Market Medical Director, Care at Home (Remote)

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Optum is a clinician-led care organization working to help people live healthier lives and make the health system work better for everyone. In this role, you will bring physician leadership to a home-based, value-oriented care model serving complex and vulnerable populations.

You will connect national clinical strategy with local execution, help advanced practice clinicians practice safely and confidently at the top of license, and translate clinical insight into measurable improvements in quality, affordability, utilization, documentation, and member experience.

The Care at Home Market Medical Director is a market-facing physician executive accountable for the quality and timeliness of clinical oversight, prioritization, physician judgment, workforce-development actions, intervention design, and escalation. The role partners closely with market leadership and Clinical Operations. It is not the owner of day-to-day staffing, scheduling, routine productivity management, or Human Resources processes.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

Provide physician-executive leadership for safe, consistent execution of the Care at Home clinical model across advanced practice clinician-led and interdisciplinary teams

Set market expectations for clinical readiness, onboarding milestones, competency validation, clinical escalation, and reassessment; participate in advanced practice clinician interviews and provide formal clinical hiring recommendations

Build and validate clinician capability through complex case consultation, structured mentoring, clinical office hours, case-based coaching, calibration, onboarding readiness reviews, and field observation or ride-alongs when appropriate

Own the clinical purpose of the weekly interdisciplinary care team forum; apply national selection criteria and local risk signals to select or approve patient cases; define clinical questions and time allocation; lead substantive discussion; and ensure decisions conclude with documented rationale, a single owner, due date, completion evidence, and escalation threshold

Interpret market quality, utilization, affordability, pharmacy, documentation, coding, engagement, and workforce signals and translate them into focused physician-led interventions

Prioritize action on avoidable emergency department, inpatient, skilled nursing facility, and readmission patterns; medication opportunities; care gaps; and high-risk or clinically complex cohorts

Set clinical priorities for chart review, documentation quality, prescribing safety, medication optimization, deprescribing, guideline-directed therapy, palliative care, behavioral health, transitions of care, and model fidelity

Identify unwarranted clinical variation, safety risk, or care-model drift; initiate focused clinical review, recommend development or remediation, and escalate barriers through defined governance pathways

Serve as the Care at Home physician leader in designated joint operating committees, payer and provider clinical forums, and executive discussions; build trusted relationships with health plan CMOs, QFO partners, and provider medical leaders; and ensure external commitments translate into documented decisions, owners, due dates, success measures, and closed-loop follow-through

Partner with market leaders on clinical priorities and business tradeoffs, and with Clinical Operations on workflow adoption, action tracking, staffing and operating barriers, and sustained execution

Contribute field-informed physician expertise to defined enterprise initiatives, pilots, technology, analytics, learning, quality, pharmacy, affordability, and care-model evolution only when the sponsor, objective, Medical Director role, deliverable, decision right, expected effort, timeline, and endpoint are clear, while protecting primary market-facing capacity

Use performance evidence to determine whether clinical interventions should continue, change, spread, or stop

Require closed-loop documentation of clinical issues, accountable owners, actions, due dates, review points, decisions, and escalation status; close the loop with the originating stakeholder

Position Highlights

Physician-executive role focused on market clinical performance, clinician development, complex-member decision quality, and value-based outcomes

Approximate capacity allocation: 75%25 market clinical execution and capability, 15%25 payer/provider and external clinical partnership, and 10%25 enterprise priorities and strategic initiatives

High-impact collaboration across market leadership, Clinical Operations, advanced practice clinicians, pharmacy, quality, affordability, analytics, product, technology, and learning teams

Opportunity to shape a scalable home-based clinical model for complex Medicare populations and future payer or market expansion

Travel: 10-15%25 travel required for this role

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

Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.).

Active, unrestricted medical license and ability to obtain additional state licenses as required for assigned market coverage.

Current board certification through an ABMS or AOA member board in Internal Medicine, Family Medicine, Geriatric Medicine, or another relevant specialty

• 5+ years of post-residency clinical practice experience
• Experience caring for medically complex adults, older adults, or patients with multiple chronic conditions

Demonstrated ability to apply evidence-based medicine, clinical judgment, and population-health principles to complex care decisions

Demonstrated ability to communicate with clinical and non-clinical audiences, influence across a matrixed organization, and convert data into clear decisions and action plans

• Ability to travel 10-15%25
• Driver’s License and access to reliable transportation

Preferred Qualifications

• Compact license or multiple active state medical licenses
• Experience in home-based medical care, value-based care, Medicare Advantage, D-SNP, C-SNP, geriatrics, palliative care, behavioral health integration, or complex care management
• Experience leading or developing advanced practice clinicians and interdisciplinary clinical teams
• Experience with quality improvement, HEDIS or Stars, utilization and affordability, clinical documentation, medication optimization, or care-model implementation
• Experience representing a clinical program with health plans, provider groups, regulators, or external clients

Experience using clinical, operational, and financial data to identify variation, design interventions, and evaluate outcomes

*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 $279,500 - $440,500 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve.

We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.