Optum East -Associate Medical Director, Network Partnerships - Remote

Optum NY, (formerly Optum Tri-State NY) is seeking a Associate Medical Director, Network Partnerships to join our team in Queensbury, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Optum Health East region is seeking an experienced medical director to support our care transformation efforts. Working with the Optum East Regional Medical Director, Population Health, this key physician will provide expertise in population health, risk adjustment and quality. They will work to support and grow our physician network and provide valuable input into the strategy, design and implementation of existing and future value-based initiatives and programs.

This is a role that partners with external leaders and requires collaboration and the ability to build relationships across all levels of the organization to ensure goals are met. This physician will be comfortable interacting daily with clinical, business and finance executives, as well as frontline clinicians and operational staff. The successful candidate will be able to not only drive value in existing workstreams, but to build and expand our portfolio of solutions in additional domains.

If you are located in Queensbury, NY, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges. Hybrid role 2-3 days onsite.

Primary Responsibilities:

• Hospital and medical group engagement and relationship management
  
  
  
  • Collaborate with hospital-based physicians and other stakeholders (e.g., nurses, case managers, social workers) to coordinate care transitions from the outpatient and inpatient environments
  • Support the ongoing relationship with key stakeholders at multiple levels across hospital systems, IPA participants, vendors, and Optum Health businesses
  
  
  
  
• Clinical support for operational teams
  
  
  
  • Establish and maintain evidence-based standards for clinical documentation and care coordination activities
  • Navigate professional body guidelines, published literature, coding rules and regulations to provide thought leadership and recommended actions to physicians
  
  
  
  
• Partnership with market clinical leaders
  
  
  
  • Builds/maintains/manages market stakeholder relationships across multiple layers and functions
  • Lead and support physician-to-physician discussions and problem-solving with medical group leaders, hospitalists, specialists, market CMO's, and clinical leaders from market vendors and service providers
  • Assist analytical efforts to identify and quantify new opportunities to improve the value of services delivered to reduce low-value utilization while also improving quality, patient and provider experience
  • Proactively work with team to synthesize and communicate findings and bring together multiple stakeholders to deploy programs
  
  
  
  
• Emotional maturity for effective change management
  
  
  
  • Establish solid and lasting, trust-based relationships within team and external partners
  • Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability
  • Take initiative and self-start attitude to approach problems with energy and passion
  • Demonstrate preference for working in a tight-knit team environment with diverse professional groups
  • Utilize a solid fact base to influence and lead physicians and support staff to implement change programs
  
  
  
  
• Ensures overall program success
  
  
  
  • Reducing barriers for program implementation teams, including anticipating and responding to potential roadblocks
  • Active problem solving to meet evolving challenges in a highly dynamic environment
  • Distributing performance management reporting to market leaders and synthesizing information for adjustment and optimization
  • Conducts deep dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement
  • Works collaboratively to inform new, innovative, or complimentary program ideas at scale
  • Collaborates with other team members to align on meeting expectations and material preparation
  • Interacts with senior management by providing thoughtful analysis on key decision points to drive initiatives forward
  
  
  
  
• Demonstrates understanding of budgeting and forecasting tools, terminology, and processes

Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we're making health care work better for everyone.

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. degree
• Current unrestricted license to practice medicine
• Board certified in Internal Medicine, Family Medicine, or Critical Care
• 5+ years of clinical experience
• Proven ability to influence without authority
• Proven ability to successfully operate in a dynamic and changing environment
• Proven ability to implement complex programs and monitor implementation and necessary modifications
• Proven ability to manage multiple priorities and deadlines in an expedient and decisive manner
• Proven innovative thought process and problem-solving skills
• Proven solid presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups
• Proven solid verbal and written communication skills

Preferred Qualifications:

• General knowledge of clinical programs, trends and medical management, medical care delivery systems, utilization management, disease management, analytics quality management, contracting, provider relations and customer service
• Understanding of healthcare finance and has worked in data intensive and metrics driven environment

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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.