UnitedHealth Group

E&I Market Chief Medical Officer MN/WI

UnitedHealth Group • $238K — $357K *
Minnetonka, MN 55345In-Person
Healthcare
5 - 7 years of experience
6 days ago
Job Overview by Ladders

Qualifications

  • Active and unrestricted MN/WI Medical License
  • Board Certified in an ABMS or AOA specialty
  • 5+ years clinical practice experience
  • Solid knowledge of managed care industry
  • Proven ability to develop relationships with network and community physicians
  • Proficiency with Microsoft Office applications
  • Ability to travel within the assigned market-30% travel required

Responsibilities

  • Achieve defined clinical outcomes and growth targets with health plan leadership
  • Provide clinical insight into market data and implement interventions to address clinical trends
  • Facilitate coordination with UnitedHealthcare and Optum clinical and operational functions
  • Drive performance with market-level quality and compliance teams
  • Build and deepen relationships with healthcare providers and administrators
  • Advocate for UnitedHealthcare's clinical value and member health with regulatory entities
  • Deliver subject matter expertise to the organization as needed

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase opportunities
  • 401k contribution
  • Flexible remote work options
  • Professional development support
Full Job Description
  • Achieving defined clinical outcomes, affordability goals and growth targets, in partnership with their health plan leadership team
  • Provide clinical insight into market data and implementing tailored interventions to address clinical trends and opportunities for their state or region
  • Serving as a central health plan leader accountable to facilitate coordination with UnitedHealthcare and Optum national clinical and operational functions
  • Actively engage and help drive performance with market-level quality, network, and compliance teams
  • Building and deepening relationships with area hospitals, physicians, and other health care providers
  • Advocate for UnitedHealthcare's clinical value story, evidence-based medical policies, and member health with government/state regulatory entities, professional and medical society chapters, employers, and as part of external communications and media relations
  • Provides subject/specialty based clinical expertise and leadership to UCS and the enterprise, as needed


You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Core Accountabilities:

  • Clinical Affordability - CMOs are responsible for achieving their assigned incremental savings goal and support the national savings target for the year. Driving savings is a two-pronged, data-driven approach of local response and national implementation, where CMOs lead targeted clinical inventions to address local market trends and needs, and support on-the-ground alignment with national utilization management programs. Inform and drive local and national affordability initiatives: CMOs are expected to apply healthcare economics insights and escalate local issues and trends.
  • Network / Provider Engagement - The CMO serves as the local clinical point of contact for physicians, systems, and other care providers and with UnitedHealth Networks colleagues. Key activities include UHC's Accountable Care Platform, value-based contracting, clinical practice transformation, patient-centered medical homes, and transparency initiatives such as UnitedHealth Premium4 Designation and/or High
    Performing Physicians. The CMO meets regularly with hospitals and physician groups and shares data on quality and efficiency improvement opportunities and developing action plans for sub-optimal results.
  • Market Relationships - The CMO is the clinical face of UnitedHealthcare to elected officials, policy makers, plan sponsors, medical and professional societies, news media, and community-based organizations. The CMO is engaged in regular, proactive dialogue with our external constituents to advance evidence-based medicine and support best practices in health care delivery.
  • Quality & Compliance - The CMO maintains a strong working knowledge of all government mandates and provisions, working across the enterprise to implement and maintain compliant clinical programs and procedures. The CMO also supports quality improvement efforts as measured by CMS Star Ratings, NCQA Star Ratings, HEDIS, CAHPS, HOS and other national and company metrics. The CMO partners with UHC Compliance to ensure clinical management regulatory obligations regarding clinical management are met. Market CMOs also chair required Quality Oversight Committees at a market/regional level.


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:

  • Active and unrestricted MN/WI Medical License
  • Reside in, or be willing to relocate to MN/WI; within proximity to UHC corporate offices
  • Board Certified in an ABMS or AOA specialty
  • 5+ years clinical practice experience
  • Solid knowledge of managed care industry
  • Familiarity with current medical issues and practices
  • Solid knowledge of health care utilization data and analytics
  • Proven ability to identify an improvement opportunity through data, implement a solution and achieve measurable impact. Solid data analysis and interpretation skills; KPI metrics driven.
  • Ability/experience in developing collaborative relationships with health system clinical leadership
  • Proven ability to develop relationships with network and community physicians and other providers
  • Ability to travel within the assigned market-30% travel required
  • Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
  • Capable to quickly become facile with UHC/UHG specific data systems


Preferred Qualifications:

  • Prior health plan experience in similar leadership capacity
  • Advanced Business, Public Health, Medical Management degree
  • Solid team player and team building skills
  • Strategic thinking with proven ability to communicate a vision and drive results
  • Solid negotiation and conflict management skills
  • Creative problem-solving skills
  • Excellent interpersonal communication skills and ability to influence in executive settings
  • Superior presentation skills for both clinical and non-clinical audiences


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

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 $238,000 to $357,500 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.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Healthcare
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ
UNH
* Ladders Estimates

Similar Jobs

Ad banner background

Get Ready For Your
Next Interview

More Jobs at UnitedHealth Group

More Healthcare Jobs

Find similar E&I Market Chief Medical Officer MN/WI jobs:

NationwideMinnetonka, MN