Optum California - Community Medical Director

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.

Primary Responsibilities:

• Maintains a dyad relationship with operational leadership to oversee 7 primary care clinical sites in West San Gabriel Valley (Sites located in cities of Pasadena, La Canada, Alhambra, San Gabriel and Temple City)
• Provides leadership to the Group in the design and implementation of strategic healthcare initiatives such as the implementation of new clinical services within the Group, and the redesign of current clinical and professional services
• Oversees and optimizes existing site processes (Clinical review, Evidence based clinical pathways, Quality performance, etc). Supports the Senior Medical Director (SMD) in the development and implementation of managed care operational processes as necessary
• Assists in the presentation of reports on managed care, health and quality improvement issues, as determined by Clinical and Operations leadership
• Oversee Specialty partner relationships and Joint Operating Meetings with select contracted specialists and specialty service providers
• Build, grow, and maintain relationships between The Group and hospitals, health plans, and other medical organizations as necessary
• Performs other duties as assigned

Required Qualifications:

• Current MD/DO medical license in the state of California
• Board Certified or Board Eligible in Specialty or Primary Care, or in the process of obtaining certification unless granted an exemption by Credentialing Committee and/or Board of Governors
• California Pharmacy/DEA Registration if applicable to practice
• 2+ years of experience at senior leadership level in medical group or network; 5+ years ofexperience as a practicing physician preferably in a medical group

Preferred Qualification:

• Experience in both fee-for-service and managed care operations
• Thorough understanding of medical group business models and clinical processes
• Proven ability to comfortably use Microsoft Word, Excel, and PowerPoint
• Proven excellent communication skills, both verbal and written
• Proven excellent understanding of medical group financial concepts, including revenue cycle, physician compensation models, and preferably including managed care financial concepts (capitation, IBNR, MLR)

California Residents Only: The salary range for this role is $286,104 to $397,743 annually. 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.