Market Medical Director - OH and MI

UnitedHealth Group

  • Columbus, OH
  • Permanent
  • Full-time
  • 1 month ago
Optum Home & Community Care Solutions, part of the UnitedHealth Group family of businesses, is seeking a Market Medical Director (MMD) to lead clinical strategy and quality initiatives across Ohio and Michigan markets. This role is central to our mission of delivering integrated, patient-centered care that addresses the physical, mental, and social needs of our members.As a member of the broader Home and Community Care team, you’ll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. 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 Caring. Connecting. Growing together.The MMD will serve as a key member of the Market Leadership Team, working closely with the Market Executive Director and Director of Clinical Operations. The MMD provides clinical oversight, supports care delivery consultation, and drives quality and affordability initiatives across the Optum at Home program.This position is supporting the OH and MI market, but you can live anywhere in the U.S. if you are willing to travel about 10% of the time to those states.Primary Responsibilities:
Clinical Leadership & Strategy:
  • Partner with market leaders to develop and execute clinical strategies that improve patient outcomes and reduce avoidable utilization
  • Provide clinical consultation and support to advanced practice clinicians (APCs) and care teams
  • Serve as a subject matter expert in geriatrics, palliative care, and population health management
  • Participate in the development and implementation of Market Action Plans (MAPs) using data-driven insights
Quality & Performance Improvement:
  • Lead initiatives to meet NCQA, HEDIS, and Model of Care (MOC) standards
  • Support quality improvement efforts, including documentation accuracy and clinical education
  • Investigate and resolve quality-of-care concerns and patient complaints
  • Monitor and drive performance against key clinical and operational metrics
Team Collaboration & Education:
  • Collaborate with interdisciplinary teams (IDTs) to ensure coordinated, high-quality care
  • Provide ongoing education and mentorship to clinical staff, including case reviews and training on clinical protocols
  • Participate in clinical escalations and co-visits as needed
Community & Health Plan Engagement:
  • Build relationships with community providers, health systems, and health plan partners
  • Represent Optum at Home in meetings with Chief Medical Officers and other stakeholders
  • Advocate for the clinical model and support business development efforts
Standardization & Compliance:
  • Support the Regional Medical Officer in enforcing clinical standardization across the market
  • Ensure compliance with state-specific collaborative practice agreements and regulatory requirements
  • Participate in enterprise-wide initiatives and special projects as needed
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:
  • MD or DO with an active, unrestricted medical license
  • Able and willing to obtain an OH medical license
  • Board Certified or Board Eligible in Internal Medicine, Family Medicine, Emergency Medicine, Geriatrics, or Palliative Medicine
  • 5+ years of clinical experience with geriatric or seriously ill populations
  • Demonstrated experience in clinical leadership, quality improvement, and interdisciplinary collaboration
  • Solid understanding of managed care principles, utilization management, and healthcare delivery systems
Preferred Qualifications:
  • Advanced degree (MBA, MPH, etc.) or equivalent leadership experience
  • Experience in home-based or community-based care models
  • Familiarity with Medicare Advantage, SNP regulations, and risk adjustment methodologies
  • Excellent communication, presentation, and strategic thinking skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $238,000 to $357,500 annually based on full-time employment. We comply with all 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.OptumCare is an Equal Employment Opportunity employer under applicable law and 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 local, state, or federal laws, rules, or regulations.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group