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Hours Full-time, Part-time
Location Minneapolis, MN
Minneapolis, Minnesota

About this job

As Medical Director with part of the Optum Data Management team providing clinical expertise, including the development and review of claims-based codes (e.g., ICD10, CPT, LOINC) and supporting logic. The Medical Director will spend 25-50% of their time reviewing claims-based codes to support products, analytic tools, and new initiatives for internal and external clients.
 
Primary Responsibilities:

Provide clinical expertise to support, enhance, and develop healthcare analytic products and consulting projects
Work at a detailed level with codes (e.g., ICD10, CPT) and pharmacy claims to define clinical definitions used to support analytics and consulting projects
Develop or improve methodologies in existing analytics/products and new decision-support applications
Provide clinical support for business development initiatives
Promote a culture of clinical excellence for the company and its analytic- and quality-based solutions
Lead or contribute to efforts to write peer-reviewed publications,  white papers, and other dissemination projects that highlight the use of our analytic solutions

Requirements

Required Qualifications:

MD or DO with an active, unrestricted license
2+ years’ experience as a practicing physician in the United States
2+ years’ experience in the use and application of claims-based analytics
Demonstrated ability in written and verbal communication and presentation skills with clients
Familiarity with administrative claims data and medical coding systems (i.e., CPT, HCPCS, ICD-9, ICD-10)  
Strong interpersonal skills and ability to work cohesively in a team environment
Strong organizational skills (e.g., prioritize and manage multiple tasks, meet deadlines; complete complex long-term projects)
Preferred Qualifications:

Board certified in an ABMS or AOBMS specialty
Certification in Medical Informatics
Experience with, or directly used, any tool within Symmetry Suite or Impact Suite analytic applications
Experience with machine learning
Demonstrated ability to develop new analytics to meet market needs
Possess recent knowledge and/or experience in cost/utilization measurement, bundled payments, or episode groupers
Possess recent knowledge and/or experience in quality measures (e.g., STARS, HEDIS, State measures)
Basic skills using industry-standard data analysis tools such as Microsoft ACCESS, EXCEL, or SQL
Published in peer-review journals
Experience with risk-adjusted quality measures and payment tool
Experience with clinical data from EMR to optimize health care solutions  (e.g., clinical decision support systems, care management programs)
Experience networking within your area to build relationships and further business opportunities
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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: MD, DO, physician, ABMS, AOBMS, medical informatics, EMR, health care, Minneapolis, MN, Minnesota