National Accounts Sr. Medical Director - Remote

UnitedHealth GroupTampa, FL
Remote

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The National Accounts Medical Director (NA MD) serves as the senior clinical leader for an assigned national Book of Business, supporting large, complex employer clients with proactive, data-driven medical and cost-management insights. This role is designed to function similarly to a Market Medical Director, with a strong focus on anticipatory trend management, utilization strategy, and executive-level clinical consultation. The NA MD partners closely with Client Account Executives (CAEs), Clinical Insights strategists, Business Analysts, Sales leadership, and network partners to interpret complex medical and pharmacy data, identify emerging cost drivers, and translate insights into actionable recommendations that reduce future medical trends and improve plan performance. This is a highly visible, consultative role requiring strong clinical credibility, analytical rigor, and the ability to influence decision-making across clinical, financial, and executive stakeholders. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

  • Active and unrestricted medical license
  • Current Board Certification in an ABMS/AOBMS Specialty
  • 5+ years of clinical practice experience
  • Solid knowledge of managed care industry
  • Familiarity with current medical issues and practices
  • Solid knowledge of health care utilization data and analytics
  • Proven ability to identify an improvement opportunity through data, implement a solution and achieve measurable impact
  • Solid data analysis and interpretation skills; metrics-driven mindset
  • Ability and experience in developing collaborative relationships with health system clinical leadership
  • Proven ability to develop relationships with network and community physicians and other providers
  • Ability to travel within the assigned market
  • Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
  • Capability to quickly become facile with UHC / UHG-specific data systems

Nice To Haves

  • Experience supporting large, national employer accounts
  • Comfort presenting complex clinical and financial concepts to senior HR, finance, and executive audiences
  • Demonstrated success operating in matrixed, cross-functional environments
  • Solid executive presence with the ability to balance clinical integrity and business outcomes
  • Excellent interpersonal communication skills; ability to influence in executive settings
  • Superior presentation skills for both clinical and non-clinical audiences

Responsibilities

  • Serve as the senior clinical lead for approximately 20 assigned national employer clients, with accountability for the clinical performance and cost trajectory of the assigned Book of Business.
  • Shift client engagement away from retrospective claim reviews toward forward-looking trend management, emerging risk identification, and proactive solutioning.
  • Support CAEs by translating complex clinical and utilization insights into clear, client-ready messaging, recommendations, and talking points.
  • Analyze and interpret medical and pharmacy utilization data, including inpatient, outpatient, ER utilization, prior authorization trends, high-cost drivers, and trend outliers.
  • Leverage enterprise reporting tools, Power BI dashboards, market trend reports, and Business Analyst outputs to identify improvement opportunities with measurable impact.
  • Connect medical policy, network, regulatory, and legal changes to client-specific data to assess financial and member impact.
  • Develop metrics-driven recommendations that focus on reducing current and future medical spend.
  • Deliver executive-level clinical guidance to employer HR and benefits leadership, consultants, and brokers.
  • Provide forward-looking insights on network changes, provider disruptions, mandate updates, utilization shifts, and value creation initiatives.
  • Support Quarterly Business Reviews and strategic planning discussions, presenting regional and client-level performance trends, strengths, risks, and opportunities.
  • Partner closely with Clinical Insights teams, Business Analysts, Market Medical Directors, network leaders, and value creation teams to align solutions and share best practices.
  • Participate in recurring market and national forums to review performance, compare trends, and discuss enterprise-wide improvement opportunities.
  • Develop collaborative relationships with health system clinical leadership, network providers, and community physicians to support alignment and execution.
  • Provide clinical leadership and mentorship to assigned CAEs, including coaching on data interpretation, client questions, and clinical positioning.
  • Drive consistency, quality, and clarity in how insights are developed and delivered across the Book of Business.
  • Contribute to the development of new playbooks, templates, and standards that support the evolving NA Medical Director role.
  • Support performance tracking across assigned clients and regions, including trend reduction, utilization metrics, insight delivery, and issue resolution.
  • Maintain strong focus on measurable outcomes, ensuring recommendations are tied to clear data, impact estimates, and follow-up tracking.

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution

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What This Job Offers

Job Type

Full-time

Career Level

Senior

Education Level

Ph.D. or professional degree

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