Career Center

Optum Home & Community Care, part of the UnitedHealth 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 Landmark product, we help bring home-based medical care to complex, chronic patients. 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 our team, it’s your chance to improve the lives of millions while doing your life’s best work.(sm) 

The Associate Medical Director (AMD) provides direct and indirect medical care and population health management to patients served by the Homebased Medical Care team. This role reports directly to the Market Medical Director. This role also provides clinical and operational oversight to a team of physicians and advanced level practitioners assigned to them. The AMD also acts as a leader for the zone’s physician Pod leader, APPs and other interdisciplinary team patients, all accountable for serving a patient population and/or geography within a market

The AMD directs and helps build the capacity of a team of providers in a zone to manage a population of complex patients, and is responsible for achieving clinical outcomes, optimizing utilization/costs, and ensuring high patient satisfaction within that zone. This position is a blend of direct and indirect patient care and administrative duties.

Primary Responsibilities: 

Direct & Indirect Patient Care

• Provide direct patient care to HbMC patients not less than one full day per week (or 20%-25% FTE) in face-to-face visits.
• Complete comprehensive chart reviews and ride alongs of providers in their respective zone in order to ensure high quality care of patients
• Participate in the market on call schedule and provide telephonic on-call coverage that require telephonic triage based on market needs
• Support advanced level practitioners with in-person or telephonic clinical consultations
• Provide real time supervision of Urgentivist Extenders (paramedics or RNs/LPNs/LVNs) as needed
• Review reports and data to improve population health for patients within their zone and patient panel
• Provide clinical leadership, oversee quality and execute clinical operations within a defined zone
• Oversee the application of specific measurements of quality and ensure that all providers consistently meet thresholds
• Remain current in the knowledge of geriatrics, utilization management, quality management, managed care principals and new clinical developments and technologies
• Participate in the continuous assessment and improvement of the quality of care provided to patients
• At the direction of the Market Medical Director participate in the resolution of medically related grievances

Team Performance Management

• Supervise Physician POD leaders and advanced practice practitioners (APP) directly reporting to AMD, including conducting regular 1:1s, proactively providing performance feedback, reviews and mentorship, overseeing provider education, in-service training, and orientation
• Serve as a Collaborating Physician to assigned Nurse Practitioners as required under the laws of the applicable state.
• Support the Market Medical Director in recruiting advanced practice practitioners and physicians, ensuring the pursuit of talent with the appropriate mix of clinical skills and behavioral qualities to retain a high performing team
• Proactive ownership for zone’s performance against key clinical and operational performance metrics
• Ownership of onboarding support and clinical education to providers in the zone and as directed by the MMD
• Assist with creating, publishing and participating in the call schedule, approving PTO and other administrative activities
• Delegate non-direct clinical activities as above to APC supervisors as allowed

Interdisciplinary Team Leadership

• Lead and participate in interdisciplinary team meetings, including case reviews that engage the full team, teaching on relevant clinical topics, and training on new protocols and workflows
• Participate in provider and physician meetings
• Join daily huddle with a focused team of interdisciplinary staff

Health Plan & Community Relations

• Assist Market Medical Director in enhancing community relationships with targeted and local hospitals, PCPs, community acute care, SNF, LTC and ALF facilities in the market
• Act as a local leader and advocate for the Homebased Medical Care model with community providers and delivery systems and other community partners or potential business partners
• Serve as an advocate for the team with community providers when escalation is necessary and ensure appropriate resolution
• Participate in client meetings as directed by the MMD

Strategy & Standardization

• Support implementation of centrally led initiatives and develop market-led improvement initiatives

Other

• Support Market Medical Director when needed for meetings within and outside of Homebased Medical Care
• Participate actively in all Peer Review activities
• Other duties as assigned by the Market Medical Director.

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: 

• Medical Doctorate or Doctorate of Osteopathy
• Current, valid, non-sanctioned, non-restricted license to practice medicine in the state or multiple states corresponding with the needs of the assigned and covered patients
• Board Certified or the ability to become Board Certified in Internal Medicine, Geriatrics or Palliative Medicine sub-specialty, Family Practice, or Emergency Medicine in accordance with board and state requirements
• Current DEA or the ability to obtain in accordance with board and state requirements
• Current in the knowledge of geriatrics, palliative medicine, utilization management, quality management, managed care principals and new clinical developments and technologies
• Have experience in leading teams of physicians and mid-level providers in delivering high-quality, cost-effective care
• Experience in recruiting and hiring medical talent along with continuous supervision of the medical care delivered
• Experience in coaching patients of the health care team to provide excellent care or, if needed, determine deficiencies in care and formulate a plan for improvement
• Ability to meet all HbMC Credentialing Requirements
• Extensive experience in providing medical care to geriatrics and/or seriously ill patients
• Familiarity with Medicare Guidelines
• Familiarity with CPT and ICD-10 codes as related to billing practices
• Malpractice profile meets Optum’s risk guidelines
• Knowledge of clinical standards of care
  
• Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy

Preferred Qualifications: 

• 2+ years clinical experience, home-based care
• Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
• Ability to analyze staffing needs sufficient to care for the patient panel

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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.