Regional Chief Medical Officer – Optum Tri-State – Remote

Chappaqua, New York
UnitedHealth Group
Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.

Optum Tri-state, is seeking a full-time Regional Chief Medical Officer to join our Tri-State Senior leadership team. The Regional Chief Medical Officer is responsible for assuring that the clinical enterprise delivers patient-centered, high-quality, high-value health care; and is the ultimate responsibility for the clinical performance of the clinician staff. This role acts as the leading decision-maker on all clinical matters pertaining to the organization.

If you are located in NJ, NY, or CT, you will have the flexibility to work remotely as you take on some tough challenges

Primary Responsibilities:

Strategic Leadership of the Clinical Enterprise

• Develop and implement the strategic medical operations plan, including growth, development, and clinical quality plans
• Partner with Compliance to ensure that the organization meets all legal, regulatory, and ethical requirements
• Evaluates and make recommendations regarding prospective physician partnerships and contractual arrangements
• Recruit and retain high-quality clinicians
• Promote changes in the delivery system that position the organization for success in the future
• Represent Tri-State on the OptumCare Physician Executive Council

Organizational Performance and Operational Execution

• Partner with multiple leadership partners to ensure a balanced agenda of patient satisfaction, quality, utilization, safety, cost-effectiveness, production, and workplace satisfaction across the clinical enterprise
• Partner with senior leadership to execute the strategic plan
• Own the clinical budget
• Support and promote the dyad structure (physician and management partners) and cross-functional management approach
• Act as a resource and content expert for non-clinical management personnel
• Facilitate effective communications among all internal stakeholders
• Promote electronic health record optimization to enhance the use of and ensure the availability of timely and meaningful information for clinical decision support
• Deliver Tangible Results to the Success of the Quadruple Aim: Reducing Cost of Care, Increasing Quality Outcomes, Increasing Patient Satisfaction, and Increasing Provider Satisfaction

Promote Physician Leadership and Accountability

• Create and implement a clinician leadership development strategy and plan to advance the lean culture and mindset
• Manage the program and budget for clinician leadership
• Identify, mentor, and support future physician leaders
• Partner with senior executives to develop succession planning for leadership
• Oversee the evaluation of medical staff and engage in constructive feedback
• Coach, mentor, support, and manage clinicians

Promote a Positive Physician Culture

• Actively support and promote the organization’s lean philosophy and core values
• Establish appropriate standards and expectations for professional performance
• Provide coaching, counseling, and discipline when needed
• Oversee systems of support for provider well-being and active engagement
• Assure effective interdepartmental communications and problem-solving
• Support and ensure the highest possible ethical standards in all activities
• Positively influence the clinician culture by being a good role model and citizen of the organization

Represent the Organization to External Stakeholders

• Serve as key clinical liaison to external healthcare organizations, payers, government, and community as needed
• Facilitate effective relationships between the organization’s physicians and the healthcare delivery system, including hospitals, other physicians and their organizations, skilled nursing facilities, durable medical equipment suppliers, home care providers, and health plans
• Represent Optum Tri-State and OptumCare in organizational activities such as community-sponsored events, speaking engagements, and charitable causes

Management duties

• Select, oversee, and evaluate medical directors, and associate medical directors
• Partner with People Team on clinician issues
• Participate in health plan contract strategies and negotiations as appropriate, with special attention to clinical performance
• Propose, develop, and/or review policies and procedures
• Assume any other management duties as may be requested by the Optum Tri-State CEO

Essential Skills and Knowledge:

Knowledge:

• Broad knowledge of the healthcare industry and demonstrated understanding of clinical care trends and private and public sector initiatives. Knowledge of all types of reimbursement across the continuum from fee for service to global risk and capitation. Extensive knowledge, understanding, and demonstration of continuous improvement lean principles, practices, and management systems. Significant understanding of the principles and practices of health care administration, fiscal management, value-based contracting, government regulations, and reimbursements.

Skills

• A high degree of initiative, judgment, and discretion. Superior conflict management, negotiation, and interpersonal communication skills. Effective analytical and problem-solving skills for the resolution of operational problems. Ability to research, analyze, interpret complex data, and present comprehensive reports. Exceptional leadership skills; ability to influence, guide, coach, and develop direct reports, physicians, and staff throughout the organization. Ability to work effectively with network physicians and health plans. Ability to establish and maintain effective working relationships at all levels.

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:

• US Licensed Physician
• ABMS Board Certified
• 10+ years of Medical Leadership Experience
• Ability to travel as required for CDO and Corp responsibilities
• Experience contributing as a senior member of an organization’s management team and as a leader of medical staff
• Ability to lead multi-functional teams and provide consultative directions to senior leaders

Preferred Qualifications:

• 10+ years of experience working in a value-based care physician-led organization or independent physician association
• 10+ years of experience with value-based care contracts
• Experience managing Clinical Integration
• Advanced degree in management (MBA, MPH, MHA) preferred
• Working Knowledge of Value-Based Care Quality Metrics including, yet not limited to: HEDIS, PQRS, RAP
• Experience in any CMS value-based program including, yet not limited to: ESRD QIP, VBP, HRRP, PVBM, HHVBP
• Experience leading ACO implementation
• Direct P&L Responsibility
• Experience working in a matrixed accountability environment

Connecticut, New Jersey, or New York Residents Only: The salary range for Connecticut/New Jersey/New York residents is $408,630 to $597,554 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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 .

Diversity creates a healthier atmosphere: UnitedHealth Group 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 .

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment .
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