Requisition number: 2399482
Job category: Medical & Clinical Operations
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Senior Medical Director of Clinical AI Capability Development 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.
The Senior Medical Director of Clinical AI Capability Development is part of the UCS Clinical Evidence Group . This physician is responsible for guiding and supporting the development of AI products and capabilities that leverage clinical insight across the organization. Throughout UHG, teams are collaborating to develop, launch and maintain a portfolio of AI-leveraging clinical capabilities. We believe success in this space will enable modernization and market differentiation.
The development of envisioned capabilities and products will depend on a team of teams spanning product, tech, data science ,and clinical divisions. The collaborative approach will ensure that we fully leverage internal expertise and accelerate our progress in this space.
The incumbent will report to the National CMO of the Clinical Evidence Group.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Guide & Partner
Bring a sharp clinical lens and clear clinical voice to the AI portfolio vision and capability design, testing specifications (rubrics), testing results audits, product refinement and ongoing performance monitoring
Collaboratively set standards of clinical performance measurement and performance thresholds with discipline, applying use-case specific parameter flexibility as appropriate
Work closely and collaboratively with the enterprise partners collectively driving our portfolio of AI-leveraging clinical capabilities
Explore and understand fully the aims and needs of our collaborators and customers- adopt and maintain a product and product lifecycle management mindset
Understand and support the successful adherence to enterprise AI review board processes
Collaboratively guide and oversee engaged AI product support vendors
Manage 1-3 reports charged with supporting the aims of the role
Oversee the quality and efficiency of AI evaluation team for all things clinical and clinical adjacent (e.g. benefits)
Maintain clear and complete communication of progress, concerns and creative problem solving with partners and the National CMO of the Clinical Evidence Group.
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:
Masters level degree (or higher) in statistics, epidemiology, health services research or a related field
Active/unrestricted State(s) Medical Licensure
Active/unrestricted Board Certification in an ABMS/AOBMS Specialty
5+ years of experience as a clinician (MD, DO or equivalent)
3+ years of experience in health plan administration, health services research, quality assurance or comparable experience
3+ years of experience serving as a consultant or leading a team on point for care quality improvement or product development and production
Demonstrated ability to understand and efficiently interpret expansive data on audit performance measurement, evaluation reproducibility and quality
Deep understanding of health plan medical policies, benefits, formularies and payment integrity policies
Demonstrated ability to work collaboratively with clinicians, administrators product teams, data scientists and customers
Demonstrated ability to drive process standardizations without suppressing creativity
Demonstrated ability to navigate complex conversations with partners, customers and vendors
Demonstrated flexibility, agility and the ability to adapt to change while staying organized and maintaining strong relationships
Proficient in standard office software packages
Preferred Qualifications:
Experience with clinical AI capability designing, testing and monitoring
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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
