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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Medical and Clinical Operations

Country:

US

Postal Code:

34952

Approximate Salary:

Not Specified

Position Type:

Full Time

Medical Director, WellMed- Vero Beach/Pt St Lucie FL $25K SIGN-ON

UHG - PORT ST LUCIE, Florida

Posted: 10/16/2018

WellMed is a healthcare delivery system serving more than 90,000 patients, primarily Medicare eligible seniors, in Texas and Florida through primary care clinics, multi-specialty clinics, and contracted medical management services.  Headquartered in San Antonio, TX, WellMed is an industry leader in medical risk management, highly effective disease management and chronic care programs, healthcare delivery services and more.

 

Our focus and mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness.  We are innovators in preventative healthcare, striving to change the face of healthcare delivery for seniors.  Our providers and support staff are selected for their dedication to the senior population and focus on preventative, proactive patient care. WellMed is now part of the OptumHealth division under the greater UnitedHealth Group umbrella.

 

Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Join us. And start doing your life's best work.(sm) 

 

This Market Medical Director is responsible for the Treasure Coast market of FL and consists of Martin, St. Lucie, Indian River and Brevard Counties.

 

Primary areas of accountability for the WellMed, Market Medical Director are as follows:

 

Primary Responsibilities:

  • Educate primary care physicians on systems, structure, processes and outcomes that are necessary for assurance of regulatory compliance related to market activities

  • Establish effective working relationships with network physicians based on the commons goals of them WellMed model

  • Develop strategies for improving all aspects of market performance including coding, documentation, membership and medical management

  • Conduct post service reviews issued for medical necessity and benefits determination coding.

  • Analyze aggregate data and reports to primary care physician

  • Supervise functions of Care Coordination

  • Assess the effectiveness of the specialty network to ensure members have access to multi-specialties within their demographic area

  • Educate primary care network and assists in problem resolution

  • Evaluate performance of physicians with regard to goals and objectives

  • Interface with physicians / medical group staff professionally developing credibility

  • Delivery timely response / communications to physicians on all needed follow up issues

  • Provide quality assurance and education of current medical technologies, review criteria, accepted practice of medicine guidelines

  • Other related duties as assigned / needed


Required Qualifications: 

  • Current, unrestricted Florida Medical License

  • MD or DO

  • Board certification in a specialty

  • 5 or more years of clinical practice experience

  • Proficiency with Microsoft Excel, Word, PowerPoint, Outlook 

Preferred Qualifications:

  • Physician network development and/or provider relationship experience

  • Experience working in a managed care health plan environment

  • Board Certified Family Practitioner or Internal Medical Specialist


Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 240,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)


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.

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