Network Medical Director - St. Louis, MO - Midwest RBE - Field-based with Travel

Optum MO is seeking a Medical Director to join our team in St. Louis, MO. 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.

Primary Responsibilities:

• Leads onboarding discussions with new practices joining the network, focusing on setting appropriate and customized performance expectations in collaboration with the practice leaders
• Establishes and messages clear standards and expectations for the professional performance of the provider/provider groups in their designated market(s) of the Midwest Risk Bearing Entity (RBE)
• Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment, CMS STARs/HEDIS, and overall population health approach to patient care in both formal presentations and off the cuff at impromptu opportunities
• Seeks to align Risk Adjustment, Quality, and Affordability initiatives internally and translate into ways network practices can actively engage in easily using these resources
• Operates with a tone of service and collaboration, leading their designated market(s)
• Collaboratively works with the clinical and operational staff of the practices to develop strategies and design solutions to improve the value of care, clinical outcomes, affordability, and patient experience
• Works with RBE leaders to support integration of Quality Improvement programs, Utilization Management reports, and Disease Management programs
• Reviews and trends group/provider performance data to identify and strategize opportunities for improved performance
• Reports out at the Value Based Care Council, Quality Committee, Regional Executive committee, or Provider Meetings as requested
• Travel within their assigned state(s) on a regular basis as needed with occasional overnight travel

Required Qualifications:

• M.D, D.O., or M.B.B.S.
• Active unrestricted license to practice medicine in Missouri
• Board certification in Family or Internal Medicine
• 5+ years of recent clinic-based clinical practice experience after completing residency training
• 2+ years of experience in a physician leadership role in medical facility or related environment preferred Well-versed in guiding conversations with clinicians, operations teams, and executive leadership in various organizations
• Experience and knowledge of the local Missouri market
• Knowledge of managed care, including risk adjustment, affordability, quality (STARs/HEDIS), utilization management, care management
• Driver’s license and access to reliable transportation
• Ability to travel, with occasional overnight travel

Preferred Qualifications:

• Recent clinical practice experience in a Primary Care based setting
• Advanced knowledge of Medicare Advantage and SNP/D-SNP programs
• Ability to quickly customize the conversation with contracted groups at various stages of population health development
• 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
• Solid understanding of local market and healthcare landscape

About Optum

Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare. We’re a global organization that’s evolving health care so everyone can have the opportunity to live their healthiest life. With our hands across all aspects of health, we'll provide you with a rewarding career that enables you to grow in the directions that best fit your passions. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together.