OptumCare Arizona is seeking a Medical Director to join our Clinical Analysis and Consulting Team in Tucson, AZ You will have the opportunity to drive measureable and meaningful outcomes in the Tucson Market with other members of the team. You will be responsible for improving the quality and efficiency of medical care in the market, and leading the provider network (both employed and contracted).
Primary Responsibilities :
Educate Primary Care Physicians on systems, structure, processes and outcomes that are necessary for assurance of regulatory compliance related to market activities
Develop strategies for improving all aspects of market performance including coding, documentation, membership and medical management
Analyze aggregate data and reports to primary care physicians
Supervise Functions of care coordination
Access the effectiveness of the specialty network to ensure members have access to multi-specialties within their demographic area
Evaluate performance of physicians with regard to goals and objectives
Oversee 2 Medical Coders, and 2 Nurse Practitioner Coordinators that work on proper documentation and coding in order to appropriately identify and capture the managed care conditions for proper risk adjustment.
Position will require candidate to be out in the field with daily travel within the Tucson Market
Chief Medical Officer • Tucson, AZ, US