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Vice President of Healthcare Strategies Senior Medical Director

UnitedHealth Group

Richardson, TX
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Job Details

727884 Vice President of Healthcare Strategies Senior Medical Director

Vice President of Healthcare Strategies Senior Medical Director (727884)

Position Description

Vice President of Healthcare Strategies Senior Medical Director

The Vice President of Healthcare Strategies supports National Accounts, Public Sector and Complex clients. The VPHS performs as an integral part of the Account Management and Client Development Teams for these sectors. The VPHS utilizes HPM, biometric data, Case Management program detail, and other tools to provide individualized analysis of existing clients' utilization trends and future risk and provides strategic advice on selection and deployment of Optum clinical programs, integration strategies with external vendors, and relevant benefit design issues to achieve client's goals. For potential new business the VPHS is critical to finalist meetings, details our clinical value proposition incorporating relevant programs across Optum and UHC and provides necessary specifics on the design, performance, and comparisons to market competitors. The VPHS applies critical listening skills to adapt presentations to customer needs.

In addition, the VPHS performs as the "Company CMO" for clients who do not have access to an internal CMO. The VPHS provides advice on managing health threats (e.g. H1N1, SARS), on referrals typically for C-Suite members, as well as advice on emerging benefit design issues (e.g. transgender). The VPHS also intervenes in individual cases to ensure effective management and the expected benefit design performance.

The VPHS is prepared to deliver as requested presentations to benefit staff, customer employee populations, union leaders, and others on clinical programs, market trends, clinical benefit issues and other selected topics. The VPHS is capable of effectively engaging with senior executives on the above issues as required. The VPHS actively participates in the design of innovative clinical programs (e.g. sleep study CM, integrated disability benefits, etc.) where unmet ASO customer needs are identified. The VPHS may represent UHC E&I on the national boards and committees of customer led organizations (PBGH, NBGH, HRC, American Benefits Council, etc.)


Primary Responsibilities:

  • Identify customer clinical program needs and gaps -Provide clinical leadership to account teams, client management, and directly to large customers
  • Responsible for clinical strategy and performance of clinical programs at customer level
  • Provide clinical and customer input into design of clinical innovations
  • Provide clinical support to customers at the senior benefits manager level
  • Develops broad understanding of both industry and purchaser trends in healthcare benefits delivery
  • Maintains current knowledge of utilization and practice trends across industry
  • Advises large customers on benefit design, clinical program strategy, pilots and other interventions
  • Remains current on business environment and implications for each customer supported
  • Provide market leadership to broad swath of purchasers through participation in national and regional customer organizations in order to enhance reputation of UHC and to deliver differentiation story
  • Present convincingly to multiple constituents including bargained populations, senior executives, benefit operations managers, members, and physicians
  • For VPHS Virtual Health Plan MD's: additionally provide contractually obligated support to clients including development of a Medical Cost Action Plan based on proprietary analytics and process, manage to a medical trend commitment, meet monthly with customer and weekly with internal team to achieve goal, among other duties

Required Qualifications:

  • 2+ years in a senior leadership position at a large employer or national organization as the CMO or senior benefits professional; or senior level Medical Director at a health plan at regional or national level including meaningful contact with large, complex customer contact; strong knowledge of managed care marketplace, clinical program design, niche competitor offerings; or national level Medical Director at large benefits consulting house
  • 3+ years in private practice; public speaking experience desirable; experience with wellness programs telephonic member case management or disease management programs a plus
  • MD or DO degree
  • Active unrestricted physician state license
  • Current board certification in ABMS or AOA specialty
  • 10+ years of clinical practice experience post residency
  • Strong understanding of and concurrence with evidence-based medicine (EBM) and managed care principles, as well as familiarity with current medical issues and practices
  • Foundational windows based computer skills, including typing, word processing, presentation, and spreadsheet applications, as well as internet research skills.
  • Professionally-appropriate written vocabulary and grammar skills, including the ability to modify for different audiences
  • Familiarity with current medical issues and practices
  • Excellent interpersonal communication skills
  • Superior presentation skills for both clinical and non-clinical audiences
  • Proven ability to develop relationships with network and community physicians and other providers
  • Excellent project management skills
  • Solid data analysis and interpretation skills; ability to focus on key metrics
  • Identify external partnerships for program innovation, development and improvement

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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: Vice President of Healthcare Strategies Senior Medical Director

Job Details

  • Contest Number727884
  • Job TitleVice President of Healthcare Strategies Senior Medical Director
  • Job FamilyMedical and Clinical Operations
  • Business SegmentEmployer and Individual

Job Location Information

  • Richardson, TX
    United States
    North America
  • Other LocationsLos Angeles, CA
    Tampa, FL
    Chicago, IL
    Phoenix, AZ
    New York, NY

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job Level
  • ShiftDay Job
  • TravelYes, 50 % of the Time
  • Telecommuter PositionYes
  • 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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