Medical Director Southwest Medical - Las Vegas, NV

Clinical Services is focused on driving measurable and meaningful improvement in the use of evidence-based medicine, patient safety, practice variation and affordability. In serving our Medicare, Medicaid, and commercial members & plan sponsors, our Clinical Services teams partner with our network of physicians, hospitals and other health care professionals to achieve these goals. We are committed to our mission of helping people live healthier lives.

The SMA primary care medical director is responsible for the quality, cost and service levels of health care provided by the primary care SMA practice operations in NV.  In so doing, this position has direct responsibility for the supervision, direction, management and evaluation of the NV SMA primary care practice operations and for planning, implementation and monitoring of activities in direct support of quality improvement, utilization, and quality management, which support, to an optimal level, the provision of exemplary medical service to all primary care patients in SMA, from an outpatient and inpatient perspective.   
Primary Responsibilities:


Provides leadership and communication for all SMA primary care physician leaders, physicians and clinical staff

Responsible for effective interviewing, selection, orientation, development, and retention of primary care providers and staff

Partners with medical management staff, to result in clinical process improvement activity and access enhancement

Ensures effective quality assurance and risk management processes

Ensures customer satisfaction and compliance with regulatory standards

Ensures cost effective delivery of health care within the SMA primary care practice management operations

Ensures that all NCQA and other accreditation standards are met

Ensures ongoing professional medical management development programs

Establish direct partnerships with key SMA and NV business departments
 

Required Qualifications:

M.D. Board Certified in a postgraduate clinical specialty, current license to practice without restriction by the Nevada State Board of Medical Examiners
Additional training in medical management, quality assurance and risk management
Primary Care group practice and HMO and multi-payer industry
Managed healthcare systems, medical quality assurance, quality improvement, medical utilization management and risk management
Basic knowledge of management practices, human relations, consensus building and collaborative ability
Must have strong oral and written communication techniques
Must be professionally respected by peers
Minimum 10 years in a primary care medical group practice
5 years management experience and prior executive oversight experience in a clinical setting
Preferred Qualifications:

Experience in utilization management, quality assurance, quality improvement techniques, risk management and a prepaid environment 
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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Medical Director, Internal Medicine, Family Medicine, Medical Management, Las Vegas, Nevada, NV