Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.
Optum Tri-state, is seeking a full-time Regional Chief Medical Officer to join our Tri-State Senior leadership team. The Regional Chief Medical Officer is responsible for assuring that the clinical enterprise delivers patient-centered, high-quality, high-value health care; and is the ultimate responsibility for the clinical performance of the clinician staff. This role acts as the leading decision-maker on all clinical matters pertaining to the organization.
If you are located in NJ, NY, or CT, you will have the flexibility to work remotely* as you take on some tough challenges
Primary Responsibilities:
Strategic Leadership of the Clinical Enterprise
Develop and implement the strategic medical operations plan, including growth, development, and clinical quality plans
Partner with Compliance to ensure that the organization meets all legal, regulatory, and ethical requirements
Evaluates and make recommendations regarding prospective physician partnerships and contractual arrangements
Recruit and retain high-quality clinicians
Promote changes in the delivery system that position the organization for success in the future
Represent Tri-State on the OptumCare Physician Executive Council
Organizational Performance and Operational Execution
Partner with multiple leadership partners to ensure a balanced agenda of patient satisfaction, quality, utilization, safety, cost-effectiveness, production, and workplace satisfaction across the clinical enterprise
Partner with senior leadership to execute the strategic plan
Own the clinical budget
Support and promote the dyad structure (physician and management partners) and cross-functional management approach
Act as a resource and content expert for non-clinical management personnel
Facilitate effective communications among all internal stakeholders
Promote electronic health record optimization to enhance the use of and ensure the availability of timely and meaningful information for clinical decision support
Deliver Tangible Results to the Success of the Quadruple Aim: Reducing Cost of Care, Increasing Quality Outcomes, Increasing Patient Satisfaction, and Increasing Provider Satisfaction
Promote Physician Leadership and Accountability
Create and implement a clinician leadership development strategy and plan to advance the lean culture and mindset
Manage the program and budget for clinician leadership
Identify, mentor, and support future physician leaders
Partner with senior executives to develop succession planning for leadership
Oversee the evaluation of medical staff and engage in constructive feedback
Coach, mentor, support, and manage clinicians
Promote a Positive Physician Culture
Actively support and promote the organization's lean philosophy and core values
Establish appropriate standards and expectations for professional performance
Provide coaching, counseling, and discipline when needed
Oversee systems of support for provider well-being and active engagement
Assure effective interdepartmental communications and problem-solving
Support and ensure the highest possible ethical standards in all activities
Positively influence the clinician culture by being a good role model and citizen of the organization
Represent the Organization to External Stakeholders
Serve as key clinical liaison to external healthcare organizations, payers, government, and community as needed
Facilitate effective relationships between the organization's physicians and the healthcare delivery system, including hospitals, other physicians and their organizations, skilled nursing facilities, durable medical equipment suppliers, home care providers, and health plans
Represent Optum Tri-State and OptumCare in organizational activities such as community-sponsored events, speaking engagements, and charitable causes
Management duties
Select, oversee, and evaluate medical directors, and associate medical directors
Partner with People Team on clinician issues
Participate in health plan contract strategies and negotiations as appropriate, with special attention to clinical performance
Propose, develop, and/or review policies and procedures
Assume any other management duties as may be requested by the Optum Tri-State CEO
Essential Skills and Knowledge
Knowledge:
Broad knowledge of the healthcare industry and demonstrated understanding of clinical care trends and private and public sector initiatives. Knowledge of all types of reimbursement across the continuum from fee for service to global risk and capitation. Extensive knowledge, understanding, and demonstration of continuous improvement lean principles, practices, and management systems. Significant understanding of the principles and practices of health care administration, fiscal management, value-based contracting, government regulations, and reimbursements.Skills:
A high degree of initiative, judgment, and discretion. Superior conflict management, negotiation, and interpersonal communication skills. Effective analytical and problem-solving skills for the resolution of operational problems. Ability to research, analyze, interpret complex data, and present comprehensive reports. Exceptional leadership skills; ability to influence, guide, coach, and develop direct reports, physicians, and staff throughout the organization. Ability to work effectively with network physicians and health plans. Ability to establish and maintain effective working relationships at all levels.You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
US Licensed Physician
ABMS Board Certified
10+ years of Medical Leadership Experience
Ability to travel as required for CDO and Corp responsibilities
Experience contributing as a senior member of an organization's management team and as a leader of medical staff
Ability to lead multi-functional teams and provide consultative directions to senior leaders
Preferred Qualifications:
10+ years of experience working in a value-based care physician-led organization or independent physician association
10+ years of experience with value-based care contracts
Experience managing Clinical Integration
Advanced degree in management (MBA, MPH, MHA) preferred
Working Knowledge of Value-Based Care Quality Metrics including, yet not limited to: HEDIS, PQRS, RAP
Experience in any CMS value-based program including, yet not limited to: ESRD QIP, VBP, HRRP, PVBM, HHVBP
Experience leading ACO implementation
Direct P&L Responsibility
Experience working in a matrixed accountability environment
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $411,494 to $507,775 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission .
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 .