Remote Director, Musculoskeletal Health Programs

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The Clinical Program Director of Musculoskeletal Health is responsible for ideating, designing, and developing innovative tech-enabled specialty clinical programs focused on musculoskeletal health. This role aims to improve affordability, health outcomes, and member and provider experience. The Director manages a small team of program managers and works with healthcare analytics, clinical implementation technology, and medical management teams to develop and monitor Musculoskeletal Health Clinical Programs at United Healthcare.

The Director reports to the National Medical Director of Musculoskeletal Health at United Healthcare Clinical Services. The ideal candidate combines clinical expertise, strategic thinking, an innovative mindset, and program development skills to create impactful solutions for members and providers.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

• Clinical Program Ideation and Design:
  • In partnership with the National Medical Director of Musculoskeletal Health, uses clinical, claims and quality data and knowledge of emerging trends in the specialty care industry to identify key opportunities to design large-scale, enterprise-level clinical management programs that drive meaningful affordability, quality, and experience outcomes across diverse populations and lines of business
  • Leverage emerging technologies, including advanced analytics, artificial intelligence (AI), and large language models (LLMs) to enhance program design efficiency, automate insights, and identify innovative clinical pathways that support proactive and personalized musculoskeletal care
  • Use clinical, claims, and quality data to identify high-impact cost drivers, utilization trends, and care variation at scale
  • Conceptualize innovative new clinical programs that incorporate technology-enabled care models, digital engagement strategies, and modern decision-support tools for improve affordability of care, provider engagement and member experience
  • Build feasibility business cases and financial models to assess operational readiness and impact when implemented at scale
  • Incorporate evidence-based medical policies, clinical guidelines, and a broad spectrum of actionable insights - including claims data, clinical outcomes data, utilization trends, quality metrics, member-reported outcomes, digital engagement signals, market intelligence, provider performance patterns, and operational throughput data - gathered across markets, providers, and enterprise data sources
  • Foster stakeholder alignment and cross-functional collaboration to ensure programs are designed to support national scalability, operational sustainability, and continual innovation
• Data-driven strategy:
  • Analyze claims utilization and variation, clinical, and quality data to identify opportunities for clinical program development and improvement
  • Use clinical insights and knowledge to inform program design and measure impact
  • Work with program managers and analytics teams to accurately model performance expectations to correlate the expected affordability to the operational reality of the program
  • Analyze appeal trends, overturn rates, peer-to-peer outcomes, and clinical documentation to develop targeted interventions, provider feedback loops, and continuous improvement plans
  • Collaborate with analytics teams to develop Key Performance Indicators and to build dashboards tracking program performance
• Stakeholder
  
  Collaboration:
  • Seek input from network teams, market teams and external vendors to develop program models
  • Build and maintain solid relationships with executive leadership across internal teams to ensure effective support and feedback loops and that deliverables are met
  • Develop and maintain solid relationships with provider groups/facilities for collaboration on clinical pilots and programs
  • Collaborate with Regulatory and Compliance Teams to ensure program compliance with state and federal regulatory requirements
• Communication and Presentation
  
  Skills:
  • Speak clearly on complex problems across a wide range of audiences
  • Prepare decks and executive summaries for regular updates regarding clinical program development and performance for Business meetings, Executive sessions, and Clinical Program Review
• Program Implementation:
  • Use problem solving skills and make decisions to support program design and feasibility prior to transition to the Clinical Implementation team
  • Actively…