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UnitedHealth Group
San Antonio, Texas

Senior Medical Director - Care & Value - WellMed Medical Group - Texas

Internal MedicineFull-Time

Listed compensation

$337k-$486k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 52m ago · Verified live

Job Description

A partner of the Optum Care network, WellMed Medical Management, is seeking an MD/DO physician to join our WellMed Medical Management Group team in Texas.

Position Summary

The Senior Medical Director - Care and Value is a senior physician leader responsible for developing WellMed’s care and value/affordability strategy and partnering with clinical and operational leadership to ensure that strategy is implemented, measured, and tracked across the organization.

This role combines strategic physician leadership with supported execution across value-based care, utilization management, care management, disease management, and clinic operations. The Senior Medical Director will work closely with senior clinical and operational leaders to translate strategy into programs and measurable outcomes but will not be directly responsible for the day-to-day execution or education associated with those programs.

The role supports WellMed across Texas and possibly portions of Florida.

Position Responsibilities

  • Develop and help drive WellMed’s care, value, and affordability strategy.
  • Partner with clinical, operational, and executive leadership to translate strategy into actionable programs.
  • Provide physician leadership across utilization management, care management, disease management, and clinic operations.
  • Evaluate clinical and operational performance using forecasting, trending, utilization, and other relevant data.
  • Identify opportunities to improve care delivery, affordability, and performance within a value-based care model.
  • Establish measures for tracking the effectiveness of care and value initiatives.
  • Work across clinical and operational teams to support implementation and monitor outcomes.
  • Provide senior physician perspective when evaluating programs, processes, and opportunities across the organization.
  • Communicate strategy, performance, and recommendations effectively to senior executives and other key stakeholders.

What Makes an OptumCare Organization Different?

  • WellMed is mostly a Medicare Advantage Plan that operates as a health system focused on quality/value-based outcomes
  • Most of our physician leaders began their careers in our clinics, developing clinical and leadership growth opportunities for you
  • We are influencing change on a national scale while maintaining the culture and community of our local care organizations
  • We recognize that we are better together, and collaboration is the key to healthier patients and an invigorating work environment

Compensation/Benefits Highlights

  • Base salary plus annual RRP bonus
  • Comprehensive benefits package including, but not limited to: PTO, 401k with match, Executive Savings Plan, Paid Holidays, UHG Employee Stock Purchase Program and many more

About WellMed

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At WellMed our focus is simple.

We’re innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

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

  • MD or DO degree.
  • Current board certification through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA).
  • Active, unrestricted Texas medical license or the ability to obtain Texas licensure.
  • 10+ years of clinical practice experience as a physician.
  • Significant physician or clinical leadership experience.
  • Experience within value-based care and/or Medicare Advantage.
  • Experience with key clinical and affordability functions such as utilization management, care management, disease management, and clinic operations.
  • Experience working with senior executive and operational leadership.
  • Understanding of healthcare forecasting, trending, utilization, and performance data.
  • Ability to develop clinical strategies and partner across multiple functions to support implementation.

Preferred Qualifications

  • 10+ years of physician or clinical leadership experience.
  • Experience in a large, multi-market healthcare or physician organization.
  • Experience developing or overseeing programs focused on clinical quality, utilization, value, and affordability.
  • Experience working within the Texas healthcare market.
  • Experience leading initiatives across multiple markets or geographic areas.

Compensation for this specialty generally ranges from $336,500 - $485,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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

OptumCare 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Key Responsibilities

The Senior Medical Director is responsible for developing and implementing care, value, and affordability strategies across the organization. This role involves partnering with clinical and operational leadership to monitor performance outcomes and drive improvements in value-based care delivery.

Requirements

Candidates must hold an MD or DO degree with current board certification and an active Texas medical license. A minimum of 10 years of clinical practice experience and significant leadership experience in value-based care or Medicare Advantage are required.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
10+ years of experience

Key Skills

Strategic planningPerformance data analysisClinical quality improvementStakeholder communication

Internal Medicine — Physician Career Context

UnitedHealth Group ranks #6 of 15 employers hiring Internist on WeekdayDoc by average advertised pay, and holds silver-tier status on the Top Employers work-life index, composite score 72/100, 1,614 active listings.

In Texas, the Internal Medicine weighted monthly median benchmark on WeekdayDoc is ~$293k (33 salary observations; 304 listings), vs ~$273k nationally (677 salary observations; 3,620 listings). Monthly aggregates cover 2025-12-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

Internal Medicine by the numbers
MeasureThis jobMarket
Listed pay$337k–$486kInternal Medicine median $295k (middle half $265k–$329k)321 comparable listings, Nov 2026
Texas vs national$293k median in Texas$273k nationally (+8%)33 state / 677 national salary observations
Cost-of-living adjusted pay~$423k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Internal Medicine listings in Texas114 active1,374 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 4% remote · 48% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentsign-on bonusTexas Physician listings: 20% state a sign-on bonus (median $75k) · 6% offer loan repayment1,000 active listings, Nov 2026
Internal Medicine hiring demand#3 of 28 specialtiespostings stay open a median 38 days · 33% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 579 postings, 472 closed
New Internal Medicine listings571 in the last 30 days341 the 30 days before (+67%)U.S., first seen on WeekdayDoc, Nov 2026
Internal Medicine pay trend+3.6% vs prior quarter—through Oct 2026
UnitedHealth Groupsilver tier, 72/100 · #6 of 15 for payTop Employers work-life index1,614 active listings
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$411k midpoint, that is roughly $16k–$29k a year versus a typical 4–7% state rate.

Top Internist Jobs

45 matches · ranked by pay

Salary Distribution

45 jobs · 33 employers
9
<$285k
12
$285k-325k
10
$325k-365k
10
$365k-405k
4
$405k+

Annual compensation range

Benefits & Perks

40 jobs · 33 employers
401k / retirement match
90% this job
CME allowance
53%
Sign-on bonus
48% this job
Relocation assistance
30%
Loan repayment
20%

Share of similar jobs offering each benefit

#1

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$250k-$500k
#2

Family Medicine PhysicianContract

Skilled Wound Care · El Paso, Texas

$250k-$500k
#3

Physician- Acute Care

$100k-$500k
#4

Primary Care Physician

$256k-$484k
+ 43 more · ranked by pay

Work-life snapshot

median 6.3this job 3.0
Better work-life than 20% of Internal Medicine listings

Listing-based score, 0–10, across 1,357 comparable listings. Shaded area = the share scoring below this one.

UnitedHealth Group logo

About UnitedHealth Group

Hospitals and Health Care
Eden Prairie , Minnesota
10,000+ employees

Benefits & Perks

Base salary plus annual RRP bonus
Comprehensive benefits package
PTO
401(k) with match
Executive Savings Plan
Paid Holidays
UHG Employee Stock Purchase Program

Living in San Antonio

Typical 3-bedroom home value
$224k≈ 0.7× annual pay
Typical market rent
$1,381/mo≈ 5% of gross pay
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.