About this role
Description
- 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.UnitedHealthcare's Market CMOs serve as the local senior clinical executive for their line of business, with accountability for:Achieving defined clinical outcomes, affordability goals and growth targets, in partnership with their health plan leadership teamProvide clinical insight into market data and implementing tailored interventions to address clinical trends and opportunities for their state or regionServing as a central health plan leader accountable to facilitate coordination with UnitedHealthcare and Optum national clinical and operational functionsActively engage and help drive performance with market-level quality, network, and compliance teamsBuilding and deepening relationships with area hospitals, physicians, and other health care providersAdvocate for UnitedHealthcare's clinical value story, evidence-based medical policies, and member health with government/state regulatory entities, professional and medical society chapters, employers, and as part of external communications and media relationsProvides subject/specialty based clinical expertise and leadership to UCS and the enterprise, as neededIf you are located in Missouri, you will have the flexibility to work remotely* as you take on some tough challenges.Primary Core Accountabilities:Clinical Affordability - CMOs are responsible for achieving their assigned incremental savings goal and support the national savings target for the year. Driving savings is a two-pronged, data-driven approach of local response and national implementation, where CMOs lead targeted clinical inventions to address local market trends and needs, and support on-the-ground alignment with national utilization management programs. Inform and drive local and national affordability initiatives: CMOs are expected to apply healthcare economics insights and escalate local issues and trends.Network / Provider Engagement - The CMO serves as the local clinical point of contact for physicians, systems, and other care providers and with UnitedHealth Networks colleagues. Key activities include UHC's Accountable Care Platform, value-based contracting, clinical practice transformation, patient-centered medical homes, and transparency initiatives such as UnitedHealth Premium® Designation and/or High Performing Physicians. The CMO meets regularly with hospitals and physician groups and shares data on quality and efficiency improvement opportunities and developing action plans for sub-optimal results.Market Relationships - The CMO is the clinical face of UnitedHealthcare to elected officials, policy makers, plan sponsors, medical and