Network Medical Director

2 weeks ago

Kansas City, United States Optum Full time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by focusing on value-based care, the Network Medical Director provides clinical leadership in the adoption of the key principles, tools, technologies, and clinical support services essential to the population health management of their designated market(s). This opportunity provides direction, coordination, support, and accountability to Primary care practices of various sizes, multispecialty groups, hospitals, and ancillary facilities. The Network Medical Director works collaboratively across the team to help foster network group engagement and performance within the core fundamentals of Value Based Care delivery. This is an administrative role which supports the Network Management Team regarding all elements of performance throughout the network, including adherence to quality performance, timely access for patients, appropriate and accurate documentation and coding, patient engagement, practice engagement with central supports like care management programs, analytic platforms, wrap around care services.

The Network Medical Director reports to the Senior Medical Director for the Midwest RBE. 

This position requires you to be located within the Kansas City area and willing to travel within the region with occasional overnight stays. 

Medical Leadership: 

  • Leads onboarding discussions with new practices joining the network, focusing on setting appropriate and customized performance expectations in collaboration with the practice leaders
  • Establishes and messages clear standards and expectations for the professional performance of the provider/provider groups in their designated market(s) of the Midwest RBE
  • Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment, Star ratings, and overall population health approach to patient care in both formal presentations and off the cuff at impromptu opportunities
  • Seeks to align Risk Adjustment, Quality, and Affordability initiatives internally and translate into ways network practices can actively engage in easily using these resources
  • Operates with a tone of service and collaboration, leading their designated market(s) in a dyad partnership with the Client Services Directors and designated Account Managers
  • Collaboratively works with the clinical and operational staff of the practices to develop strategies and design solutions to improve the value of care, clinical outcomes, affordability, and patient experience 
  • Works with RBE leaders to support integration of Quality Improvement programs, Utilization Management reports, and Disease Management programs
  • Reviews and trends group/provider performance data to identify and strategize opportunities for improved performance
  • Reports out at the Value Based Care Council, Quality Committee, Regional Executive committee, or Provider Meetings as requested
  • Travel within their assigned state(s) on a regular basis as needed with occasional overnight travel


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: 

  • M.D, D.O., or M.B.B.S
  • Board certification approved by the American Board of Medical Specialties (ABMS)
  • Active unrestricted license to practice medicine in either Kansas or Missouri
  • 5+ years of recent clinical practice experience after completing residency training
  • Experience and knowledge of the local market
  • Current unrestricted driver’s license
  • Able to travel, with occasional overnight travel

Preferred Qualifications:  

  • 2+ years of experience in a physician leadership role in medical facility or related environment preferred Well-versed in guiding conversations with clinicians, operations teams, and executive leadership in various organizations
  • Proven track record of working well with Physicians, APRN, Physician Assistants, Coders, Schedulers, Managers, Directors, and Executives to assure care delivery is patient centered, timely, effective and evidence-based approach to clinical care across all Primary Care and specialty care participants
  • Knowledge of managed care, including risk adjustment, affordability, quality, utilization management, care management, quality
  • Advanced knowledge of Medicare Advantage and SNP/D-SNP programs
  • Able to quickly customize the conversation with contracted groups at various stages of population health development

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

  • Network Medical Director

    1 week ago

    Kansas City, Kansas, United States UnitedHealth Group Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by...

  • Network Medical Director

    1 week ago

    Kansas City, Kansas, United States Optum Full time

    Job DescriptionFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the...

  • Network Manager

    1 week ago

    Kansas City, Kansas, United States University of Kansas Medical Center Full time

    This job was posted by : For more information, please see: rr Network Manager - Network InfrastructurerrDepartment:IT Network Engineering & Convergence EITATelecommunications and NetworkingPosition Title:Network Manager - Network InfrastructureJob Family Group:Professional StaffJob Description Summary:Under the direction of the Director of Enterprise IT...

  • Network Medical Director

    3 weeks ago

    Kansas City, United States UnitedHealth Group Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by...

  • Network Medical Director

    3 weeks ago

    Kansas City, United States UnitedHealth Group Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Medical Director, Director, Network, Travel, Medical, City, Healthcare

  • Network Medical Director

    3 weeks ago

    Kansas City, United States Optum Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim...

  • Network Medical Director

    3 weeks ago

    Kansas City, United States Optum Full time

    Job DescriptionFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.  In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to...

  • Network Medical Director

    3 weeks ago

    Kansas City, United States Optum Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by...

  • Network Medical Director

    3 weeks ago

    Kansas City, KS, United States Optum Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by...

  • Provider Network Management Director

    1 week ago

    Kansas City, Kansas, United States Elevance Health Full time

    Anticipated End Date: Position Title: Provider Network Management Director Job Description: Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Develops the provider network through contract negotiations, relationship development, and...

  • Provider Network Management Director

    4 weeks ago

    Kansas City, United States Elevance Health Full time

    Anticipated End Date: 2024-06-21 Position Title: Provider Network Management Director Job Description: Location:  Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Develops the provider network through contract negotiations, relationship...

  • Provider Network Management Director

    3 weeks ago

    Kansas City, United States Elevance Health Full time

    Anticipated End Date: 2024-06-21 Position Title: Provider Network Management Director Job Description: Location:  Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Develops the provider network through contract negotiations, relationship...

  • Director, Medical Director

    2 months ago

    Kansas City, MO, United States Children's Mercy Hospital (MO) Full time

    The Division of Critical Care at Children's Mercy Kansas City is seeking a Medical Director to lead the Cardiac Intensive Care Unit. The institution is in an exciting time of expansion of its cardiac program and is looking forward opening a brand new 24 bed dedicated Cardiac ICU in the fall of 2021. The Medical Director will be responsible for leading...

  • General Surgery Program Medical Director

    4 weeks ago

    Kansas City, United States AdventHealth Medical Group - Kansas Full time

    AdventHealth is a leading faith based not- for -profit health system with 53 hospitals across the country. Four of our cutting-edge hospitals sit in the suburbs of Kansas City (Approximately 2 million population). We have an integrated network of hospitals, outpatient clinics, urgent cares, free standing ER s, World Class Cancer Institute, and other...

  • General Surgery Program Medical Director

    4 weeks ago

    Kansas City, United States AdventHealth Medical Group - Kansas Full time

    AdventHealth is a leading faith based not- for -profit health system with 53 hospitals across the country. Four of our cutting-edge hospitals sit in the suburbs of Kansas City (Approximately 2 million population). We have an integrated network of hospitals, outpatient clinics, urgent cares, free standing ER s, World Class Cancer Institute, and other...

  • General Surgery Program Medical Director

    3 weeks ago

    Kansas City, United States AdventHealth Medical Group - Kansas Full time

    AdventHealth is a leading faith based not- for -profit health system with 53 hospitals across the country. Four of our cutting-edge hospitals sit in the suburbs of Kansas City (Approximately 2 million population). We have an integrated network of hospitals, outpatient clinics, urgent cares, free standing ER s, World Class Cancer Institute, and other...

  • General Surgery Program Medical Director

    3 weeks ago

    Kansas City, United States AdventHealth Medical Group - Kansas Full time

    AdventHealth is a leading faith based not- for -profit health system with 53 hospitals across the country. Four of our cutting-edge hospitals sit in the suburbs of Kansas City (Approximately 2 million population). We have an integrated network of hospitals, outpatient clinics, urgent cares, free standing ER s, World Class Cancer Institute, and other...

  • Medical Director Remote Texas

    1 week ago

    Kansas City, Missouri, United States UnitedHealth Group 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,...

  • Medical Director Plastic Surgery

    4 weeks ago

    Kansas City, 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,...

  • Medical Director Remote Texas

    1 month ago

    Kansas City, United States UnitedHealth Group 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,...