Optum
Associate Medical Director, Risk Education Remote- Field Base
Optum, New York, New York, United States
Overview
Optum East , (formerly Optum Tri-State NY) is seeking a Part-Time Medical Director, Risk Education to join our team in NY/NJ. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, youll be an integral part of our vision to make healthcare better for everyone. At Optum, youll have clinical resources, data and support of a global organization behind you to help your patients live healthier lives. This role offers the opportunity to contribute new practice ideas and initiatives that could improve care for millions of patients across the country. Caring. Connecting. Growing together. The Optum Health East region is seeking an experienced Part-Time clinician to support our Medicare risk adjustment education efforts. Working with the Medical Director for Risk Adjustment and the Chief Clinical and Value Officer in Optum East, this physician will provide expertise in risk adjustment and clinical documentation education for markets in the Optum Health East region. This role is part of a team focused on supporting clinicians to provide the highest level of care possible. This role partners with external physicians and leaders and requires collaboration and the ability to build relationships across all levels of the organization to ensure goals are met. The physician will be comfortable interacting daily with clinicians at all levels, as well as frontline clinicians and operational staff. If you are willing to work 2-3 days on site at various locations, you will have the flexibility to work remotely as you take on some tough challenges. This is a Remote Field-Based role. Primary Responsibilities
Clinical risk adjustment and documentation education Provides ongoing, targeted mentoring and education to physicians and APCs on appropriate diagnosis coding and supporting documentation including: Risk education sessions and materials for clinicians in both primary care and specialties Organization-wide training on changes or updates to risk adjustment models Programs designed to ensure all diagnosed conditions and appropriate codes are supported by documentation in the patient chart Educates physicians and APCs to ensure appropriate practices related to risk adjustment activities, HEDIS measures and gaps in care throughout the market Works with the Medical Director, Risk Adjustment to establish a competency baseline for provider performance; monitor progress of providers receiving mentoring and develop tailored strategies to improve performance Informs physicians and APCs about year-over-year changes to Medicare risk adjustment to provide thought leadership and assist in carrying out recommended actions Provides clinical support for embedded nurse practitioner programs Supports clinical documentation education program alignment and prioritization across the region Partnership with operational leaders Builds/maintains/ manages market stakeholder relationships across multiple layers and functions Monitor wrap-around programs for effectiveness and assist in coordination, adoption and resolving barriers to achieve outcomes Participates in regulatory and accreditation activities, as applicable Emotional maturity for effective change management Establish solid and lasting trust-based relationships within the team and external partners Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability Take initiative and a 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 Ensure overall program success Reducing barriers for program implementation teams, including anticipating and responding to potential roadblocks Active problem solving to meet evolving challenges in a highly dynamic environment Distribute performance management reporting to market leaders and synthesize information for adjustment and optimization Conduct deep-dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement Work collaboratively to inform new, innovative, or complementary program ideas at scale Collaborate with other team members to align on meeting expectations and material preparation Interact with senior management by providing thoughtful analysis on key decision points to drive initiatives forward Local travel to provider locations as needed Other duties as assigned and participate in early morning and evening meetings as needed Qualifications
Required Qualifications: M.D. or D.O. degree Current unrestricted license to practice medicine Board certified in Family Medicine or Internal Medicine 5+ years of clinical experience Direct experience with Risk Adjustment diagnosis coding as a provider Solid knowledge of electronic health records, including chart review experience Demonstrated ability to influence without authority Demonstrated ability to operate effectively in a dynamic and changing environment Demonstrated ability to implement complex programs and monitor implementation and necessary modifications Demonstrated ability to manage multiple priorities and deadlines Proven innovative thought process and problem-solving skills Solid presentation skills; ability to lead change management in a matrixed environment and communicate with senior executives and large groups Solid verbal and written communication skills Willingness or ability to continue to see primary care patients Preferred Qualifications: Knowledge of Risk Adjustment and other Pay for Performance Programs Ability to understand and navigate organizational culture; strategic and tactical thinking; professional development through continuing education Ability to form solid relationships with peers in practice and leadership Credibility among medical staff as a provider Belief in Pay for Value to improve delivery of care Effective listening and negotiating skills and patience *All employees working remotely will be required to adhere to UnitedHealthcare Group's Telecommuter Policy. Salary for this part-time role ranges from $104,500 to $156,000 annually based on part-time employment. This defines total cash compensation at target; actual range and pay mix depend on experience, metrics, and location. UnitedHealthcare Group complies with all applicable wage laws and offers a comprehensive benefits package, incentive programs, equity stock purchase and 401k contributions. Benefits are subject to eligibility requirements. OptumCare is an Equal Employment Opportunity employer. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr
Optum East , (formerly Optum Tri-State NY) is seeking a Part-Time Medical Director, Risk Education to join our team in NY/NJ. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, youll be an integral part of our vision to make healthcare better for everyone. At Optum, youll have clinical resources, data and support of a global organization behind you to help your patients live healthier lives. This role offers the opportunity to contribute new practice ideas and initiatives that could improve care for millions of patients across the country. Caring. Connecting. Growing together. The Optum Health East region is seeking an experienced Part-Time clinician to support our Medicare risk adjustment education efforts. Working with the Medical Director for Risk Adjustment and the Chief Clinical and Value Officer in Optum East, this physician will provide expertise in risk adjustment and clinical documentation education for markets in the Optum Health East region. This role is part of a team focused on supporting clinicians to provide the highest level of care possible. This role partners with external physicians and leaders and requires collaboration and the ability to build relationships across all levels of the organization to ensure goals are met. The physician will be comfortable interacting daily with clinicians at all levels, as well as frontline clinicians and operational staff. If you are willing to work 2-3 days on site at various locations, you will have the flexibility to work remotely as you take on some tough challenges. This is a Remote Field-Based role. Primary Responsibilities
Clinical risk adjustment and documentation education Provides ongoing, targeted mentoring and education to physicians and APCs on appropriate diagnosis coding and supporting documentation including: Risk education sessions and materials for clinicians in both primary care and specialties Organization-wide training on changes or updates to risk adjustment models Programs designed to ensure all diagnosed conditions and appropriate codes are supported by documentation in the patient chart Educates physicians and APCs to ensure appropriate practices related to risk adjustment activities, HEDIS measures and gaps in care throughout the market Works with the Medical Director, Risk Adjustment to establish a competency baseline for provider performance; monitor progress of providers receiving mentoring and develop tailored strategies to improve performance Informs physicians and APCs about year-over-year changes to Medicare risk adjustment to provide thought leadership and assist in carrying out recommended actions Provides clinical support for embedded nurse practitioner programs Supports clinical documentation education program alignment and prioritization across the region Partnership with operational leaders Builds/maintains/ manages market stakeholder relationships across multiple layers and functions Monitor wrap-around programs for effectiveness and assist in coordination, adoption and resolving barriers to achieve outcomes Participates in regulatory and accreditation activities, as applicable Emotional maturity for effective change management Establish solid and lasting trust-based relationships within the team and external partners Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability Take initiative and a 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 Ensure overall program success Reducing barriers for program implementation teams, including anticipating and responding to potential roadblocks Active problem solving to meet evolving challenges in a highly dynamic environment Distribute performance management reporting to market leaders and synthesize information for adjustment and optimization Conduct deep-dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement Work collaboratively to inform new, innovative, or complementary program ideas at scale Collaborate with other team members to align on meeting expectations and material preparation Interact with senior management by providing thoughtful analysis on key decision points to drive initiatives forward Local travel to provider locations as needed Other duties as assigned and participate in early morning and evening meetings as needed Qualifications
Required Qualifications: M.D. or D.O. degree Current unrestricted license to practice medicine Board certified in Family Medicine or Internal Medicine 5+ years of clinical experience Direct experience with Risk Adjustment diagnosis coding as a provider Solid knowledge of electronic health records, including chart review experience Demonstrated ability to influence without authority Demonstrated ability to operate effectively in a dynamic and changing environment Demonstrated ability to implement complex programs and monitor implementation and necessary modifications Demonstrated ability to manage multiple priorities and deadlines Proven innovative thought process and problem-solving skills Solid presentation skills; ability to lead change management in a matrixed environment and communicate with senior executives and large groups Solid verbal and written communication skills Willingness or ability to continue to see primary care patients Preferred Qualifications: Knowledge of Risk Adjustment and other Pay for Performance Programs Ability to understand and navigate organizational culture; strategic and tactical thinking; professional development through continuing education Ability to form solid relationships with peers in practice and leadership Credibility among medical staff as a provider Belief in Pay for Value to improve delivery of care Effective listening and negotiating skills and patience *All employees working remotely will be required to adhere to UnitedHealthcare Group's Telecommuter Policy. Salary for this part-time role ranges from $104,500 to $156,000 annually based on part-time employment. This defines total cash compensation at target; actual range and pay mix depend on experience, metrics, and location. UnitedHealthcare Group complies with all applicable wage laws and offers a comprehensive benefits package, incentive programs, equity stock purchase and 401k contributions. Benefits are subject to eligibility requirements. OptumCare is an Equal Employment Opportunity employer. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr