UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Ingenix Medical Director - Eden Prairie, Minnesota-313563
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
Medical Director for Quality: A physician with experience in provider quality measurement to play a major role in planning, researching, implementing, and maintaining quality measures.
- This position will provide an opportunity to develop and maintain products used in provider quality measurement and disease/care management programs.
- It represents a unique opportunity to participate and provide leadership in a fast moving, highly matrixed environment blending the worlds of medicine, technology, and business on a national stage.
- The Medical Director for Quality will be an important part of a core team responsible for all methodologies related to quality measurement.
- The team includes other medical informaticists, analysts, and developers.
- The medical director will serve as a consultant and content expert within UnitedHealthcare on issues related to quality measurement.
- In addition, the medical director will serve as a subject matter expert representing Ingenix quality measurement activities to various external bodies including customers, national organizations, key medical groups or hospitals.
Description of role: Medical Director, Quality
- Report to the Medical Director of EBM Connect
- Provide clinical expertise and leadership in the ongoing identification, development and maintenance of quality measures
- Identify gaps in the current quality measures and methodologies and develop plans to address them (e.g., applicable specialties, attribution methodology, data integrity, and overall strengths and limitations)
- Work with customers and project teams that use Symmetry EBM Connect
- Identify new clinical data sources for quality measurement
- Participate in quality measurement research and testing initiatives
- Work with external organizations, including national and physician specialty organizations, to advance quality measurement collaboration
- Review new proposed quality measure from sources such as NQF, CMS, and the AMA PCPI
- Develop methodology related to risk and other adjustments for quality measures
- Assist with quality measurement transparency efforts
- Identify and submit quality measures for national endorsement
- Present at conferences, sales and internal training meetings
- Minneapolis area preferred; limited remote work (up to 50 percent) a possibility
- Travel up to 10%
Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. Qualifications Qualifications:
- The successful candidate will have a solid background in clinical medicine as well as formal training and/or practical experience in the review and development of quality measures for quality improvement programs and related initiatives.
- Health plan experience and intimate knowledge of information systems, claims data, risk adjustment and working with large databases, and tools are required.
- Experience with health services research techniques, query languages, statistical analysis, and reporting would be helpful and preferred.
- Medical degree (MD or DO) and current license REQUIRED
- Five years clinical experience (current board certification preferred) REQUIRED
- Five years experience in a managed care organization, health plan, or large provider system
- Experience in medical informatics, including quality performance measurement, and related methodologies
Desirable additional qualifications:
- Advanced degree (masters or doctorate) relevant to provider performance assessment (e.g., medical informatics, health economics, public health, business administration, law)
- Formal training or relevant experience in quality measurement and related initiatives
- Leadership skills and experience
- Direct supervisory experience
The successful candidate will
- Be able to work in a fast-paced, dynamic environment in a highly-matrixed corporate structure
- Be a strong team player with team building skills
- Have strong organizational abilities and be able to work and manage to specific deliverables and deadlines
- Have excellent verbal and written communication skills
- Be able to listen to and learn from diverse external stakeholders, take into account their concerns in relation to UnitedHealthcare programs, and bring positive energy for change to the discussion
- Have creative problem solving skills
- Be a strategic thinker
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
