Network Medical Director

1 day ago


St Louis, Missouri, United States Optum Full time
Network Medical Director Opportunity

Are you a medical professional looking to make a meaningful impact in the healthcare industry? We are seeking a Network Medical Director to join our team at Optum, a leading healthcare company dedicated to improving the lives of our patients and communities.

Key Responsibilities:

  • Provide clinical leadership in the adoption of key principles, tools, technologies, and clinical support services essential to population health management.
  • Direct, coordinate, support, and hold accountable Primary care practices of various sizes, multispecialty groups, hospitals, and ancillary facilities.
  • Work collaboratively across the team to foster network group engagement and performance within the core fundamentals of Value-Based Care delivery.
  • Support 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.

Requirements:

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

Preferred Qualifications:

  • 2+ years of experience in a physician leadership role in a medical facility or related environment
  • Well-versed in guiding conversations with clinicians, operations teams, and executive leadership in various organizations
  • Knowledge of managed care, including risk adjustment, affordability, quality, utilization management, care management, quality
  • Advanced knowledge of Medicare Advantage and SNP/D-SNP programs
  • Proven ability to quickly customize the conversation with contracted groups at various stages of population health development

About Optum:

At Optum, 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.

Equal Employment Opportunity:

Optum 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.



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