National Medical Director Clinical Program Governance, Evaluation, and Innovation - Remote

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The UHC Nation Medical Director Clinical Program Governance, Evaluation and Innovation is part of the UCS Clinical Evidence Group. This physician is responsible for supporting and driving key clinical program governance, disciplined evaluation, and leading a team testing innovative solutions and care models in close collaboration with the National CMO of the UCS Clinical Evidence Group. The portfolio of efforts for which the incumbent will provide guide and lead, in collaboration with the National CMO of CEG 3includes: Clinical Program Governance process and team which is charged with ensuring deployed clinical programs represent our best opportunity to improve health, optimize member and provider experience while reducing unwarranted healthcare spending. The core process (Clinical Program Review (CPR)) evaluates clinical programs annually for program performance and design as well alignment our member and health plan needs. The process aims to optimize our clinical program investments, ensuring that the portfolio reflects our best opportunity to improve health, enhance experience, and reduce unwarranted spending. The CPR governance effort also includes: 1. support of early program development through the clinical program Ideation Front Door (IFD) process and, 2. Clinical review of vendor candidates for the UHC & Optum Hub and Store and 3. Review of AI deployments in the clinical space. Clinical Program Evaluation -this team designs trials, plans statistical analyses, and evaluates innovative program and care model deployments. evaluation of pragmatic trials, medical policy impact analyses, and evaluation of provider-focused incentives to adopt innovative care models. Clinical Program Innovation- Lead identification and vetting of top priority clinical solutions and care models to deploy in robust pilots. Monitor deployed solutions and lead internal customer relations as well as vendor and provider relationships. Collectively the Evaluation and Innovation efforts generate real world evidence to inform plan and benefits evolution while the governance process ensures continuous monitoring and refinement of imagined or deployed programs. The Director will report to the National CMO of the Clinical Evidence Group and manage the CPR team of 5-7 people. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Governance: Bring a seasoned clinical lens to the review of clinical programs to ensure the clinical model is optimized for impact and experience Review program performance measurement in advance of committee meetings to ensure reports are clear, complete, up to date and transparent These include HCE impact assessments on financial impact Work with CPR Committee Chair, Director, team and stakeholders to maintain a disciplined processes for operation, documentation, and communication Manage the CPR team of 5-7 people under the Director, charged with operating the Ideation Front Door process, the Clinical Discovery Forum and the Clinical Program Review in close collaboration with program owners, health plan leaders and Healthcare economics teams Ensure that the team follows up with clinical program owners and operations teams regularly to ensure CPR recommendations are implemented (or understand why not) Clinical Program Evaluation and Innovation Collaboratively lead the Evaluation and Innovation teams to ensure full clinical consideration of solution and care models chosen for trial testing Collaboratively lead the research team in the trial design,