Requisition number: 2360103
Job category: Medical & Clinical Operations
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.
Optum is seeking a Market Chief Medical Officer to join and lead our team in Arizona and New Mexico. Optum is a clinician-led care organization that is changing the way clinicians work and live.
The CMO is physician dyad partner to the COO and market CEO and is the most Sr. Physician/Clinical Leader for Employed Clinical practices, IPA practices, and to external (payers, IPA providers, hospitals, etc.) for the CDO. The CMO is the CDO clinical representative to the regional affordability JOC, regional leadership meetings, and to applicable national committees. Inclusive of this is to set clinical vision and strategy for the market in association with all appropriate stakeholders.
Primary Responsibilities:
Supervises all clinical leaders that reside in the Arizona and New Mexico market(s) (both Employed and IPA)
Sets and implements clear standards and expectations for the professional performance of the providers to achieve:
Excellence in patient satisfaction scores, including enhancing patient experience and services provided
Excellence in quality of care, including achieving medicine the highest scoring for P4P and Star Measures, and practicing evidence based
Excellence in cost effective care, inclusive of improving efficiencies and reducing expenses involving resource use
Leader for all peer review and physician performance management
In partnership with market president and operations leaders, ensure clinical and financial performance of the employed clinics
Works in close collaboration with Employed clinic operations leaders and IPA network management
In close partnership with Contracting leadership, develops external partnerships and assists in contract development and terms (e.g., VBC contracting, capitated contracting, FFS rates, etc.)
Works with the physician community around issues of patients, balancing business and clinical concerns
The primary owner of Total Cost of Care (known as Affordability) performance for all risk contracts in close collaboration with the regional Affordability team. This includes operational ownership where appropriate as well as management of internal and external vendors
The primary owner of performance of accurate and documentation in close collaboration with the regional population health team
Primary market physician leader to ensure implementation and execution of regional shared services for their market under the regional OCMO structure. This includes Clinical Excellence, Clinical Informatics, and Clinical Health and Safety
Supervises and manages appropriate business as deemed appropriate under the clinical structure (in NV market this may include Pharmacy fulfillment, DME, Hospice and Palliative Division, and Home Health)
May supervise and/or manage other departments and functions as deemed appropriate by market president and/or regional and national leadership
Is the primary physician leader representative to regional and national leadership structures and committees
Out-of-state applicants encouraged to apply
Compensation & Benefits Highlights
Generous compensation package
Medical, dental, and vision coverage, including STD/LTD and UnitedHealth Group stock discounts
Continuing Medical Education allowance with paid time off
Company paid professional liability insurance, including tail coverage
Excellent PTO package and paid holidays
Generous retirement program with employer-funded contributions (401K)
Starting bonus available
Relocation assistance available
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. or D.O.
Completion of an accredited medical residency program
Board Certified in an accredited medical or surgical specialty
Active and unrestricted Arizona or New Mexico medical license; or ability to obtain prior to start date
Current and unrestricted DEA certificate or ability to obtain prior to start date
5+ years of clinical practice experience
5+ years of experience in a physician leadership role
Knowledge of managed care, including utilization, care management, quality, credentialing, and peer review
Advanced knowledge of Medicare and Medicaid plan design and coverage criteria
Proven solid leadership skills including to manage multiple teams and create a solid collaborative culture
Proven ability to work in a matrixed environment
Proven flexible and able to quickly customize the conversation with contracted groups at various stages of population health development
Proven 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
Proven ability to identify, plan, and operationalize complex programs to further the needs of care delivery organization working with appropriate stakeholders (e.g., HCE, finance, and operations)
Preferred Qualifications:
Master's degree in business administration, Medical Management, or equivalent
2+ years of experience in a Senior Medical Director role, or equivalent title
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $292,300 - $438,500 annually based on full-time employment. We comply with all minimum wage laws as applicable."
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
