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Chief Medical Officer

Company: OptumCare
Location: Tacoma
Posted on: September 16, 2020

Job Description:

Business Offices Full time R0073628 1304 S Fawcett Ave Suite 200, Tacoma, Washington, 98402, United States of America

JOB SUMMARY: The Chief Medical Officer will be responsible for developing, translating and executing strategies or functional/operational objectives for Optum Care Network. Responsible for oversight of ambulatory quality, utilization management and total cost of care for value based contracts.

Essential Functions

Research/analyze clinical or other data/information (e.g., medical records, claims data, authorization data, appeals data)

Read/interpret medical/clinical literature and apply understanding of research study design and quality of clinical evidence

Review/interpret policies, accreditation standards, regulations, etc. related to medical/clinical topics

Conduct assessments of medical policies/policy implementation and clinical operations within the organization and department

Gather/review clinical and other information related to specific cases or decisions (e.g., contact and listen to providers; case managers)

Provide feedback to team members and other departments to refine decision making and promote a shared understanding of

benefit or coverage decisions

Document case summaries and clinical determinations that are clear/understandable for appropriate audiences

PREFERRED QUALIFICATIONS:

Knowledge, Skills & Abilities:

Extensive experience in clinical leadership roles, leading and coaching physicians to be the best they can be for their patients and their colleagues

Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data to drive clinical strategy and program redesign

Excited by process of developing and implementing new processes

Understanding of Risk, STARS and HEDIS and can balance various complex portfolios

Belief that population health and a focus on smart allocation of scarce resources can lead to high value care (better care, lower cost), both in terms of quality and safety

Possesses strong  leadership

Excellent communication skills, both written and verbal

Proven understanding of data analysis tools

Ability to lead in an evolving environment

Education :

A Medical degree and board certification in family medicine, emergency care, or occupational health.

A license and certification to practice medicine.

Board certification in Internal Medicine or Family Medicine required

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Posted Date 08/03/2020 Location Tacoma, Washington, United States of America Internal/External Category Business Offices Job Type Full time

Meet Our Empowered Medical Professionals At Optum, we are transforming health care with innovative care models and technology and pushing the boundaries of what’s possible in health care. Help us push aside the limits and discover endless opportunities to make an impact and start doing  your life's best work. SM

Don't have time to apply or don't see the right role yet?

Optum is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, Optum provides administrative and business support services to both its owned and affiliated medical practices which are part of Optum. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. Optum’s support services do not interfere with or control the practice of medicine provided by the medical practices of any of their physicians.

Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: OptumCare, Tacoma , Chief Medical Officer, Other , Tacoma, Washington

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