Medical Director for Value-Based Care Networks

1 day ago


St Louis, Missouri, United States Optum Full time
Role Summary

We are seeking a highly skilled Medical Director to lead our value-based care networks in the Midwest region. This is an exciting opportunity for a seasoned physician leader to join our team and drive clinical excellence in population health management.

About the Role:

  • Lead onboarding discussions with new practices joining the network, setting performance expectations and guiding them towards achieving success.
  • Establish clear standards and expectations for professional performance of providers within the designated market(s).
  • Collaborate with clinicians and operations teams to educate them on Medicare Risk Adjustment, Star ratings, and population health approaches to patient care.
  • Align Risk Adjustment, Quality, and Affordability initiatives internally and translate them into actionable strategies for network practices.
  • Operate with a tone of service and collaboration, leading the designated market(s) in partnership with Client Services Directors and Account Managers.
  • Develop strategies and design solutions with clinical and operational staff to improve the value of care, clinical outcomes, affordability, and patient experience.
  • Support integration of Quality Improvement programs, Utilization Management reports, and Disease Management programs with RBE leaders.
  • Review and trend group/provider performance data to identify opportunities for improved performance and develop strategies to address them.
  • Report out at various committees and meetings as requested, including the Value Based Care Council, Quality Committee, Regional Executive committee, and Provider Meetings.

About You:

  • M.D, D.O., or M.B.B.S degree required.
  • Board certification in Family or Internal Medicine is essential.
  • Active unrestricted license to practice medicine in Missouri is necessary.
  • At least 5 years of recent clinical practice experience after completing residency training is required.
  • Experience and knowledge of the local market are crucial.
  • Able to travel with occasional overnight stays within the region.

Compensation and Benefits:

This role offers a competitive salary of $220,000 - $250,000 per year, depending on experience. Additionally, you will enjoy a comprehensive benefits package, including medical, dental, and vision coverage, retirement plan, and paid time off.

What We Offer:

At Optum, we are committed to helping people live healthier lives and making the healthcare system work better for everyone. We believe that diversity creates a healthier atmosphere and strive to be an inclusive workplace where everyone can thrive. If you are passionate about delivering high-quality care and improving patient outcomes, we encourage you to apply for this exciting opportunity.



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