Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
Position will have the responsibility of management of Clinical Operations function for Optum Global. This is a trained physician who is capable to provide guidance and decisions in complex clinical cases.
This position will manage clinical operations in Optum Global Advantage (OGA). The processes may include Intake, Prior Authorization, Utilization Management, Inpatient Care Management, Case Management, Appeals and other functions within clinical area. This is a trained physician who is capable to provide guidance and decisions in complex clinical cases and will work to improve evidence based clinical decision-making capability. The Director will serve as a trusted adviser to operations and business partners in the US bringing in thought leadership and critical thinking to achieve the overall goals of clinical capability across UHC and Optum. The Director will have credentials at par with the MD in the US thereby bringing in parity and credibility in peer to peer conversations.
Primary Responsibilities:
Day to Day Operations Management such as people management, inventory management, performance metrics management and other operation hygiene governance
Critically analyze the work being performed by operations
Coach clinical staff to include USRN and PHRN, physicians and non-medical staff
Examine processes and coordinate with operations team to guarantee medical quality
Lead the clinical training and continuing education programs and activities to guarantee medical care quality
Oversee policies and procedures and ensure staff compliance with any federal and state regulations and codes in the various businesses supporting stateside
Participate in various clinical and administrative meetings with stateside leaders and partners
Oversee Optum Global Advantage nurse rounds (MD rounds)
Lead to help bridge the gap between Philippine and US Registered nursing talent
Develop nurse knowledge and on-the-job experience programs to support nurse journey from novice to expert stage
Serve as an Expert in helping drive automation and technology advancements pertaining to clinical functions and processes
Coordinate with various upstream and downstream functions to provide feedback and work collaboratively to improve the business outcomes
Coordinate and have discussions with stateside partners
Meet cost and productivity expectations
Drive automation and technology enhancements
Provide leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff
Provide leadership to medical teams to achieve the daily and overall goals to improve overall quality of care for our members and patients
Work most often impacts a large business unit, or multiple markets/sites
Building relationships and working collaboratively with various stakeholders and support functions
Develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
Work with others to resolve business problems that affect multiple functions or disciplines
Partner to make product, service or process decisions. These decisions are most likely to impact multiple functions and/or customer accounts (internal or external)
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
Valid license and certification to practice medicine
10 or more years of experience as Director in Payer/Provider setting or in clinical medicine in general
10 or more years of operations experience
Superb judgement, problem solving and cognitive skills
Strong executive presence and stakeholder management
Strong communication, interpersonal and presentation skills
Excellent leadership, managerial and organizational skills
Current knowledge of medicine and best practices
Good computer and electronic record skills
Able to represent Optum Global in local clinical market
Preferred Qualifications:
Medical degree and Board certification in Family Medicine, Emergency Care, Internal Medicine in the US
Physician with a consulting/training background
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)
Diversity creates a healthier atmosphere: Optum 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.
Optum is a drug-free workplace. © 2021 Optum Global Solutions (Philippines) Inc. All rights reserved.
Job Keywords: Director, Clinical Operations, Clinical Medicine, General Management, Medicine, MD, Medical Doctor, Payer, Provider, Operations, Taguig City, NCR, National Capital Region
UnitedHealth Group
Position will have the responsibility of management of Clinical Operations function for Optum Global. This is a trained physician who is capable to provide guidance and decisions in complex clinical cases.
This position will manage clinical operations in Optum Global Advantage (OGA). The processes may include Intake, Prior Authorization, Utilization Management, Inpatient Care Management, Case Management, Appeals and other functions within clinical area. This is a trained physician who is capable to provide guidance and decisions in complex clinical cases and will work to improve evidence based clinical decision-making capability. The Director will serve as a trusted adviser to operations and business partners in the US bringing in thought leadership and critical thinking to achieve the overall goals of clinical capability across UHC and Optum. The Director will have credentials at par with the MD in the US thereby bringing in parity and credibility in peer to peer conversations.
Primary Responsibilities:
Day to Day Operations Management such as people management, inventory management, performance metrics management and other operation hygiene governance
Critically analyze the work being performed by operations
Coach clinical staff to include USRN and PHRN, physicians and non-medical staff
Examine processes and coordinate with operations team to guarantee medical quality
Lead the clinical training and continuing education programs and activities to guarantee medical care quality
Oversee policies and procedures and ensure staff compliance with any federal and state regulations and codes in the various businesses supporting stateside
Participate in various clinical and administrative meetings with stateside leaders and partners
Oversee Optum Global Advantage nurse rounds (MD rounds)
Lead to help bridge the gap between Philippine and US Registered nursing talent
Develop nurse knowledge and on-the-job experience programs to support nurse journey from novice to expert stage
Serve as an Expert in helping drive automation and technology advancements pertaining to clinical functions and processes
Coordinate with various upstream and downstream functions to provide feedback and work collaboratively to improve the business outcomes
Coordinate and have discussions with stateside partners
Meet cost and productivity expectations
Drive automation and technology enhancements
Provide leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff
Provide leadership to medical teams to achieve the daily and overall goals to improve overall quality of care for our members and patients
Work most often impacts a large business unit, or multiple markets/sites
Building relationships and working collaboratively with various stakeholders and support functions
Develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
Work with others to resolve business problems that affect multiple functions or disciplines
Partner to make product, service or process decisions. These decisions are most likely to impact multiple functions and/or customer accounts (internal or external)
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
Valid license and certification to practice medicine
10 or more years of experience as Director in Payer/Provider setting or in clinical medicine in general
10 or more years of operations experience
Superb judgement, problem solving and cognitive skills
Strong executive presence and stakeholder management
Strong communication, interpersonal and presentation skills
Excellent leadership, managerial and organizational skills
Current knowledge of medicine and best practices
Good computer and electronic record skills
Able to represent Optum Global in local clinical market
Preferred Qualifications:
Medical degree and Board certification in Family Medicine, Emergency Care, Internal Medicine in the US
Physician with a consulting/training background
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)
Diversity creates a healthier atmosphere: Optum 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.
Optum is a drug-free workplace. © 2021 Optum Global Solutions (Philippines) Inc. All rights reserved.
Job Keywords: Director, Clinical Operations, Clinical Medicine, General Management, Medicine, MD, Medical Doctor, Payer, Provider, Operations, Taguig City, NCR, National Capital Region
UnitedHealth Group
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Taguig City, Metro Manila
Permanent
Full-time
Permanent
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