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Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
The Director, a Subject Matter Expert (SME) in Clinical Variation – Procedural Services will be a team member tasked with addressing complex challenges across various domains and procedural processes, that may include perioperative services, endoscopy, interventional radiology, sterile processing, post anesthesia care units, pre admission (anesthesia) testing, in both acute care and ambulatory surgery settings. This individual must possess a contemporary and advanced understanding of these intricate areas. Our clients seek innovative, transformational solutions to enhance clinical operations, including optimizing workflow efficiencies, improving patient safety protocols, integrating advanced technology for better data management, and implementing cost reduction strategies. Additionally, fostering interprofessional collaboration will be essential to elevate patient care standards while ensuring financial sustainability.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Provide clinical subject matter expertise to initiative teams to drive financial and quality outcomes, focused primarily on transformational partnership due diligence and implementation including:
- Lead Initiatives: Oversee the development and implementation of best practices in procedural services to enhance patient care and operational efficiency
- Clinical Expertise: Provide expert guidance on clinical protocols, policies, and procedures related to procedural care, endoscopy, sterile processing, and post-anesthesia management, pre-anesthesia testing, interventional procedures
- Data Analysis: Analyze clinical and operational data to identify trends, improve outcomes, and inform decision-making processes
- Team Collaboration: Work closely with interdisciplinary teams to foster collaboration and ensure seamless patient transitions through various care settings
- Training and Development: Design and deliver training programs for clients/staff to enhance their understanding of procedural processes and standards
- Innovation: Stay abreast of the latest advancements in procedural practices and technologies to recommend innovative solutions that improve efficiency and reduce costs
- Regulatory Compliance: Ensure compliance with relevant regulations, accreditation standards, and organizational policies within procedural services
- Cost Management: Identify opportunities for cost reduction and resource optimization while maintaining high-quality patient care standards
- Stakeholder Engagement: Collaborate with stakeholders to assess needs and develop strategies that align with organizational goals and improve patient outcomes
- Continuous Improvement: Drive quality improvement initiatives and participate in performance improvement projects related to procedural services
- Participates in client delivery, solution design, and analytic requirements of high- quality clinical variation/transformational engagements or services, including presenting executive level reports and dashboards for demonstrating outcome trends
- Assesses, designs and implements strategic client goals related to clinical variation initiatives targeted to promote the growth and enhancement of existing structures working in partnership with the organization’s executive and physician leadership
- May provide subject matter expertise and/or oversight to engagements or other clinical consulting engagements depending upon additional clinical expertise
- Oversees and manages OAS team members either directly or through a matrixed, client-based environment
- Ensures that client expectations and contract deliverables are met during assigned engagement
- Coordinates the development of short and long plans to drive effective clinical and non-clinical sourcing and utilization
- Support the creation of sales pursuit materials and other business development activities (e.g. proposals and Change Notices)
- Support ongoing design of best practice methodologies in ambulatory and acute care
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:
- 7+ years of professional experience in large, acute care and/or ambulatory based operations, specifically within a procedural setting (e.g. Periop) – evidence of driving efficiency, growth, and cost reduction
- Nursing background
- Experience working in a highly matrixed organization
- Proven experience developing and implementing operating plans, analyzing financial and quality data
- Demonstrated experience in engaging physicians and senior leadership and executive dialogue, along with the ability to offer valuable insights and articulate logical explanations when addressing challenging questions
- Demonstrated success in yielding unprecedented results within the area of clinical variation
- Proven ability to recommend relevant data for specific topics, ensuring it supports the development of KPIs and other performance metrics, and interpret and analyze the data effectively
- Ability to use Microsoft products, develop and deliver presentations
- Able and willing to travel up to 75% of the time
Preferred Qualifications:
- Clinical consulting experience across multiple clinical and cost improvement-related areas
- Experience in provider management and / or clinical transformation consulting engagements resulting in significant recurring financial benefit
- Experience developing cost reduction and clinical transformation methodologies and designing innovative solutions in a complex and rapidly changing environment
- Solid understanding of health systems / provider organizations
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
