Medical Director of Quality and Evidence-Based Medicine

6 days ago


Fort Worth, Texas, United States OptumCare Full time
About the Role

We are seeking an exceptional Medical Director to join our team at OptumCare. In this critical role, you will lead efforts to drive measurable improvement in the use of evidence-based medicine, patient safety, practice variation, and affordability.

Primary Responsibilities:
  • Develop and implement strategies to improve quality and promote evidence-based medicine across our national network.
  • Provide data-driven insights on quality and efficiency to inform care choices and drive improvement among doctors, patients, and customers.
  • Support initiatives that enhance quality throughout our extensive network of clinics and medical facilities.
  • Ensure that every member receives the right service at the right time, meeting their unique healthcare needs.
  • Collaborate with cross-functional teams to optimize inpatient care management, clinical coverage review, member appeals, clinical review, medical claim review, and provider appeals.
Requirements:
  • Exceptional leadership skills, with a proven track record of driving change and improvement.
  • A deep understanding of value-based healthcare approaches and Medicare Advantage settings.
  • The ability to analyze complex data sets, identify trends, and inform strategic decisions.
  • Strong communication and interpersonal skills, with the capacity to work effectively with diverse stakeholders.
  • Proficiency in Tableau or similar analytics tools, with a willingness to learn new technologies.
What We Offer:
  • A competitive salary of $250,000 - $300,000 per annum, depending on experience.
  • A comprehensive benefits package, including health insurance, retirement planning, and paid time off.
  • The opportunity to make a meaningful impact in the lives of millions of Americans, as part of a Fortune 6 industry leader.
  • A dynamic and supportive work environment, with ongoing opportunities for growth and development.


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