National Accounts Medical Director

2 weeks ago

Denver, United States Optum Full time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

We are currently seeking a National Accounts Medical Director to support our Atlanta, GA office. The Medical Director will take a member centric approach to help the health system work better and to promote best in class care management. This includes meeting with external stakeholders, program and product design improvement, site related audits and improvement initiatives.

If you are located within commutable distance of live within one hour commute to the Atlanta, GA office, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Support case and disease management teams to achieve optimal clinical outcomes for high risk populations
  • Proficient in evidence based clinical guidelines and lead grand round clinical education sessions with nursing teams
  • Primary functions include RN case manager support and consultation about high risk members and assisting in account management team presentations
  • Be involved in telephonic outreach for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
  • Collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
  • Effectively engage and articulate the Optum and UHC value story to our external constituents such as physicians and our customers. There may also be opportunities to engage medical and specialty societies, hospitals and hospital associations, and state regulators
  • Be available to travel onsite to the Atlanta office for audits, leadership meetings, and as needed

Youll 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 an active, unrestricted Georgia medical license
  • Current Board Certification in an ABMS or AOBMS specialty
  • 5+ years clinical practice experience post residency
  • Sound understanding of Evidence Based Medicine (EBM)
  • Proficient with MS Office (MS Word, Email, Excel, and Power Point) with the ability to learn new systems and software
  • Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, and other similar personnel
  • Ability to come occasionally work onsite to the Atlanta office at Riveredge Parkway monthly and as needed. Must live within one hour commute to the Atlanta office, located at 2100 Riveredge Parkway, Atlanta GA 30328

Preferred Qualifications:

  • Board certified in Internal Medicine or Family Medicine
  • 2+ years managed care, Quality Management experience and/or administrative leadership experience

by Jobble

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