National Senior Medical Director - Remote

Lensa; Phoenix (AZ); Remote; USD 278,000 - 418,000; Full time

Job summary

A leading healthcare provider is seeking a National Senior Medical Director to spearhead innovative clinical initiatives. This executive role focuses on improving population health through strategic leadership in clinical documentation and operations. The position offers remote flexibility and requires strong collaboration with various teams to drive value-based healthcare solutions.

Benefits

Comprehensive benefits

Incentive programs

Stock options

401k contributions

Qualifications

• 5+ years management experience.
• 3+ years clinical experience post-residency.

Responsibilities

• Lead Optum Enterprise Innovative DRG Clinical Review program.
• Manage a team of medical directors and nurse coders.
• Collaborate with IT to implement AI enhancements.

Skills

Data analysis

Leadership

Collaboration

Education

M.D. or D.O. degree

MBA, MMM, MPH, or similar master’s degree

Job description

National Senior Medical Director - Remote

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Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

Optum, a global organization, delivers care aided by technology to help millions live healthier lives. Your work will directly improve health outcomes by connecting people with care, pharmacy benefits, data, and resources. We foster a culture of diversity and inclusion, with talented peers, comprehensive benefits, and career development opportunities. Join us to make an impact on communities and advance health equity globally. Caring. Connecting. Growing together.

Clinical Excellence, a national OptumCare team, seeks an experienced National Senior Medical Director to lead our growing Value Innovations efforts. This executive physician will provide expertise in population health, specifically Clinical Documentation Review with knowledge of DRG coding and clinical operations. The role involves strategizing, designing, and implementing current and future value-based initiatives.

Our mission at Clinical Excellence is the effective implementation, monitoring, and execution of clinical programs that improve patient and provider experiences, achieve superior outcomes, and sustain costs. We support internal physician groups in clinical improvement and capability-building initiatives.

This role requires daily interaction with executives, frontline providers, and operational staff. The successful candidate will drive value in existing workstreams and expand our portfolio of solutions. Leadership responsibilities include representing programs in senior meetings, leading reviews and improvements, and managing financial aspects.

Enjoy the flexibility to work remotely from anywhere within the U.S., tackling challenging projects.

Primary Responsibilities

• Lead Optum Enterprise Innovative DRG Clinical Review program
• Assume leadership of Optum DRG Optimization Programs
• Manage a team of medical directors, nurse coders, and operations staff to deliver DRG performance
• Identify opportunities to expand and optimize programs in collaboration with hospital utilization management and claims teams
• Collaborate with IT to implement AI enhancements
• Participate in other Value Innovation programs
• Lead change management initiatives
• Collaborate with regional care delivery organizations and Payment Integrity
• Partner with IT on program development and implementation
• Establish trust-based relationships within teams and external partners
• Foster teamwork, continuous improvement, and accountability
• Approach problems proactively with energy and passion
• Work effectively in a diverse, collaborative environment

We offer a challenging environment with clear success metrics and development opportunities.

Required Qualifications

• M.D. or D.O. degree
• Board certification in a recognized specialty
• 5+ years management experience
• 3+ years clinical experience post-residency
• Experience with DRG clinical documentation and coding within hospital or payor systems
• Data analysis, synthesis, and presentation skills

Preferred Qualifications

• MBA, MMM, MPH, or similar master’s degree
• Adherence to UnitedHealth Group’s Telecommuter Policy for remote employees

The salary range is $278,000 to $417,500 annually, based on experience and achievement. Benefits include comprehensive packages, incentive programs, stock options, and 401k contributions. We support your growth and success.

Application Deadline: Posted for at least 2 business days or until sufficient candidates are identified. The posting may close early if filled.

Our mission is to help people live healthier lives and improve the health system for all, addressing disparities and promoting health equity. We are committed to diversity, equity, and inclusion, and comply with all applicable laws. We are a drug-free workplace requiring pre-employment drug testing.

Additional Details

• Seniority level: Executive
• Employment type: Full-time
• Job function: Healthcare Provider
• Industries: IT Services and Consulting