TN - Remote

UnitedHealth Group•Nashville, TN

6d•$292,300 - $438,500•Remote

About The Position

The Market Chief Medical Officer (CMO) is the senior clinical executive for the designated Medicare & Retirement (M&R) market. The CMO is accountable for clinical strategy and performance across affordability, quality, population health, growth, member experience, and external clinical relationships within the market. The CMO serves as the senior market clinical leader responsible for aligning United Healthcare (UHC), United Clinical Services (UCS), and Optum clinical capabilities to advance clinical affordability, improve HEDIS and CMS Star performance, reduce unwarranted utilization, and strengthen provider partnership across the market. The CMO partners closely with the market CEO, the market Senior Leadership Team, UCS leadership, and matrixed partners across Network, Sales, and regional functions to translate enterprise priorities into market strategy, execution, and measurable results for the Medicare line of business. The CMO reports to the Regional Chief Medical Officer with dotted-line accountability to the local market CEO. If you are located in in AL/GA/SC/TN, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

Active and unrestricted medical license in Georgia, Alabama, South Carolina, or Tennessee
Active and unrestricted Board Certification in an ABMS or AOBMS specialty
5+ years clinical practice experience; solid knowledge of managed care industry
Ability/experience in developing collaborative relationships with health system clinical leadership
Familiarity with current medical issues and practices
Solid knowledge of health care utilization data and analytics
Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
Proven excellent executive communication skills with the ability to influence senior leaders and represent complex clinical issues clearly to diverse audiences
Proven solid analytical orientation with the ability to identify performance opportunities through data, implement solutions, and deliver measurable impact
Demonstrated executive presence and enterprise mindset, with the ability to build alignment across functions and drive results in a matrixed environment
Proven partners closely with the market CEO and leadership team to achieve financial, quality, and market performance goals
Proven superior presentation skills for both clinical and non-clinical audiences
Proven ability to build and sustain solid relationships with network physicians, community providers, and other key clinical partners
Proven solid data analysis and interpretation skills; ability to focus on key metrics
Proven solid leadership and team-building capabilities, with the ability to align teams around a clear vision and shared accountability
Proven strategic thinking with proven ability to communicate a vision and drive results
Proven solid negotiation and conflict management skills
Proven creative problem-solving skills
Willing or ability to travel within the assigned markets

Nice To Haves

Advanced Business, Public Health, Medical Management degree
Health plan experience
Knowledge of health plan finance, CMS Star performance, and accurate coding

Responsibilities

Provides executive leadership for clinical performance, utilization strategy, and affordability across the market. This includes partnering with hospitals, physicians, physician groups, and internal stakeholders to improve efficiency, reduce unwarranted variation, and advance value. The CMO also drives performance across market ACOs and delegated medical groups, with accountability for improving HEDIS and CMS Star outcomes and strengthening value realization at the market level
Drives market performance on key quality, experience, and clinical outcome measures, including HEDIS, CAHPS, Quality Improvement Programs (QIPs), and CMS Star priorities. The role serves as a catalyst for continuous improvement, ensuring clinical strategy translates into measurable results. The CMO also partners with providers on evolving priorities, measure updates, and peer review activities, including Quality of Care and Quality of Service matters
Maintains solid working knowledge of government mandates and regulatory requirements and works across the enterprise to ensure compliant clinical programs and practices. The CMO serves as a visible and trusted clinical leader with providers, health systems, and other external stakeholders, strengthening strategic partnerships and advancing market priorities.
Leads the clinical partnership with care providers and UHC network management colleagues to advance health system transformation. This includes accountable care strategies, value-based arrangements, clinical practice transformation, transparency initiatives, innovative care models, high-performance networks, consumer engagement, and value-based benefit design
Articulates and advances the clinical value proposition in support of market growth, sales strategy, and stakeholder engagement. This includes representing the clinical perspective in broker and client discussions, informing program and product design through market insight, and strengthening relationships with state and local regulatory authorities and medical societies
Identifies and prioritizes improvement opportunities through market and regional performance reviews and drives action plans to address gaps and accelerate results. The role provides leadership for continuous improvement initiatives and ensures disciplined execution, accountability, and sustained progress across clinical and affordability priorities