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Chief Medical Officer, Optum Behavioral Health - Telecommute

UnitedHealth Group

Eden Prairie, MN
Job Code:
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Job Details

Chief Medical Officer, Optum Behavioral Health - Telecommute(Job Number:719675)

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm)

Optum Behavioral Health – the business unit is focused on improving the quality and affordability of health care services provided for acute and chronic behavioral health care conditions.


The Chief Medical Officer of Optum Behavioral Health (OBH) is a critical role to ensure OBH successfully meets clinical, quality, growth and financial performance objectives, consistent with regulatory and accreditation standards, and does so using an approach aligned with United Health Group (UHG) cultural values of Integrity, Compassion, Relationships, Innovation and Performance.  As such, this role requires a visionary, innovative, hands-on clinical and operational business leader with an executive presence who is client savvy and who will thrive when challenged with the opportunity to optimize value delivered by OBH.  This executive will report directly to the CSG Chief Clinical Officer & SVP of Clinical Alignment and serve as a key business unit partner dedicated to leveraging CSG/Optum/UHG assets to help OBH achieve growth through high levels of quality, affordability, client, patient, and provider satisfaction performance.

Primary Responsibilities:

  • Provide clinical vision and oversight including quality and affordability leadership in collaboration with product organization, operations, analytics and other matrix partners through all phases of product development, implementation, maintenance and the sales process
  • Responsible for leading strategy of programs designed to optimize quality, affordability and delivery of culturally competent behavioral health care services
  • Collaborate with product organization and functional partners to continually seek ways to enhance and quantify the value of existing services and develop new products and solutions to address emerging market opportunities
  • Work in partnership with operational teams to address variation in quality and affordability using the most efficient and effective process, and to avoid overlapping or redundant approaches
  • Chair the OBH Quality Improvement Committee and provide oversight to OBH National Committee structure and functions including case and utilization management, parity, credentialing and peer review, reimbursement policies, clinical technology, and network
  • Provide oversight to ensure all behavioral clinical and reimbursement policies/guidelines are informed by the best available evidence-based medicine that improves quality and affordability, supports accreditation and meets regulatory requirements
  • Lead strategy and support the execution of academic partnerships, publications, presentations and other activities that positions CSG and OBH as the clinical thought leader in areas of strategic importance
  • Support the business in identifying market trends that should influence key investments (i.e., technology investments and/or M&A)
  • Represent CSG/OBH as point of contact for state and national professional societies / trade associations and through speaking opportunities at local and national conferences
  • Collaborate with internal and external partners to publish high impact content focused on improving quality and affordability
  • Evaluate clinical and other data (e.g., quality metrics, claims data, bed-day data, usage data) to identify opportunities for improvement of clinical care and processes
  • Develop key messages and talking points for communicating clinical program management to key external stakeholders
  • Continuously seek to identify potential growth opportunities and provide clinical support to OBH in presenting solutions to potential new clients
  • Collaborate with all internal partners to socialize consumer and provider NPS data and drive actions that create a better consumer and provider experience and improvement in our Net Promoter Scores (NPS)
  • In partnership with other provider experience Optum partners, develop provider segmentation models that determine the best mode of provider interaction/engagement and ease of experience
  • Enhance programs that build trust within the provider community and encourage providers to partner with OBH on clinical initiatives that drive improved consumer outcomes and reduced costs of care
  • Improve the ability of our programs to deliver actionable, real-time data into the hands of our providers
  • Focus on improving the service system through enhancements to network services, provider engagement and consumer experience
  • Create and maintain strong relationships with key clinical leaders across Optum and UHG
  • Represent CSG on key clinical committees within and outside of Optum
  • Participate in response development and delivery to high level questions, concerns and complaints from regulators, accreditors, legal/risk management, employers, healthcare providers, and other stakeholders
  • Manage challenging conversations with appropriate interpersonal dynamics when discussing programs that impact quality and/or affordability and areas of disagreement
  • Deliver group presentations on clinical programs
  • Influence development of technical/clinical communications that will be delivered to external audiences (e.g., new clinical policies, programs, processes)
  • Discuss case information with internal or external parties (e.g., case managers, other medical directors, clinical providers, physicians)
  • Provide feedback to team members and other departments to refine decision making and promote a shared understanding of benefit or coverage decisions
  • Discuss clinical program outcomes, data and performance with providers, employers, accreditors and regulators
  • Solicit or respond to input on clinical initiatives and guidelines (e.g., providers, specialty societies, clinical experts)
  • Assess and interpret complex financial and clinical data to evaluate feasibility of proposed initiatives
  • Identify and implement development resources in response to business needs and regulatory changes
  • Support expansion of OptumHealth Education content into the provider community

Job Behavioral Clinical Consulting
Primary Location US-MN-Eden Prairie
Other Location US-CO-Denver, US-PA-Philadelphia, US-IN-Indianapolis, US-GA-Atlanta, US-MA-Boston, US-CA-San Francisco, US-TX-Austin, US-MO-St. Louis, US-MN-Eden Prairie
Organization CSG Clinical
Schedule Full-time
Number of Openings 1
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