At Prospero, part of the Optum and UnitedHealth Group family of businesses, your work will empower people with complex health conditions to live their best life. Whether you’re joining us in a clinical or non-clinical role, your contributions will help patients write their next chapters with joy and dignity. Help us build a new kind of health care that operates by establishing trust as the centerpiece of medical care. We will provide you with career growth opportunities, comprehensive benefits, brilliant coworkers and more to help you redefine what loving care looks like. Join a team of people with a heart for service and start doing your life's best work.(sm)
The Associate Medical Director (AMD) provides direct and indirect medical care and population health management to patients served by the Homebased Medical Care team. This role reports directly to the Market Medical Director. This role also provides clinical and operational oversight to a team of physicians and advanced level practitioners assigned to them. The AMD also acts as a leader for the zone’s physician Pod leader, APPs and other interdisciplinary team patients, all accountable for serving a patient population and/or geography within a market.
The AMD directs and helps build the capacity of a team of providers in a zone to manage a population of complex patients, and is responsible for achieving clinical outcomes, optimizing utilization/costs, and ensuring high patient satisfaction within that zone. This position is a blend of direct and indirect patient care and administrative duties.
Direct & Indirect Patient Care
Provide direct patient care to HbMC patients not less than one full day per week (or 20%-25% FTE) in face-to-face visits
Complete comprehensive chart reviews and ride alongs of providers in their respective zone in order to ensure high quality care of patients
Participate in the market on call schedule and provide telephonic on-call coverage that require telephonic triage based on market needs
Support advanced level practitioners with in-person or telephonic clinical consultations
Provide real time supervision of Urgentivist Extenders (paramedics or RNs/LPNs/LVNs) as needed
Review reports and data to improve population health for patients within their zone and patient panel
Provide clinical leadership, oversee quality and execute clinical operations within a defined zone
Oversee the application of specific measurements of quality and ensure that all providers consistently meet thresholds
Remain current in the knowledge of geriatrics, utilization management, quality management, managed care principals and new clinical developments and technologies
Participate in the continuous assessment and improvement of the quality of care provided to patients
At the direction of the Market Medical Director participate in the resolution of medically related grievances
Team Performance Management
Supervise Physician POD leaders and advanced practice practitioners (APP) directly reporting to AMD, including conducting regular 1:1s, proactively providing performance feedback, reviews and mentorship, overseeing provider education, in-service training, and orientation
Serve as a Collaborating Physician to assigned Nurse Practitioners as required under the laws of the applicable state
Support the Market Medical Director in recruiting advanced practice practitioners and physicians, ensuring the pursuit of talent with the appropriate mix of clinical skills and behavioral qualities to retain a high performing team
Proactive ownership for zone’s performance against key clinical and operational performance metrics
Ownership of onboarding support and clinical education to providers in the zone and as directed by the MMD
Assist with creating, publishing and participating in the call schedule, approving PTO and other administrative activities
Delegate non-direct clinical activities as above to APC supervisors as allowed
Interdisciplinary Team Leadership
Lead and participate in interdisciplinary team meetings, including case reviews that engage the full team, teaching on relevant clinical topics, and training on new protocols and workflows
Participate in provider and physician meetings
Join daily huddle with a focused team of interdisciplinary staff
Health Plan & Community Relations
Assist Market Medical Director in enhancing community relationships with targeted and local hospitals, PCPs, community acute care, SNF, LTC and ALF facilities in the market
Act as a local leader and advocate for the Homebased Medical Care model with community providers and delivery systems and other community partners or potential business partners
Serve as an advocate for the team with community providers when escalation is necessary and ensure appropriate resolution
Participate in client meetings as directed by the MMD
Strategy & Standardization
Support implementation of centrally led initiatives and develop market-led improvement initiatives
Support Market Medical Director when needed for meetings within and outside of Homebased Medical Care
Participate actively in all Peer Review activities
Other duties as assigned by the Market Medical Director
Reports directly to the Market Medical Director
To perform the job successfully, an individual should demonstrate the following competencies:
Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics
Technical Skills - Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others
Interpersonal Skills - Focuses on solving conflict; maintains confidentiality; listens to others; keeps emotions under control and overcomes resistance when necessary; remains open to new ideas
Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and seeks clarification; responds openly to questions. Must be able to deal with frequent change, delays, or unexpected events
Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time
Initiative - Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Medical Doctorate or Doctorate of Osteopathy
Current, valid, non-sanctioned, non-restricted license to practice medicine in the state or multiple states corresponding with the needs of the assigned and covered patients
Board Certified or Board Eligible with preference in Internal Medicine, Geriatrics or Palliative Medicine sub-specialty, Family Practice or Emergency Medicine
2+ years of clinical experience, home-based car
Extensive experience in providing medical care to geriatrics and/or seriously ill patients
Experience in leading teams of physicians and mid-level providers in delivering high-quality, cost-effective care
Experience in recruiting and hiring medical talent along with continuous supervision of the medical care
Experience in coaching patients of the health care team to provide excellent care or, if needed, determine deficiencies in care and formulate a plan for improvement
Familiarity with Medicare Guidelines
Familiarity with CPT and ICD-10 codes as related to billing practices.
Malpractice profile meets Optum’s risk guidelines
Ability to meet all HbMC Credentialing Requirements
Knowledge of clinical standards of care
Current in the knowledge of geriatrics, palliative medicine, utilization management, quality management, managed care principals and new clinical developments and technologies
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful
Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
Ability to analyze staffing needs sufficient to care for the patient panel
Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
**PLEASE NOTE** The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis (“Internal Candidates”) are not eligible to receive a Sign On Bonus.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.