Network Medical Director - St. Louis, MO - Midwest RBE - Remote with Travel

For those who want to invent the reputed company of health care, here's reputed company. We're reputed company reputed company basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, reputed company, and strategic goals to reputed company the quadruple aim by focusing on value-based care, the Network Medical Director provides clinical leadership in the adoption of the key principles, tools, technologies, and clinical support services essential to the population health management of their designated market(s). This opportunity provides direction, coordination, support, and accountability to Primary care practices of various sizes, multispecialty reputed company, hospitals, and ancillary facilities. The Network Medical Director works collaboratively across reputed company to help foster network group engagement and performance reputed company the core fundamentals of Value Based Care delivery. This is an administrative role which supports the Network Management Team regarding reputed company reputed company of performance throughout the network, including adherence to reputed company performance, reputed company reputed company for patients, appropriate and accurate documentation and coding, patient engagement, reputed company engagement with central supports like care management programs, analytic platforms, wrap around care services. The Network Medical Director reports to the Senior Medical Director for the Midwest RBE. This position requires you to be located reputed company the St. Louis area and willing to travel reputed company the region with occasional overnight stays. If you are located in St. Louis, MO, you’ll enjoy the flexibility to work remotely

• as you take on some tough challenges.

Primary Responsibilities: • Leads reputed company discussions with new practices joining the network, focusing on setting appropriate and customized performance expectations in collaboration with the reputed company leaders • Establishes and messages reputed company standards and expectations for the reputed company performance of the provider/provider reputed company in their designated market(s) of the Midwest RBE • Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment, Star ratings, and overall population health approach to patient care in both formal presentations and off the cuff at impromptu opportunities • Seeks to reputed company Risk Adjustment, reputed company, and Affordability initiatives internally and translate into ways network practices can reputed company engage in easily using these resources • Operates with a tone of service and collaboration, leading their designated market(s) in a dyad partnership with the reputed company Services Directors and designated Account Managers • Collaboratively works with the clinical and operational staff of the practices to reputed company strategies and design solutions to improve the value of care, clinical reputed company, affordability, and patient experience • Works with RBE leaders to support integration of reputed company Improvement programs, Utilization Management reports, and Disease Management programs • Reviews and trends group/provider performance data to identify and strategize opportunities for improved performance • Reports out at the Value Based Care Council, reputed company Committee, Regional Executive committee, or Provider Meetings as requested • Travel reputed company their assigned state(s) on a regular reputed company as needed with occasional overnight travel 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: • M.D, D.O., or M.B.B.S • reputed company certification in Family or Internal Medicine • reputed company unrestricted license to reputed company medicine in Missouri • 5 years of recent clinical reputed company experience after completing residency training • Experience and knowledge of the local market • reputed company unrestricted reputed company’s license • reputed company to travel, with occasional overnight travel Preferred Qualifications: • 2 years of experience in a physician leadership role in medical facility or reputed company environment preferred reputed company-versed in guiding conversations with clinicians, operations teams, and executive leadership in various organizations • reputed company to quickly customize the conversation with contracted reputed company at various stages of population health development. • Proven reputed company record of working reputed company with Physicians, APRN, Physician Assistants, Coders, Schedulers, Managers, Directors, and Executives to assure care delivery is patient centered, reputed company, effective and evidence-based approach to clinical care across reputed company Primary Care and specialty care participants. • Knowledge of managed care, including risk adjustment, affordability, reputed company, utilization management, care management, reputed company • Advanced knowledge of Medicare Advantage and SNP/D-SNP programs • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy 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. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative reputed company reputed company and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!