Market Chief Medical Officer Medicare and Retirement - AL​/GA​/SC​/TN - Remote

** Requisition number:
** 2361515

** Job category:
** Medical & Clinical Operations

At United Healthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start  
** Caring. Connecting. Growing together.*
* The Market Chief Medical Officer (CMO) is the senior clinical executive for the designated Medicare & Retirement (M&R) market. The CMO is accountable for clinical strategy and performance across affordability, quality, population health, growth, member experience, and external clinical relationships within the market.

The CMO serves as the senior market clinical leader responsible for aligning United Healthcare (UHC), United Clinical Services (UCS), and Optum clinical capabilities to advance clinical affordability, improve HEDIS and CMS Star performance, reduce unwarranted utilization, and strengthen provider partnership across the market.

The CMO partners closely with the market CEO, the market Senior Leadership Team, UCS leadership, and matrixed partners across Network, Sales, and regional functions to translate enterprise priorities into market strategy, execution, and measurable results for the Medicare line of business. The CMO reports to the Regional Chief Medical Officer with dotted-line accountability to the local market CEO.

If you are located in in AL/GA/SC/TN, you will have the flexibility to work remotely
* as you take on some tough challenges.

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* Primary Responsibilities:

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* + Clinical Performance and Affordability - The CMO provides executive leadership for clinical performance, utilization strategy, and affordability across the market. This includes partnering with hospitals, physicians, physician groups, and internal stakeholders to improve efficiency, reduce unwarranted variation, and advance value. The CMO also drives performance across market ACOs and delegated medical groups, with accountability for improving HEDIS and CMS Star outcomes and strengthening value realization at the market level

+ Quality, Outcomes, and Clinical Performance - The CMO drives market performance on key quality, experience, and clinical outcome measures, including HEDIS, CAHPS, Quality Improvement Programs (QIPs), and CMS Star priorities. The role serves as a catalyst for continuous improvement, ensuring clinical strategy translates into measurable results. The CMO also partners with providers on evolving priorities, measure updates, and peer review activities, including Quality of Care and Quality of Service matters

+ External Affairs and Strategic Partnerships
- The CMO maintains solid working knowledge of government mandates and regulatory requirements and works across the enterprise to ensure compliant clinical programs and practices. The CMO serves as a visible and trusted clinical leader with providers, health systems, and other external stakeholders, strengthening strategic partnerships and advancing market priorities.

Clinical Transformation and Innovation
- The CMO leads the clinical partnership with care providers and UHC network management colleagues to advance health system transformation. This includes accountable care strategies, value-based arrangements, clinical practice transformation, transparency initiatives, innovative care models, high-performance networks, consumer engagement, and value-based benefit design

+ Growth, Market Development, and Clinical Value - The CMO articulates and advances the clinical value proposition in support of market growth, sales strategy, and stakeholder engagement. This includes representing the clinical perspective in broker and client discussions, informing program and product design through market insight, and strengthening relationships with state and local regulatory authorities and medical societies

+ Performance Management and Continuous Improvement - The CMO identifies and prioritizes improvement opportunities through market and regional performance reviews and drives action plans to address gaps and accelerate results. The role provides leadership for continuous improvement initiatives and ensures disciplined execution, accountability, and sustained progress across clinical and affordability priorities

** Executive Leadership Capabilities:*
* + Proven executive leadership experience in clinical management within a health system, hospital, large physician organization, or similarly complex care delivery environment

+ Demonstrated ability to lead change and innovation by identifying opportunities, implementing new solutions, and creating a culture that embraces transformation, agility, and continuous improvement

+ Proven ability to lead through influence in a matrixed environment, build high-performing teams, and develop talent through coaching, feedback, and accountability

+ Solid execution…