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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The C&S Plan Chief Medical Officer has accountability for ensuring that Washington health plan, Enterprise Clinical Services (ECS) and UnitedHealthcare (UHC) initiatives focusing on clinical excellence, quality improvement, member experience with their health care, appropriate inpatient and outpatient utilization, affordability, health system transformation including provider network, compliance with regulatory mandates, growth and other focused improvements are implemented and successfully managed to achieve goals. This position reports to the Washington C&S health plan Chief Executive Officer and has a dotted line relationship to the C&S West National Chief Medical Officer. The Washington C&S Plan CMO’s primary responsibilities are directed towards C&S plan activities as defined by the C&S plan CEO. The WA C&S CMO collaborates with other health plan leadership (COO, CFO, Health Services Director) along with Enterprise Clinical Services (ECS), commercial and Medicare business sector leadership and other market and regional matrix partners to support and implement programs to meet C&S health plan, C&S line of business, ECS and UHC goals.
If you are located in Washington, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Demonstrable Skills and Experiences:
The CMO’s skills and experiences will encompass all 5 of UnitedHealthcare’s core values - integrity, compassion, relationships, innovation, and performance
Proven ability to execute and drive improvements against stated goals. Drive disciplined fact-based decisions through effective use of financial knowledge and data (performance, integrity) Deliver value to members by optimizing the member experience and maximizing member growth and retention (performance, compassion) Lead and influence Health Plan employees by fostering teamwork and collaboration, driving employee engagement, and leveraging diversity and inclusion (relationships, compassion) Develop and mentor others while also building awareness to your own strengths and development needs; identify and invest in high-potential colleagues; actively manage underperformance (relationships, performance) Focus staff on the company's mission; inspire superior performance; ensure understanding of strategic context; set clear performance goals; focus energy on serving the customer; provide ongoing communication to the team; discontinue non-critical efforts (relationships, performance) Influence and negotiate effectively to arrive at win-win solutions (relationships, performance) Communicate expectations and present effectively, listen actively and attentively to others, and convey genuine interest (relationships, compassion) Execute with discipline and urgency: Drive exceptional performance; deliver value to the customer; closely monitor execution; drive operational excellence; get directly involved when needed and delegate work to maximize productivity; actively manage financial performance; balance speed with analysis; ensure accountability for results. CMO is a leadership position within the health plan, a part of the “C” Suite, a skilled General Manager with clinical expertise (all 5) Broad range of clinical expertise, able to represent health plan goals in context for wide range of clinical care, including behavioral health integration, improved care for diverse disadvantaged populations, in many health care settings - primary and specialty care, hospital and facility care, and use of community and ancillary services (relationships, integrity, performance) Drive change and innovation though continually seeking and implementing innovative solutions; create a culture that thrives on continuous change; inspire people to stretch beyond their comfort zone; take well-reasoned risk; challenge "the way it has always been done"; change direction as required (innovation) Model and demand integrity and compliance (integrity) Has a positive, flexible, and informed account management approach when working with members of the Washington’s Health Care Authority and other governmental stakeholders (relationship) Visibility and involvement in medical community (relationships, compassion) Experience and capability as a general medical expert witness for appeals dispute resolution processes, such as state Fair Hearings (performance, integrity, compassion, relationships) Experience and leadership with mitigating disparities and expanding diversity and inclusion in health care (relationships, performance, compassion, innovation) Experience and understanding of the sovereignty of tribes in working relationships with the health plan (relationships) Bilingual skills desirable - in any of the languages common in Washington State (relationships)
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.
Required Qualifications:
Active/unrestricted Medical License in the State of Washington Board Certified in an ABMS or AOBMS specialty 5+ years clinical practice experience; solid knowledge of managed care industry and the Medicaid line of business 2+ years Quality management experience Familiarity with current medical issues and practices Proficiency with Microsoft Office applications Adept at use of medical literature, assessing evidence for/against tests and treatments Proven solid leadership skills, as demonstrated by continuously improved results, team building, and effectiveness in a highly matrixed organization Proven excellent interpersonal communication skills Proven superior presentation skills for diverse audiences, including social media skills Proven ability to develop relationships with network and community physicians and other providers Proven solid data analysis and interpretation skills; ability to focus on key metrics Proven solid team player and team builder Proven to be a capable participant and project management collaborator Proven strategic thinker with proven ability to communicate a vision and drive results Proven solid negotiation and conflict management skills Proven creative problem-solving skills Driver’s License and access to a reliable transportation
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Compensation for this specialty generally ranges from $278,000 - $417,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.