Medical Director, MAPS - WellMed - Dallas, TX

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

Clinical

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

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

The Medicare Advantage Product Strategy team is responsible for identifying and supporting markets with imminent risk transfer and delegation, and ensuring their infrastructure is prepared to manage incoming membership. The MAPS Medical Director will provide leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff. This position will develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites. This position will be responsible for supporting Medicare Advantage Product Strategy across the enterprise OptumCare entities, and in the process develop relationships and drive performance improvement for risk and quality outcomes.

Primary Responsibilities:
  • Requires assessing current programs/model delivery,
  • Assess readiness/timing to market/current Risk Bearing Entity status,
  • Review current market individual and group physician relationships - employed and IPA
  • Review current market contracts (FFS, Incentives, Gain share, risk pool)
  • Assess engagement and willingness of market PCPs to participate (early adopters/teachable spirits)
  • Assess capacity - designated medical directors, support team (POD) infrastructure, RAF RNs, Coders, Quality RNs, analyst,
  • Review current and future potential incentive models,
  • Performance review (RAPS, Quality, Cost and Care)
  • Create pro forma/projections of likely success
  • Supervise Didactic/functional (live) education and training in market (DFW)
  • Ride Along - PCP office visit
  • POD team meeting and management
  • Physician Business Dinner
  • Learning Session
  • Jumbo group management via Joint Operating Committee (JOC) meetings
  • Training, operational tactics, market strategies, functional management of activities via "Best Year Yet" (BYY) management
  • Deliver presentations to others (e.g., employer groups, providers, internal staff) on clinically related topics
  • Educate others (e.g., employer groups, providers, internal staff) on implications of policies or regulations related to provision of care or medical management
  • Educate teams on clinical quality/cost/service initiatives
  • Manage challenging conversations with appropriate interpersonal dynamics when discussing medical decisions and areas of disagreement
  • Present clinical programs/results to others (e.g., client/employer meetings, physicians, healthcare providers)
  • Deliver group presentations on clinical programs/data/information
  • Explain/influence development of technical/clinical communications that will be delivered to external audiences (e.g., quality/RAF policies, programs, processes)
  • Discuss clinical/quality program outcomes/data/performance with providers/employers/accreditors/regulators

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:
  • Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.)
  • Five or more years of clinical experience
  • Five or more years of experience in managed care
  • Active, unrestricted medical license in applicable state(s), or ability to obtain licenses rapidly
  • Current board certification
  • Willingness to travel up to 50%, or as determined by business need

Preferred Qualifications:
  • Bilingual (English/Spanish) fluency
  • Demonstrated leadership and management skills
  • Strong interpersonal skills and ability to build relationships
  • Demonstrated ability to bridge clinical, financial and administrative priorities, personnel, and skills

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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: Family Medicine, Internal Medicine, Geriatric, Primary, care, physician, PCP, doctor, MD, osteopathy, medical director, managed care, Medicare advantage, risk

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