Chief Medical Officer - UCS Clinical Assessment Review Expert
MINNETONKA, MNPosted 18 days ago
Job summary
Job post source
This job is directly from UnitedHealthcare
Job overview
The Chief Medical Officer - UCS Clinical Assessment Review Expert leads clinical and operational strategies to optimize utilization management programs, impacting quality, compliance, and financial performance at UnitedHealthcare.
Responsibilities and impact
The role involves executive leadership over the CARES team, managing clinical and operational outcomes of utilization management programs, collaborating with internal and external partners, analyzing clinical data for improvements, and communicating program outcomes to stakeholders.
Compensation and benefits
The salary range is $191,800 to $364,800 annually with benefits including a comprehensive package, incentive programs, equity stock purchase, and 401k contributions, subject to eligibility.
Experience and skills
Requires MD or DO with unrestricted license, 10+ years clinical practice, 5+ years leadership in utilization management, managed care experience, proficiency with evidence-based guidelines, and strong business acumen.
Career development
The role offers development opportunities through challenging assignments, leadership responsibilities, and potential growth within UnitedHealthcare's medical management structure.
Work environment and culture
UnitedHealthcare promotes a mission-driven, equitable, and inclusive culture focused on improving health outcomes and removing barriers to care, with remote work flexibility.
Company information
UnitedHealthcare is a leading health care company focused on simplifying health care, creating healthier communities, and making the system more affordable and equitable.
Team overview
The candidate will lead the CARES team, including nurses and a medical director, collaborating with multiple internal and external stakeholders across the organization.
Job location and travel
This position is remote, allowing work from anywhere within the U.S.
Application process
Applications are accepted for a minimum of 2 business days or until a sufficient candidate pool is collected, with early closing possible due to volume; drug testing is required before employment.
Unique job features
The role uniquely combines clinical leadership with business strategy in a high-impact, nationally focused utilization management program with significant influence on clinical and financial outcomes.
Company overview
UnitedHealthcare is a leading health insurance provider in the United States, offering a wide range of health benefit plans and services to individuals, employers, and Medicare and Medicaid beneficiaries. They generate revenue through premiums, fees for service, and government contracts. Founded in 1977, the company is part of UnitedHealth Group, which is recognized for its innovation in healthcare management and technology. Understanding their commitment to improving health outcomes and reducing healthcare costs is crucial for any potential candidate.
How to land this job
Tailor your resume to emphasize your executive leadership in clinical and operational business management within Utilization Management, highlighting experience with UM programs like Inpatient Concurrent Review and Prior Authorization.
Showcase your strategic collaboration skills with cross-functional teams including Medical Management, Healthcare Economics, and Line of Business partners, focusing on improving clinical quality, compliance, and affordability.
Apply through multiple channels such as UnitedHealthcare's corporate career site, LinkedIn job postings, and relevant healthcare job boards to maximize your application visibility.
Connect with professionals in the Medical Management division at UnitedHealthcare on LinkedIn, using ice breakers like commenting on recent clinical initiatives or asking about key challenges in UM programs to start meaningful conversations.
Optimize your resume for ATS by incorporating keywords from the job description such as 'Utilization Management,' 'clinical leadership,' 'healthcare economics,' 'InterQual,' 'URAC,' and 'NCQA' to ensure it passes automated screenings.
Leverage Jennie Johnson's Power Apply feature to automate tailored applications, identify multiple application platforms, and discover LinkedIn contacts for networking, allowing you to focus your energy on preparing for interviews and strategic follow-ups.
Jennie Johnson works for you!
Here’s what we do to make sure you’re successful:
Targeted Resume Revamp:
We expertly craft your resume to navigate Applicant Tracking Systems (ATS) and showcase your qualifications, making you stand out as a top-tier candidate.
Job Description Dissection:
Unpack the job posting with expert analysis, ensuring your application hits every key requirement.
Bespoke Cover Letter:
Capture the attention of hiring managers with a personalized cover letter that highlights how your skills align perfectly with the job's needs.
Interview Mastery:
Prepare for interviews like a pro with likely questions, strategic answers, and insightful questions for you to ask, setting you apart as an informed candidate.
Direct Application Insights:
Receive tailored advice on the best places to apply, ensuring your applications are seen by the right employers.
Skills and Gaps Assessment:
Identify and close critical skills gaps to position yourself as the best-fit candidate for your ideal job.
Personalized Email Pitch:
Make a memorable first impression with an email template crafted to engage potential employers and initiate meaningful conversations.
In-depth Research Guide:
Leverage comprehensive research tools to gather effective insights on companies, industry trends, and role-specific challenges.
Detailed Company Analysis:
Gain in-depth understanding of your prospective employer, giving you the edge in applications and interviews.
Strategic Candidate Overview:
Understand your unique value and why companies would want to interview you, highlighting your background and positioning.