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Corporate Medical Director, Clinical Risk, Advocacy and Education ID-22881

JOB TITLE:                Corporate Medical Director, Clinical Risk, Advocacy and Education

FLSA:                         Exempt

REPORTS TO:           Chief Medical Officer, Pacific West                                                           

Grade:                         TBD

 

OVERVIEW OF POSITION:

 

The Corporate Medical Director (CMD), Clinical Risk, Advocacy and Education is responsible for all clinical risk and advocacy, as well as clinical education and safety strategies, initiatives and programs for Optum California.  Working with super-regional medical leadership, the CMD provides local leadership to Optum California Clinicians and Operators, and represents Optum California to OptumCare and UnitedHealth Group as their primary point of contact in matters related to:

  • Clinical Risk and Advocacy
  • Clinical Education and Safety (including Disease Management and Health Enhancement)
  • High Risk programs ( i.e. renal disease) and Palliative Care
  • Other strategies as Optum CA needs arise

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In this role, the CMD is accountable for the development, execution and management of strategies and programs for each CDO’s clinical risk, advocacy and education programs and initiatives, as well as those within the realm of high risk, and palliative care.  In addition to program performance management, the CMD must recognize and navigate nuances between CDOs while furthering integration efforts, advancing clinical consistency towards One Optum. 

 

The CMD will report into the Chief Medical Officer, Pacific West and work closely with each care delivery organization’s medical leadership to ensure there is a clear communication and alignment on strategies, vision and initiatives.  The CMD will work in partnership with their dyad partners, as appropriate, to spearhead all programs and efforts. 

 

Additionally, the CMD may be expected to perform other duties and secondary functions, as appropriate. 

 

ESSENTIAL FUNCTIONS:

  • Develops and executes strategies to further Optum California’s clinical risk and advocacy, as well as clinical education and safety programs to fulfill Optum California’s vision to be the most trusted partner in health by providing the highest quality care through compassionate, convenient and consistent experiences, resulting in unprecedented loyalty
  • Design, direct and integrate the activities of multiple projects and programs across CDOs; ensuring efforts are cohesive, consistent, and effective in supporting Optum’s vision and strategic plan
  • Alongside dyad partners, as appropriate, oversee designated programs with accountability over programs’ performance
  • Participate in the development and implementation of team’s standards and targets, and oversee the achievement of such targets
  • Primary point of contact for Optum California’s efforts and seen as the clinical lead for:
    • Clinical Risk and Advocacy
    • Clinical Education and Safety (including Disease Management and Health Enhancement)
    • High Risk ( ie renal disease) and Palliative Care
    • Others as needed
  • Lead and drive standardization across CDOs in all areas of clinical risk, advocacy, education and safety
  • Lead and drive standardization across CDOs in high risk and palliative care
  • Represent Optum California in establishing strong and lasting relationships with patients, physicians, clinicians, health plans, vendors, and community organizations
  • Foster a culture of engagement, performance, continuous improvement, accountability, service-orientation and exemplary teamwork
  • Adheres to policies, procedures and regulations to ensure compliance and patient safety
  • Ability to influence by leadership skills and relationship-building  
  • Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer
  • Manages direct reports to ensure that they are meeting performance expectations and performs counseling as necessary.
  • Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Performs additional duties as assigned

 

 

JOB SPECIFICATIONS:

 

EDUCATION:

  • M.D. or D.O. degree.

 

LICENSURE:

  • Current and Unrestricted license to practice medicine in the State of California.
  • Current and Unrestricted DEA certificate
  • Board certified.

 

EXPERIENCE:

  • At least 7 years of experience in a management role leading Clinicians

 

ESSENTIAL TECHNICAL/MOTOR SKILLS:

  • Excellent fund of knowledge with respect to the practice of medicine.  Ability to speak clearly and communicate with patients, families, agencies, other physicians and staff regarding patient care.
  • Excellent verbal and written communication skills.
  • Must embrace and exemplify the core vision and values of UnitedHealth Group

 

INTERPERSONAL SKILLS

  • Must be able to lead teams.
  • Must be able to make effective and timely decisions.
  • Must possess leadership qualities such as:
  • ability to teach and mentor
  • ability to coach and counsel
  • ability to negotiate
  • ability to hire and fire
  • ability to hold others accountable
  • ability to listen
  • ability to accept input from others
  • ability to accept coaching from others
  • ability to give clear direction and provide feedback to others.
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