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Chief Physician Executive, Specialty Medicine - DFW

UnitedHealth Group

Dallas, TX
Job Code:
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Job Details

747249 Chief Physician Executive Specialty Medicine DFW

Chief Physician Executive, Specialty Medicine - DFW (747249)

Position Description

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)
The Chief Physician Executive, Specialty Medicine is responsible for the oversight and leadership of 100+ specialty physicians, development, implementation, effectiveness and transition of payment from Fee for Service to Fee for Value of the WellMed Specialty Network for Dallas Fort Worth. As a leader, they are responsible for ensuring the provision of quality health care services in the most efficient and cost effective manner, overseeing the medical management of the network and offering guidance to providers in the delivery of healthcare for the Medicare Advantage population. The Chief Physician Executive also assists in implementing contracts and developing surgery centers in an effort to provide patients with a demographically efficient network with a collection of multi - specialties who will provide quality medical care.
Primary Responsibilities:
  • Develops and maintains an efficient Physician Specialty Network to meet the needs of the health plan members and commensurate with company values
  • Educates specialty physicians regarding systems, structures, processes and outcomes necessary for assurance of regulatory compliance
  • Develops strategies for improving performance in medical management
  • Develops strategies for improving performance in coding accuracy and Star Quality measures
  • Liaisons between specialty physicians and health plan Medical Directors
  • Improves relationships with both contracted and employed specialists by developing fee for value contracting arrangements with the major specialties used in Medicare Advantage patient populations
  • Disseminates and communicates market and enterprise strategies to the various employed and contracted specialists
  • Manages the operations of employed and contracted specialists, including but not limited to, scheduling, productivity, and compensation
  • Navigates the relationship between the employed specialists and their employed primary care counterparts
  • Assists in planning and implementing capitated contracts with various specialties, including:  Orthopedics, Cardiology, Urology and other specialties that may be required in the various markets where WellMed, and its affiliates, have MA members
  • Assists in development and implementation of surgery center and ancillary services strategy for employed and contracted physicians
  • Develops closer relationships with contracted primary care physicians, improving the fee for value proposition and development and implementation of multiple business line relationships
  • Assesses the effectiveness of the specialty network to ensure members have access to multi - specialties within their demographic area
  • Provide leadership for the Network to assist in complex cases needing intervention of experienced counsel
  • Performs all other related duties as assigned
  • Seeks ways to improve job efficiency and makes suggestions to improve operations that meet national standards as well as company needs
  • Provides constructive information to minimize problems and increase customer satisfaction
  • Acts as a resource to physicians on benefits, medical criteria, and contract negotiations
Customer Service
  • Evaluates performance of physicians in regards to established company goals and objectives
  • Performs duties with physicians and medical group staff in a professional and responsible manner
  • Responds to physicians in a prompt, pleasant and professional manner
  • Respects physician, patient, and organizational confidentiality
  • Educates medical groups regarding policies, procedures and government - mandated regulations.
Personal and Physician Development
  • Strives to nurture and expand working relationships within the Network
  • Attends and contributes to physician meetings
  • Orients new physicians to the Network to ensure understanding of company policy and resources available for physician support
  • Encourages teamwork and cooperation with medical group staffs
  • Attends continuing education classes to keep abreast of medical advancements and innovative practice guidelines
Required Qualifications:
  • Doctor of Medicine (M.D.) degree
  • Board Certified in a medical or surgical specialty
  • Texas Licensed Medical Physician or willing to obtain
  •  Five or more years of clinical practice experience
Preferred Qualifications:
  • 5-7 years Medicare Advantage plan experience as a Medical Director
  • Five or more years of experience in Medicare Advantage patients population activities
  • Five or more years of network development and contract negotiations
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team 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, Regional MD, CMO, National MD, Specialty Care, Texas, WellMed, Executive, Leadership, Medicine, Clinician, Physician, Surgery, Cardiology, Urology, Nephrology, Gastroenterology, Pulmonary, Neurology

Job Details

  • Contest Number747249
  • Job TitleChief Physician Executive, Specialty Medicine - DFW
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptumCare

Job Location Information

  • Dallas, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job Level
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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