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Natl Medical Director, Clinical Affordability & UM

UnitedHealth Group

Eden Prairie, MN
Job Code:
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Job Details

Natl Medical Director, Clinical Affordability & UM(Job Number:724940)

Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Join us. And start doing your life's best work.(sm)


The National Medical Director Clinical Affordability position will report to the Chief Clinical Performance Officer for OptumCare and will be responsible for providing strategic direction, development and execution of a model of care focused on affordability.  This model includes UM / CM / DM, Transitions, Social and End of Life Care programs across all line of business, in diverse local markets, while preserving local market uniqueness and relationships.


The role itself must be a deep subject matter expert who can drive execution and change through collaboration and relationships. This Medical Director will provide long-term planning and oversight assuring activities are appropriately integrated into strategic direction, as well as the mission and values of the company.   This also involves selection and expansion of best practices while simultaneously striving for standardization and driving performance. 


This role will be partnered with a senior Medical Director and together with the help of the Portfolio Management team, will drive results. It will have no direct reports but may provide indirect work direction & guidance to other employees.


Given the complex nature of OptumCare, the ability to achieve these goals through a combination of direct and indirect influence will be critical



Primary Responsibilities:

  • Lead through influence the Medical Leadership of varying businesses and their corresponding hierarchies (totaling approximately 12) across the country with expectations to grow over time

  • Direct the delivery of extremely complex business solutions within the enterprise Clinical Performance team and across multiple cross - matrixed teams

  • Provide leadership and direction in lowering the cost of care  

  • Take full accountability for patient and financial results

  • Assist in driving results with the Care Delivery organizations

  • Coordinate inter - Care Delivery organization discussions to leverage knowledge and learning

  • Interface with Healthcare Economics teams to size, review, and prioritize opportunities

  • Analyze and convey a deep understanding of data insights and use of standard benchmarks

  • Support overall regional and corporate goals to ensure continued growth and profitability

  • Participate in new market expansions

  • Align with national standards and medical expectations as they relate to care management


Job Clinical Analysis & Consulting
Primary Location US-MN-Eden Prairie
Other Location 
Organization Local Care Delivery Shared Svc
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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