UnitedHealth Group

The Chief Medical Officer (CMO) for Optum Behavioral and Optum Health Solutions will report to the Chief Medical Officer for Optum Health, with dotted line reporting to the Optum Behavioral and Optum Health Solutions CEO. This leader will be responsible for providing strategic and clinical direction for, and development of, programs designed to optimize quality, affordability and delivery of behavioral health care services across Optum Health.. Working closely across Optum care delivery organizational and with OBHS and OHS product, analytics and operations organizations, the leader will seek ways to enhance and quantify the value of existing services and the development of new products and solutions to address emerging opportunities.. Clinical Strategy: Develop and direct evidence-based programs to optimize behavioral health care quality, affordability and delivery, aligning with Optum Health's clinical strategy. Integration and Collaboration: Support and consult in the organization of clinical businesses into cohesive units; integrate behavioral health with other Health Solutions product lines and engage with Optum care delivery organizations and leadership to advance program integration. Stakeholder Engagement: Represent Optum Health and OBHS with external stakeholders, including investors, benefit consultants, customers, regulators and the press

chief medical officer

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.Join us to start Caring. Connecting. Growing together. The Chief Medical Officer (CMO) for Optum Behavioral and Optum Health Solutions will report to the Chief Medical Officer for Optum Health, with dotted line reporting to the Optum Behavioral and Optum Health Solutions CEO. This leader will be responsible for providing strategic and clinical direction for, and development of, programs designed to optimize quality, affordability and delivery of behavioral health care services across Optum Health. This leader will be 100% dedicated to Behavioral Health. The Chief Medical Officer must be a deep subject matter expert in behavioral health clinical strategy and care delivery. This role will drive execution and change through collaboration and relationships. Working closely across Optum care delivery organizational and with OBHS and OHS product, analytics and operations organizations, the leader will seek ways to enhance and quantify the value of existing services and the development of new products and solutions to address emerging opportunities. This role will develop strategies to address existing and emerging clinical and affordability needs of external and internal customers, while partnering closely with our business development and operations teams to ensure the clinical and growth strategies are effectively executed. The role will require proficiency in presenting on clinical programs in front of diverse audiences, including external stakeholders. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: <ul><li>Clinical Strategy: Develop and direct evidence-based programs to optimize behavioral health care quality, affordability and delivery, aligning with Optum Health's clinical strategy</li><li>Quality Improvement: Promote high-quality healthcare services, collaborating across functions to implement continuous quality improvement and patient safety initiatives</li><li>Integration and Collaboration: Support and consult in the organization of clinical businesses into cohesive units; integrate behavioral health with other Health Solutions product lines and engage with Optum care delivery organizations and leadership to advance program integration</li><li>Product Development: Provide clinical direction and oversight for OBHS strategies and product developments, enhancing existing services and developing new products to meet market opportunities</li><li>Health Outcomes: Design and execute programs to improve health outcomes, implementing evidence-based care models and clinical pathways</li><li>Data Analytics: Lead the development of clinical data analytics and reporting to support clinical outcomes for benefit programs and care delivery</li><li>Operational Partnership: Work with operational teams to address quality and affordability variations and partner with operations and business development to determine scalability and growth markets</li><li>Stakeholder Engagement: Represent Optum Health and OBHS with external stakeholders, including investors, benefit consultants, customers, regulators and the press</li><li>Communication and Response: Develop technical/clinical communications for external audiences and respond to high-level questions and complaints from various stakeholders.</li><li>Mentorship: Provide guidance and support to medical professionals within the company, fostering continuous learning and growth</li><li>Innovative Health Solutions: Develop and implement health solutions focusing on preventive care, chronic disease management and overall wellness</li><li>Technology Collaboration: Collaborate with technology and data teams to leverage advanced analytics, AI and machine learning for personalized health solutions</li><li>Digital Health Integration: Lead the integration of digital health tools and telehealth services into care models</li><li>Care Management: Oversee comprehensive care management programs to ensure seamless transitions and continuity of care</li><li>Partnerships: Work with pharmaceutical and medical device partners to incorporate advancements in treatment and technology</li><li>Value-Based Care: Drive the adoption of value-based care models, aligning provider incentives with patient outcomes</li><li>Regulatory Compliance: Ensure compliance with regulatory requirements and industry standards for health solutions products and services</li><li>Advocacy: Engage with external stakeholders to advocate for policies supporting innovative health solutions</li><li>Performance Monitoring: Evaluate health solutions programs, using data-driven insights for continuous improvement</li><li>Provider Education: Lead efforts to educate healthcare providers on new health solutions, fostering innovation and continuous improvement</li></ul> 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: <ul><li>Doctorate of Medicine (MD or DO) degree with unrestricted medical license</li><li>Board certified in Psychiatry and/or Internal Medicine or equivalent medical degree</li><li>10+ years of behavioral clinical practice experience and 5+ years in managed care industry with strong knowledge of managing behavioral benefit risk</li><li>5+ years of behavioral managed care experience across the continuum of care including acute and chronic condition management, utilization management and preventative services</li><li>Deep understanding of primary care including experience in practice setting, with experience developing integrated medical and behavioral health care programs</li><li>Familiarity with commercial, government and provider markets and experience setting clinical policy for wellness, case management, disease management and specialized networks</li><li>Demonstrated accomplishments in the areas of behavioral care delivery systems, utilization management, case management, disease management, quality management, product development and peer review</li><li>Solid financial and business acumen</li><li>Prior experience in leading and developing teams</li><li>Experience in client-facing customer relationship management</li><li>Excellent presentation skills for both clinical and non-clinical audiences</li><li>Past success working collaboratively in a highly-matrixed environment</li><li>Ability to navigate ambiguity and seek appropriate resources/tools</li><li>Self-motivated and able to work with little direct supervision and drive results with disciplined follow-though</li><li>Solid strategic thinking and business acumen with the ability to align clinical related strategies and recommendations with business objectives</li><li>Solid belief in evidence-based medicine and familiarity with current behavioral issues and practices</li></ul> All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $408,278 to $594,626 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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 . click apply for full job details

START NEW SEARCH