AmeriChoice Chief Medical Officer - Great Opportunity in Sunrise, Florida!

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Company:
 
UnitedHealth Group
Company Profile | Current Opportunities (36)
Job Location(s): Sunrise
Employment Term: Regular
Employment TypeFull Time
Start Date:As soon as possible
Starting Salary Range:Not Provided
Required Experience: Open
Related Categories:Management and Supervision, Hospital Positions, Healthcare - Administration/Billing

Position Description

AmeriChoice Chief Medical Officer - Great Opportunity in Sunrise, Florida!-322935
Description
AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
Position Summary:
The Market Medical Director has accountability for ensuring that Clinical Operations initiatives focus on affordability, clinical excellence, growth and focused improvements are implemented and successfully managed to achieve targets.
Primary Responsibilities:
  • Responsible for leadership and execution of all market medical expense management and clinical quality activities.
  • Responsibilities for MEM activities include hospital data sharing, physician data sharing, managing the onsite nurses and catastrophic nurse case managers if appropriate.
  • Oversee the HEDIS data collection process and drive Health Plan accreditation activities.
  • Deliver the clinical value proposition in support of the sales and growth activities of the Health Plan including conducting Broker/Client presentations and participating in customer consultations.
  • Responsible for identifying opportunities through participation in local Medical Expense Committees or Market reviews.
  • Responsible for oversight and direct management of Health Plan staff to include completion of performance appraisals, annual salary planning, time and attendance management, overall employee satisfaction, etc.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
Qualifications
Qualifications:
  • Unrestricted Medical Licensed Physician required
  • Requires Medical license in FL or eligibility to obtain MD licensure in FL
  • Board Certified in ABMS specialty required
  • 5 years clinical practice experience required
  • Utilization Management experience required
Additional Assets Preferred:
  • Excellent telephonic communication skills; excellent interpersonal communication skills.
  • Ability to develop relationships with network and community physicians and other providers.
  • Strong knowledge of managed care industry.
  • Excellent project management skills.
  • Data analysis and interpretation skills.
  • Ability to focus on key metrics.
  • Excellent presentation skills for both clinical and non clinical audiences.
  • Familiarity with current medical issues and practices.
  • Creative problem solving skills.
  • Visibility and involvement in medical community.
  • Strong team player and team building skills.
  • Supervisory skills including clinical mentoring and coaching skills
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Job Clinical Analysis & Consulting
Primary LocationUS-FL-Sunrise
Organization AMC Florida
Schedule Full-time
Number of Openings 1

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