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Market Medical Director, Clinical Analysis and Consulting - Tuscon, AZ
Optum
Eden Prairie, Minnesota, United States

Job Summary

Occupation Physician
Specialty Medical Director
Degree Required MD/DO
Position Type Permanent/Full-Time
Work Environment Hospital Clinic/Private Practice
Location Tucson, Arizona, United States
Visa Sponsorship Yes
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Job Description

Last Update: 5/04/20

OptumCare Arizona is seeking a Medical Director to join our Clinical Analysis and Consulting Team in Tucson, AZ.. You will have the opportunity to drive measureable and meaningful outcomes in the Tucson Market with other members of the team. You will be responsible for improving the quality and efficiency of medical care in the market, and leading the provider network (both employed and contracted).

Primary Responsibilities:

  • Develop and maintain collegial relationships with the physicians (both employed and contracted) in order to support the business efforts of the organization
  • Educate Primary Care Physicians on systems, structure, processes and outcomes that are necessary for assurance of regulatory compliance related to market activities
  • Develop strategies for improving all aspects of market performance including coding, documentation, membership and medical management
  • Analyze aggregate data and reports to primary care physicians
  • Supervise Functions of care coordination
  • Access the effectiveness of the specialty network to ensure members have access to multi-specialties within their demographic area
  • Evaluate performance of physicians with regard to goals and objectives
  • Oversee 2 Medical Coders, and 2 Nurse Practitioner Coordinators that work on proper documentation and coding in order to appropriately identify and capture the managed care conditions for proper risk adjustment.
  • Position will require candidate to be out in the field with daily travel within the Tucson Market

Required Qualifications:

  • M.D. or D.O.
  • Active, unrestricted Arizona Medical License
  • Current Board Certification in ABMS or AOA specialty
  • 5+ years of clinical practice experience post residency
  • Experience as a practicing physician in value based and/or Global Risk Model
  • Ability to travel within the Tucson market the majority of the time

Preferred Qualifications:

  • Experience working in a Leadership Role within a risk model
  • Strong understanding of and concurrence with evidence-based medicine (EBM) and managed care principles
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

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 Keyword: Market Medical Director, Clinical Analysis and Consulting, Tuscon, AZ, Arizona