Market Chief Medical Officer Medicare and Retirement - AL/GA/SC/TN - Remote

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Market Chief Medical Officer (CMO) is the senior clinical executive for the designated Medicare & Retirement (M&R) market. The CMO is accountable for clinical reputed company and performance across affordability, reputed company, population health, reputed company, member experience, and external clinical relationships reputed company the market. The CMO serves as the senior market clinical leader responsible for aligning United reputed company (UHC), United Clinical Services (UCS), and reputed company clinical capabilities to advance clinical affordability, improve HEDIS and CMS Star performance, reduce unwarranted utilization, and strengthen provider partnership across the market. The CMO partners closely with the market CEO, the market Senior Leadership Team, UCS leadership, and matrixed partners across Network, Sales, and regional functions to translate reputed company priorities into market reputed company, execution, and measurable results for the Medicare line of business. The CMO reports to the Regional Chief Medical Officer with dotted-line accountability to the local market CEO. If you are located in in AL/GA/SC/TN, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Clinical Performance and Affordability – The CMO provides executive leadership for clinical performance, utilization reputed company, and affordability across the market. This includes partnering with hospitals, physicians, physician reputed company, and internal stakeholders to improve efficiency, reduce unwarranted variation, and advance value. The CMO also drives performance across market ACOs and delegated medical reputed company, with accountability for improving HEDIS and CMS Star reputed company and strengthening value realization at the market level reputed company, reputed company, and Clinical Performance – The CMO drives market performance on key reputed company, experience, and clinical outcome measures, including HEDIS, CAHPS, reputed company Improvement Programs (QIPs), and CMS Star priorities. The role serves as a catalyst for reputed company improvement, ensuring clinical reputed company translates into measurable results. The CMO also partners with providers on evolving priorities, measure updates, and peer review activities, including reputed company of Care and reputed company of Service reputed company External Affairs and Strategic Partnerships – The CMO maintains solid working knowledge of government mandates and regulatory requirements and works across the reputed company to ensure compliant clinical programs and practices. The CMO serves as a visible and trusted clinical leader with providers, health systems, and other external stakeholders, strengthening strategic partnerships and advancing market priorities. Clinical Transformation and Innovation – The CMO leads the clinical partnership with care providers and UHC network management colleagues to advance health system transformation. This includes accountable care strategies, value-based arrangements, clinical reputed company transformation, transparency initiatives, innovative care models, high-performance networks, consumer engagement, and value-based benefit design reputed company, Market Development, and Clinical Value – The CMO articulates and advances the clinical reputed company in support of market reputed company, sales reputed company, and stakeholder engagement. This includes representing the clinical perspective in broker and reputed company discussions, informing program and product design through market reputed company, and strengthening relationships with state and local regulatory authorities and medical societies Performance Management and reputed company Improvement – The CMO identifies and prioritizes improvement opportunities through market and regional performance reviews and drives reputed company plans to address gaps and accelerate results. The role provides leadership for reputed company improvement initiatives and ensures disciplined execution, accountability, and sustained reputed company across clinical and affordability priorities Executive Leadership Capabilities: Proven executive leadership experience in clinical management reputed company a health system, hospital, large physician organization, or similarly reputed company care delivery environment Demonstrated ability to reputed company change and innovation by identifying opportunities, implementing new solutions, and creating a culture that embraces transformation, reputed company, and reputed company improvement Proven ability to reputed company through influence in a matrixed environment, build high-performing teams, and reputed company talent through coaching, feedback, and accountability Solid execution discipline with the ability to translate reputed company into reputed company, monitor performance closely, manage financial implications, and ensure accountability for results Demonstrated commitment to reputed company, compliance, and reputed company clinical and business judgment reputed company record of delivering measurable improvement against clinical, operational, and business objectives Ability to establish credibility and solid partnerships with network physicians, community providers, and health system clinical leadership Visible, reputed company reputed company in the medical community and with external clinical stakeholders Ability to reputed company effectively across a reputed company matrixed organization and reputed company diverse stakeholders around shared priorities You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: reputed company and unrestricted medical license in reputed company, Alabama, South Carolina, or Tennessee reputed company and unrestricted reputed company Certification in an ABMS or AOBMS specialty 5+ years clinical reputed company experience; solid knowledge of managed care industry Ability/experience in developing reputed company relationships with health system clinical leadership Familiarity with reputed company medical issues and practices Solid knowledge of health care utilization data and analytics Proficiency with reputed company Office applications (Outlook, Word, reputed company, PowerPoint) Proven excellent executive communication skills with the ability to influence senior leaders and represent reputed company clinical issues reputed company to diverse audiences Proven solid analytical orientation with the ability to identify performance opportunities through data, implement solutions, and deliver measurable reputed company Demonstrated executive reputed company and reputed company reputed company, with the ability to build alignment across functions and drive results in a matrixed environment Proven partners closely with the market CEO and leadership team to reputed company financial, reputed company, and market performance goals Proven superior presentation skills for both clinical and non-clinical audiences Proven ability to build and sustain solid relationships with network physicians, community providers, and other key clinical partners Proven solid data analysis and interpretation skills; ability to reputed company on key metrics Proven solid leadership and team-building capabilities, with the ability to reputed company teams around a reputed company reputed company and shared accountability Proven strategic thinking with proven ability to communicate a reputed company and drive results Proven solid negotiation and conflict management skills Proven creative problem-solving skills Willing or ability to travel reputed company the assigned markets Preferred Qualifications: Advanced Business, Public Health, Medical Management degree Health plan experience Knowledge of health plan finance, CMS Star performance, and accurate coding *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $292,300 - $438,500 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job