Medical Director, Collaborative Care- UT

Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Join us. And start doing your life's best work.(sm)

Optum Medical Networks in UT is a collaborative organization prepared to transform the healthcare delivery in UT. We look to work with providers and patients to identify opportunities for improvement in an effort to maximize the provider-patient relationship to deliver exceptional results. We are a team of professionals seeking others who can effectively communicate and influence change in a collaborative, team approach.

The primary responsibilities of this Medical Director will be to conduct provider telephonic review and discussion, scheduling on-site visits and sharing tools, information and guidelines related to cost-effective health care delivery and quality of care. They will be responsible for appropriate utilization management and present to external providers/clients Medicare Risk Adjustment findings. Other areas of responsibility will include the following:

-Clinical lead for healthcare affordability initiatives at the local market
-Oversee the HEDIS data collection process, CAHPS (Consumer Assessment of Healthcare Providers and Systems) improvement, and drive Health Plan accreditation activities
-Support all clinical quality initiatives and peer review processes
-Effectively engage and bring understanding to our external constituents such as physicians, medical and specialty societies, hospitals and hospital associations, and state regulators
-Deliver the clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting Broker/Client presentations and participating in customer consultations
-Responsible for identifying opportunities through participation in local medical expense committees or market reviews.

• MD or DO with an active, unrestricted license in UT


• Board Certified in an ABMS or AOBMS specialty


• 5+ years clinical practice experience


• Experience and knowledge of Medicare advantage programs (STARS, RAF, etc)


• Managed care experience highly preferred


• Experience with identifying Medicare risk adjustment and presenting findings to client/providers required


• 2+ years Quality Management experience preferred

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.




UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.