicians. The CMO meets regularly with hospitals and physician groups and shares data on quality and efficiency improvement opportunities and developing action plans for sub-optimal results
  • Market Relationships - The CMO is the clinical face of UnitedHealthcare to elected officials, policy makers, plan sponsors, medical and professional societies, news media, and community-based organizations. The CMO is engaged in regular, proactive dialogue with our external constituents to advance evidence-based medicine and support best practices in health care delivery
  • Quality & Compliance - The CMO maintains a strong working knowledge of all government mandates and provisions, working across the enterprise to implement and maintain compliant clinical programs and procedures. -The CMO also supports quality improvement efforts as measured by CMS Star Ratings, NCQA Star Ratings, HEDIS, CAHPS, HOS and other national and company metrics. The CMO partners with UHC Compliance to ensure clinical management regulatory obligations regarding clinical management are met. Market CMOs also chair required Quality Oversight Committees at a market/regional levelYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
    • Active and unrestricted Arizona Medical License -
    • Reside in, or be willing to relocate to assigned market(s); preferably within proximity to UHC corporate offices
    • Board Certified in an ABMS or AOBMS specialty -
    • 5+ years clinical practice experience
    • Familiar with current medical issues and practices
    • Excellent interpersonal communication skills and ability to influence in executive settings
    • Proven knowledge of managed care industry
    • Proven presentation skills for both clinical and non-clinical audiences
    • Proven knowledge of health care utilization data and analytics
    • Proven ability to identify an improvement opportunity through data, implement a solution and achieve measurable impact. Solid data analysis and interpretation skills; KPI metrics driven - -
    • Proven ability to develop relationships with network and community physicians and other providers
    • Ability to travel within the assigned market-30% travel required
    • Proficient with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
    • Capable to quickly become facile with UHC/UHG specific data systems
    • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliancePreferred Qualifications:
      • Health plan experience in similar leadership capacity
      • Advanced Business, Public Health, Medical Management degree
      • Proven team player and team building skills
      • Strategic thinking with proven ability to communicate a vision and drive results
      • Proven negotiation and conflict management skills -
      • Creative problem-solving skills
      • Ability/experience in developing collaborative relationships with health system clinical leadership -
      • Proven ability to develop relationships with network and community physicians and other providersTo protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.Careers with UnitedHealthcare. -Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do -your life's best work.(sm)*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Job Keywords: UnitedHealthcare Market Chief Medical Officer, Market Chief Medical Officer, Chief Medical Officer, Medical Officer, Officer, Arizona, AR, Phoenix, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote

Keywords: UnitedHealth Group, Scottsdale , UnitedHealthcare Market Chief Medical Officer - Arizona - Phoenix Preferred, Executive , Scottsdale, Arizona