UnitedHealthcare, National Medical Director, Maternal Child Health - Telecommute

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Medical Director careers at UnitedHealthcare are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the healthcare industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Join us. And start doing your life's best work.(sm)

The UnitedHealthcare Maternal Child Health line of service is charged with improving the affordability and quality of medical care across several related medical specialties including Obstetrics / Gynecology. This small entrepreneurial team uses the company's healthcare analytical tools, medical literature, clinical experience and provider and member feedback to identify, design and implement clinical programs to lower cost, simplify healthcare delivery and improve quality and outcomes. The team is also accountable for post-deployment measurement of results. This position reports to the Senior Vice President of Value Creation for UnitedHealthcare.

This role will require a strategic and critical thinking mindset with the ability to handle multiple priorities as well as the ability to articulate and represent both UHC and Optum's strategy to executive leaders across the enterprise and external stakeholders.

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

Primary Responsibilities:
  • Possess strong clinical and operational knowledge having worked in the designated medical specialty of Obstetrics / Gynecology
  • Design, develop and evaluate clinical programs in collaboration with other internal teams and oversee effective implementation in partnership with business partners
  • The National Medical Director partners closely with ACO / Organized Systems of Care leadership, Clinical Policy and Appeals / Grievances in decision-making, program management and initiative implementation
  • Exhibit a provider and member-centered mindset by reflecting on all their needs and focusing on personalized care journeys when designing and evaluating programs while considering Social Determinants of Health and leveraging community resources in program designs
  • Review metrics and processes of clinical programs and develop value-based criteria tied to provider contracts
  • Quantitative Analysis:
    • The team often requires evaluation of data sets and/or development of research methods to evaluate a problem
    • The National Medical Director works with experienced data analysts who perform the technical data retrieval and analysis
    • This person must be able to direct the analytics team as they work through hypothesis and problems and synthesize the results
    • Each project requires financial modeling to calculate the costs and returns of the programs
    • The National Medical Director works with the financial experts on the team to assure model assumptions are accurate
  • Qualitative Analysis and Strategic Problem Solving:
    • Many of the issues presented to the team require qualitative approaches with minimal data available
    • The director should be comfortable making decisions using input from subjective sources
  • Presentation Ability:
    • The director is the face to external and internal customers and must possess the ability to speak clearly on complex problems
    • Audience size ranges from small teams to 500+
  • Deliver Operational Excellence to make health care hassle-free for members while reducing administrative costs and provider administrative burden
  • Build and develop relationships across teams to ensure effective feedback loops and that deliverables are met
  • Advocate with leadership across the organization to create better alignment with business partners, business segments and functional areas, thereby ensuring internal and external coordination and a unified approach to the market and associated constituents
  • Collaborates with the CMO, clinical, network and Optum leaders on top priorities and goals
  • Coordinates efforts of clinical, network, operations and HCE teams to support expansion of value-based programs delivered through our providers

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
  • Active Medical License and Board Certification in Obstetrics / Gynecology
  • Strong clinical skills with 15+ years of healthcare experience
  • 5+ years in a leadership role in a health system, clinical practice, or a payer with an emphasis on Obstetrics and Gynecology
  • 5+ years of clinical practice experience
  • 5+ years of executive management experience
  • 5+ years of experience with public presentations
  • Strong strategic, analytic, and critical thinking skills with proven ability to use clinical, administrative, and claims data to identify opportunities, inform program design, and measure process, clinical, and financial outcomes
  • Experience in design, implementation, and oversight of utilization management and care management programs
  • Demonstrated ability to inform design, build and implementation of IT systems to support innovative clinical program - including workflow, data use, and reporting requirements
  • Experience in overseeing the execution and metric-driven performance evaluation of vendors, operations teams, and financial return on investment
  • Proven ability to drive, lead and communicate change effectively in a fast-paced environment and be adaptable within the changing environment
  • Demonstrated ability to make strategic, operational, and administrative decisions in response to emerging conditions and environmental circumstances
  • Proven ability to provide recommendations and insight regarding improvements to internal and external processes
  • Demonstrated ability to manage programs and projects in a strategic and professional manner
  • Proven ability to communicate effectively and efficiently (both verbally and written) at multiple levels of large, complex organizations
  • Proven ability to motivate, mentor, and influence others at all levels within the organization
  • Solid organizational, management, administrative, and human relations skills, and a style which exhibits emotional maturity, leadership, collaboration, and teamwork
  • Demonstrated ability in systems thinking and enterprise insight to solve complex business problems and strong analytical skills with ability to drive transformational, consumer-centric change and manage long-term programs
  • Strong history of quickly building relationships, gaining credibility, and partnering with business leaders
  • Advanced proficiency with MS Word, Outlook, Excel, and Visio
  • Ability and willingness to travel
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Preferred Qualifications:
  • Advanced degree in Public Health, Analytics or Business

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 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 wherever 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)

Colorado Residents Only: The salary range for Colorado residents is $348,100 to $433,600. The range and pay mix of base and bonus is variable based upon experience and metric achievement. The role is also eligible to participate in UHG's annual bonus and long-term incentive plans. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: telecommute, remote, work from home, 910909