East Division Medical Director – SMA

UnitedHealth Group•Las Vegas, NV

13h•$240,500 - $394,500•Onsite

About The Position

Optum NV is seeking a Associate Medical Director to join our team in Las Vegas, NV. 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, you’ll be an integral part of our vision to make healthcare better for everyone. The Division Medical Director, Primary Care, is a member of the leadership team and responsible for the quality, cost and service levels of health care provided by the Primary Care division. This position works closely with the Senior Medical Director to direct, manage and evaluate primary care practice operations. This position is also responsible for planning, implementing and monitoring of activities in direct support of patient satisfaction, quality improvement, utilization and quality management. This position is 50 percent clinical outpatient and 50 percent administrative. Southwest Medical is headquartered in the greater Las Vegas, NV area.

Requirements

Active and unrestricted medical license in the State of Nevada or ability to obtain prior to employment
Board certification in a postgraduate clinical specialty

Nice To Haves

1+ years of experience in primary care medical group practice
Management experience and prior executive oversight experience in a clinical setting
Experience in medical utilization management, medical quality assurance, quality improvement techniques, risk management and a prepaid environment
Proven extensive knowledge of primary care operations; solid knowledge of management practices, human relations, consensus building and collaborative ability
Proven solid oral and written communication techniques and be professionally respected by peers; leadership ability; demonstrated expertise in the primary care setting

Responsibilities

Provide leadership and communication for primary care physician leaders, physicians and clinical staff
Responsible for effective interviewing, selection, orientation, development and retention of primary care providers
Partner with medical management staff to promote clinical process improvement and access enhancement
Ensure effective quality assurance and risk management processes
Ensure customer satisfaction and compliance with regulatory standards
Ensure cost effective delivery of health care within the primary care practice management operations
Ensure that all NCQA and other accreditation standards are met
Establish direct relationship with key departments including pharmacy, underwriting, medical adjudication, claims and provider relations, and assist with issues and/or concerns