Optum New Mexico - IPA Medical Director
Company: Optum
Location: Albuquerque
Posted on: May 12, 2025
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Job Description:
Optum NM is seeking a IPA Medical Director to join our team in
Albuquerque, NM. Optum is a clinician-led care organization that is
changing the way clinicians work and live.
As a member of the Optum Care Delivery team, you'll be an integral
part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a
global organization behind you so you can help your patients live
healthier lives. Here, you'll work alongside talented peers in a
collaborative environment that is guided by diversity and inclusion
while driving towards the Quadruple Aim. We believe you deserve an
exceptional career, and will empower you to live your best life at
work and at home. Experience the fulfillment of advancing the
health of your community with the excitement of contributing new
practice ideas and initiatives that could help improve care for
millions of patients across the country. Because together, we have
the power to make health care better for everyone. Join us and
discover how rewarding medicine can be while Caring. Connecting.
Growing together.
The Independent Physician Association (IPA) Medical Director
provides leadership to physicians, other clinicians, and staff. -
Partners cohesively with operation and medical leadership to ensure
goals are met. Ensures that high quality medical care and
high-quality service is provided in the clinics. Directs and
integrates the activities of multiple projects; in supporting the
Medical Group's mission, goals, and strategic plan. Integrate the
clinics to function in a cohesive fashion; aiding departments with
institutional issues, interface with the leadership to develop and
implement new business strategies, quality initiatives and lines of
business. Adheres to policies, procedures, and regulations to
ensure compliance and patient safety. Participation in Compliance
training and other important training is a condition of employment.
-
Primary Responsibilities:
Ability to build relationships to support and educate IPA providers
on the benefits of a value-based care model
Drive IPA clinical performance, risk quality, and affordability
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Apply understanding of patient care quality metrics (eg, HEDIS; 5
STAR; disease-based metrics) in order to drive/achieve quality
outcomes
Leads and manages the operations of specific medical programs,
patient clinics or company initiatives in partnership with
operations dyad partner(s) -
Ensure an in-person presence in all supported clinics for at least
90% of allocated FTE on a weekly basis Ability and willingness to
travel to IPA clinics across the state -
Provides financial leadership and business management education to
physicians and other clinicians in a 1:1 or group setting for all
supported providers on a monthly cadence
Provides leadership coaching and developmental feedback to
physicians and other clinicians monthly -
Collaborate with Medical and Operations Leadership to implement an
infrastructure and system in place to measure quality and provide
timely data to physicians and other clinicians on their
performance. Implement measurable quality indicators -
Directs and integrates the activities of projects; ensuring the
project efforts are generally cohesive, consistent, and effective
in supporting the Medical Group's mission, goals, and strategic
plan
Represents the department to internal and external communities,
business and industry, government, and the general community on a
as needed basis -
Promote and enhance the image of The Group, the department and
participate in appropriate professional and academic
organizations
Knowledge of current principles, methods and procedures for the
delivery of medical evaluation diagnosis and treatment in area of
expertise
Ability to cover patient care in the form of annual wellness visits
in the community center, mobile unit, or home visits -
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:
Current MD/DO medical license in the state of New Mexico; Board
Certified or in the process of obtaining certification unless
granted an exemption by Credentialing Committee. New Mexico
Pharmacy/DEA Registration if applicable to practice. Current BLS
Certification
Thorough understanding of medical group business models and
clinical processes
Excellent understanding of medical group financial concepts,
including revenue cycle, physician compensation models, and
preferably including managed care financial concepts (capitation,
IBNR, MLR)
Ability to comfortably use Microsoft Word, Excel, and
PowerPoint
Proven excellent communication skills, both verbal and written
Preferred Qualification:
3+ years of experience as a practicing physician. Experience in
both fee-for-service and managed care operations
The salary range for this role is $238,000 to $357,500 annually
based on full-time employment. Salary Range is defined as total
cash compensation at target. The actual range and pay mix of base
and bonus is variable based upon experience and metric achievement.
Pay is based on several factors including but not limited to local
labor markets, education, work experience, certifications, etc.
UnitedHealth Group complies with all minimum wage laws as
applicable. In addition to your salary, UnitedHealth Group offers
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 UnitedHealth Group, 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.
Keywords: Optum, Rio Rancho , Optum New Mexico - IPA Medical Director, Executive , Albuquerque, New Mexico
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