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Chief Medical Officer, Optum Behavioral Health - Telecommute more...
Location:Hopkins (Eden Prairie), MN
Company:Optum Consumer Solutions Group
First posted:June 15, 2017
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No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm)
Optum Behavioral Health the business unit is focused on improving the quality and affordability of health care services provided for acute and chronic behavioral health care conditions.

The Chief Medical Officer of Optum Behavioral Health (OBH) is a critical role to ensure OBH successfully meets clinical, quality, growth and financial performance objectives, consistent with regulatory and accreditation standards, and does so using an approach aligned with United Health Group (UHG) cultural values of Integrity, Compassion, Relationships, Innovation and Performance. As such, this role requires a visionary, innovative, hands-on clinical and operational business leader with an executive presence who is client savvy and who will thrive when challenged with the opportunity to optimize value delivered by OBH. This executive will report directly to the CSG Chief Clinical Officer & SVP of Clinical Alignment and serve as a key business unit partner dedicated to leveraging CSG/Optum/UHG assets to help OBH achieve growth through high levels of quality, affordability, client, patient, and provider satisfaction performance.

Primary Responsibilities:

Provide clinical vision and oversight including quality and affordability leadership in collaboration with product organization, operations, analytics and other matrix partners through all phases of product development, implementation, maintenance and the sales process
Responsible for leading strategy of programs designed to optimize quality, affordability and delivery of culturally competent behavioral health care services
Collaborate with product organization and functional partners to continually seek ways to enhance and quantify the value of existing services and develop new products and solutions to address emerging market opportunities
Work in partnership with operational teams to address variation in quality and affordability using the most efficient and effective process, and to avoid overlapping or redundant approaches
Chair the OBH Quality Improvement Committee and provide oversight to OBH National Committee structure and functions including case and utilization management, parity, credentialing and peer review, reimbursement policies, clinical technology, and network
Provide oversight to ensure all behavioral clinical and reimbursement policies/guidelines are informed by the best available evidence-based medicine that improves quality and affordability, supports accreditation and meets regulatory requirements
Lead strategy and support the execution of academic partnerships, publications, presentations and other activities that positions CSG and OBH as the clinical thought leader in areas of strategic importance
Support the business in identifying market trends that should influence key investments (i.e., technology investments and/or M&A)
Represent CSG/OBH as point of contact for state and national professional societies / trade associations and through speaking opportunities at local and national conferences
Collaborate with internal and external partners to publish high impact content focused on improving quality and affordability
Evaluate clinical and other data (e.g., quality metrics, claims data, bed-day data, usage data) to identify opportunities for improvement of clinical care and processes
Develop key messages and talking points for communicating clinical program management to key external stakeholders
Continuously seek to identify potential growth opportunities and provide clinical support to OBH in presenting solutions to potential new clients
Collaborate with all internal partners to socialize consumer and provider NPS data and drive actions that create a better consumer and provider experience and improvement in our Net Promoter Scores (NPS)
In partnership with other provider experience Optum partners, develop provider segmentation models that determine the best mode of provider interaction/engagement and ease of experience
Enhance programs that build trust within the provider community and encourage providers to partner with OBH on clinical initiatives that drive improved consumer outcomes and reduced costs of care
Improve the ability of our programs to deliver actionable, real-time data into the hands of our providers
Focus on improving the service system through enhancements to network services, provider engagement and consumer experience
Create and maintain strong relationships with key clinical leaders across Optum and UHG
Represent CSG on key clinical committees within and outside of Optum
Participate in response development and delivery to high level questions, concerns and complaints from regulators, accreditors, legal/risk management, employers, healthcare providers, and other stakeholders
Manage challenging conversations with appropriate interpersonal dynamics when discussing programs that impact quality and/or affordability and areas of disagreement
Deliver group presentations on clinical programs
Influence development of technical/clinical communications that will be delivered to external audiences (e.g., new clinical policies, programs, processes)
Discuss case information with internal or external parties (e.g., case managers, other medical directors, clinical providers, physicians)
Provide feedback to team members and other departments to refine decision making and promote a shared understanding of benefit or coverage decisions
Discuss clinical program outcomes, data and performance with providers, employers, accreditors and regulators
Solicit or respond to input on clinical initiatives and guidelines (e.g., providers, specialty societies, clinical experts)
Assess and interpret complex financial and clinical data to evaluate feasibility of proposed initiatives
Identify and implement development resources in response to business needs and regulatory changes
Support expansion of OptumHealth Education content into the provider community

Required Qualifications:

Doctorate of Medicine (MD or DO) degree with unrestricted medical license
Board certified in Psychiatry required
7+ years of behavioral clinical practice experience required
5+ years of behavioral managed care experience across the continuum of care including acute and chronic condition management, utilization management, preventative services and managing behavioral benefit risk required
Familiarity with commercial, government and provider markets and experience setting clinical policy for wellness, case management, disease management and specialized networks
Demonstrated accomplishments in the areas of behavioral care delivery systems, utilization management, case management, disease management, quality management, product development and peer review
Business background/experience in addition to a clinical background is a key attribute for success in this role
Experience in client-facing customer relationship management
Experience with leading, motivating and managing a team
Excellent presentation skills for both clinical and non-clinical audiences
Strong operational focus with demonstrated data analysis / interpretation acumen, project management, change management, and execution skills
Experience in population health management
Past success working collaboratively in a highly-matrixed environment
Strong strategic thinking and business acumen with the ability to align clinical related strategies and recommendations with business objectives
Adaptable and flexible style of collaborating with key stakeholders in setting direction
Proven ability to quickly gain credibility, influence and partner with staff, business leaders and the clinical community
Strong belief in evidence-based medicine and familiarity with current behavioral issues and practices
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)

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: Chief Medical Officer, CMO, Chief, Medical, Officer, Telecommute, Telecommuter, Telecommuting, Remote, Work from Home, Optum

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