Network Medical Director - St. Louis, MO - Midwest RBE - Field-based with Travel
Company: Optum
Location: Saint Louis
Posted on: May 12, 2025
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Job Description:
Optum MO is seeking a Medical Director to join our team in St.
Louis, MO. - Optum is a clinician-led care organization that is
changing the way clinicians work and live. As a member of the Optum
Care Delivery team, you'll be an integral part of our vision to
make healthcare better for everyone.
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together. -
In support of OptumCare Midwest Region's mission, vision, and
strategic goal to achieve the quadruple aim by focusing on
value-based care, the Network Medical Director provides clinical
leadership in guiding network medical practices in the adoption of
the key principles, tools, technologies, and clinical support
services essential to the population health management in their
designated market(s). This opportunity provides direction,
coordination, support, and accountability to Primary care practices
of various sizes, multispecialty groups, hospitals, and ancillary
facilities. The Network Medical Director works collaboratively
across a team to help foster contracted PCP group engagement and
performance within the core fundamentals of Value Based Care
delivery - STAR/HEDIS performance, risk coding and documentation,
and affordability. This is an administrative role which works
closely with the Client Services Team in driving risk performance,
patient engagement, practice engagement with central supports like
care management programs, analytic platforms, and wrap around care
services. -
The Network Medical Director reports to the Chief Medical Office
for the OptumCare Midwest Region.--- This position requires you to
be located within the greater St. Louis area and willing to travel
within the state of Missouri with occasional overnight stays. It is
a field-based position requiring frequent face-to-face interfacing
will local network medical practices through the assigned
state.
-Primary Responsibilities: -
Leads onboarding discussions with new practices joining the
network, focusing on setting appropriate and customized performance
expectations in collaboration with the practice leaders
Establishes and messages clear standards and expectations for the
professional performance of the provider/provider groups in their
designated market(s) of the Midwest Risk Bearing Entity (RBE)
Collaborates in teaching clinicians and clinical operations teams
about Medicare Risk Adjustment, CMS STARs/HEDIS, and overall
population health approach to patient care in both formal
presentations and off the cuff at impromptu opportunities
Seeks to align Risk Adjustment, Quality, and Affordability
initiatives internally and translate into ways network practices
can actively engage in easily using these resources
Operates with a tone of service and collaboration, leading their
designated market(s)
Collaboratively works with the clinical and operational staff of
the practices to develop strategies and design solutions to improve
the value of care, clinical outcomes, affordability, and patient
experience
Works with RBE leaders to support integration of Quality
Improvement programs, Utilization Management reports, and Disease
Management programs
Reviews and trends group/provider performance data to identify and
strategize opportunities for improved performance
Reports out at the Value Based Care Council, Quality Committee,
Regional Executive committee, or Provider Meetings as requested
Travel within their assigned state(s) on a regular basis as needed
with occasional overnight travel
What makes an Optum organization different?
Be part of a best-in-class employee experience that enables you to
practice at the top of your license ---
We believe that better care for clinicians equates to better care
for patients---
We are influencing change collectively on a national scale while
still maintaining the culture and community of our local care
organizations---
Practice medicine autonomously, with the support, not restrictions,
of a sustainable and thriving national health care organization
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:
M.D, D.O., or M.B.B.S.
Active unrestricted license to practice medicine in Missouri
Board certification in Family or Internal Medicine
5+ years of recent clinic-based clinical practice experience after
completing residency training
2+ years of experience in a physician leadership role in medical
facility or related environment preferred Well-versed in guiding
conversations with clinicians, operations teams, and executive
leadership in various organizations
Experience and knowledge of the local Missouri market
Knowledge of managed care, including risk adjustment,
affordability, quality (STARs/HEDIS), utilization management, care
management
Driver's license and access to reliable transportation
Ability to travel, with occasional overnight travel
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Preferred Qualifications: -
Recent clinical practice experience in a Primary Care based
setting
Advanced knowledge of Medicare Advantage and SNP/D-SNP programs
Ability to quickly customize the conversation with contracted
groups at various stages of population health development
Proven track record of working well with Physicians, APRN,
Physician Assistants, Coders, Schedulers, Managers, Directors, and
Executives to assure care delivery is patient centered, timely,
effective and evidence-based approach to clinical care across all
Primary Care and specialty care participants
Solid understanding of local market and healthcare landscape
The salary range for this role is $269,500 to $425,500 per year.
Salary Range is defined as total cash compensation at target. The
actual range and pay mix of base and bonus is variable based upon
experience and metric achievement. Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. UnitedHealth Group complies with
all minimum wage laws as applicable. In addition to your salary,
UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice
of benefits and incentives.
OptumCare is an Equal Employment Opportunity employer under
applicable law and qualified applicants will receive consideration
for employment without regard to race, national origin, religion,
age, color, sex, sexual orientation, gender identity, disability,
or protected veteran status, or any other characteristic protected
by local, state, or federal laws, rules, or regulations. - -
OptumCare is a drug-free workplace. Candidates are required to pass
a drug test before beginning employment. -
Keywords: Optum, Florissant , Network Medical Director - St. Louis, MO - Midwest RBE - Field-based with Travel, Executive , Saint Louis, Missouri
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