Associate Medical Director, Risk Education - Part Time Remote - Medicare Risk Adjustment and HCC Coding Education
Join the Team at UnitedHealth Group: Shaping the Future of Healthcare
UnitedHealth Group, a leading health care organization, is seeking an experienced clinician to join our team as an Associate Medical Director, Risk Education - Part Time Remote. This role offers a unique opportunity to make a difference in the lives of people across New York, New Jersey, and Connecticut, working with state-of-the-art technology and a talented team of professionals who share your passion for helping people feel their best.
About UnitedHealth Group
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe that everyone, regardless of their background, deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities and improves health outcomes.
Job Summary
The Associate Medical Director, Risk Education - Part Time Remote will play a critical role in supporting our Medicare risk adjustment education efforts. Working closely with the Medical Director for Risk Adjustment and the Chief Clinical and Value Officer in Optum East, this key physician will provide expertise in risk adjustment and HCC coding education for the markets in the Optum Health East region. This role requires collaboration, strong communication skills, and the ability to build relationships across all levels of the organization.
Key Responsibilities:
- Provide clinical risk education to physicians and APCs on appropriate diagnosis coding and supporting documentation, including risk education sessions and materials for clinicians in primary care and specialties.
- Develop and implement organization-wide training on changes or updates to HCC Coding and communicate new suspected conditions.
- Design programs to ensure all diagnosed conditions and appropriate codes are supported by documentation in the patient chart.
- Educate physicians and APCs to ensure appropriate practices related to risk adjustment activities, HEDIS measures, and gaps in care throughout the market.
- Work with the Medical Director, Risk Adjustment to establish a competency baseline for provider performance, monitor progress, and develop tailored strategies to improve performance.
- Inform physicians and APCs around year-over-year changes to the Medicare risk adjustment and provide thought leadership.
- Build and maintain relationships with market stakeholders across multiple layers and functions.
- Participate in regulatory and accreditation activities, as applicable.
- Demonstrate emotional maturity for effective change management and establish solid, trust-based relationships within the team and with external partners.
Requirements and Qualifications
Essential Qualifications:
- Current unrestricted license to practice medicine and actively providing direct patient care in adult medicine (M.D. or D.O.).
- Board certification in a medical specialty, including Internal Medicine or Family Medicine.
- 5+ years of clinical experience.
- Direct experience with Risk Adjustment diagnosis coding as a provider.
- Solid knowledge of electronic health records, including experience in chart review.
- Proven ability to influence without authority and successfully operate in a dynamic and changing environment.
- Proven ability to implement complex programs and monitor implementation and necessary modifications.
- Proven solid presentation and persuasion skills, with the ability to speak clearly and lead discussions with senior executives and large groups.
Preferred Qualifications:
- Solid baseline knowledge of Risk Adjustment and other Pay for Performance Programs.
- Proven ability to understand and navigate the organization's culture, think strategically and tactically, and maintain competency and enhance professional growth and development through continuing education.
- Proven ability to form solid relationships with peers in practice and leadership.
- Proven credibility among the medical staff as a provider.
- Proven belief in and enthusiasm for the role of Pay for Value to improve the delivery of care.
What We Offer
At UnitedHealth Group, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. Our compensation package is competitive, with a salary range of $286,104 to $397,743 annually for New York residents. We also offer:
- Flexible work arrangements, including remote work options.
- Opportunities for professional growth and development.
- A culture of continuous improvement and accountability.
- A diverse and inclusive work environment.
- A commitment to mitigating our impact on the environment and delivering equitable care.
Why Join Us?
By joining our team as an Associate Medical Director, Risk Education - Part Time Remote, you will have the opportunity to make a difference in the lives of people across the region. You will work with a talented team of professionals who share your passion for helping people feel their best. We offer a dynamic and supportive work environment, opportunities for professional growth and development, and a comprehensive benefits package.
How to Apply
If you are a motivated and experienced clinician looking for a new challenge, we encourage you to apply for this exciting role. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!