Medical Director Cardiovascular at UnitedHealth Group in Minnetonka, Minnesota

Posted in Other 19 days ago.

Type: Full-time

Job Description:

Cardiovascular diseases are the most pervasive and costly illnesses in our society. The Medical Director, Cardiovascular is a rare opportunity to work directly with Optum leaders to influence the future of cardiovascular disease treatment and management, to help healthcare work better for this patient population every day.

The purpose of this job is to help people live their lives to the fullest by providing clinical leadership and expertise for our Cardiovascular products, including involvement in utilization management, quality of care, product development, operations improvement, the development of clinical programs and evidence-based medical benchmarks for measuring provider performance.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
  • Advise toward creating clinical guidelines for a utilization management program for cardiovascular services, including cardiovascular-related imaging. This includes work at the procedure / diagnosis code level
  • Help determine clinical pathways for CV diseases, many of which are lifelong journeys with various acute episodes and decision points
  • Advise on the operation of a network of high-performing providers and facilities for common and episodic cardiovascular care
  • Work with clinical, analytic and product development staff to develop strategies to improve the care of members with cardiovascular disease, including initiative project planning and performance measurement
  • Provide expert clinical input to operational program decisions
  • Offer advice about trends and current events in cardiovascular medicine
  • In partnership with operational and business leaders, identify specialty network strategic and operational opportunities, assuring best practice is incorporated
  • Be a clinical leadership interface with internal company businesses on opportunities for growth and partnership

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:

  • Current and non-restricted licensed physician
  • Board-certified in cardiology
  • 5+ years of clinical practice experience after completing residency training
  • Broad exposure to relevant cardiovascular subspecialties
  • Respected leadership profile, visibility and involvement in the medical community
  • Excellent verbal and written communications skills (to clinicians and non-clinicians, in 1:1 and group settings)
  • Strong background in the application of evidence-based medicine

Preferred Qualifications:

  • Prior managed care experience
  • Previous experience in the managed care industry
  • 2+ years of health plan experience as a Medical Director
  • Program and product development experience
  • Understanding of the limits of imaging and interventional tests
  • Health policy perspective to consider population health / delivery system issues and opportunities

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.

Key words: Medical Director, Cardiovascular, Telecommute, Claims, Utilization