Senior National Medical Director - Institutional Value - in US - Remote

Optum Home & Community Care, part of the United Health Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.

As a team member of our Optum Home & Community products, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home.

We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

Why navi Health?

At Optum Home & Community Care, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care solutions. We do health care differently and we are changing health care one patient at a time.

Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company’s technical vision and strategy.

Expected travel: up to 25%

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Hospital engagement and relationship management
  • Collaborate with hospital-based physicians and other stakeholders (e.g., nurses, case managers, social workers) to coordinate care transitions from the outpatient and institutional environments
  • Deliver targeted education to Optum’s hospital-based physicians on best practices spanning documentation and care coordination
  • Provide strategic direction to navigate conversations and drive alignment across multiple stakeholder groups (Optum Health, Hospitals, SNF’s, Home Health Vendors, etc.)
  • Own the ongoing relationship with key stakeholders at multiple levels across hospital systems, vendors, and Optum Health businesses
• Clinical leadership for operational teams
  • Lead JOC’s with medical group partners and hospital-based stakeholders
  • Establish and maintain evidence-based standards for clinical documentation and care coordination activities
  • Navigate professional body guidelines, published literature, coding rules and regulations to provide thought leadership and recommended actions to hospital-based physicians
  • Develop standard operating procedures specific to high-frequency chief complaints and diagnoses
  • Perform longitudinal outcome reviews and quality assurance for operational teams
• Partnership with market clinical leaders
  • Builds/maintains/manages market stakeholder relationships across multiple layers and functions
  • Lead physician-to-physician discussions and problem-solving with medical group leaders, hospitalists, specialists, market CMO’s, and clinical leaders from market vendors and service providers
  • Guide analytical efforts to identify and quantify new opportunities to improve the value of services delivered in the institutional setting to reduce low-value utilization while also improving quality, patient and provider experience
  • Proactively work with team to synthesize and communicate findings and bring together multiple stakeholders to deploy programs
  • Plans and facilitates regional Steering Committee meetings with clinical leaders
• Emotional maturity for effective change management
  • Establish solid and lasting, trust-based relationships within team and external partners
  • Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability
  • Take initiative and self-start attitude to approach problems with energy and passion
  • Demonstrate preference for working in a tight-knit team environment with diverse professional groups
  • Utilize a solid fact base to influence and lead physicians and support staff to implement change programs
• Ensures overall program success
  • Reducing barriers for program implementation teams, including anticipating and responding to…