Clinical Program Director, Heart Failure and Cardiovascular Programs - Remote

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The Clinical Program Director for Heart Failure & Cardiovascular Programs is responsible for ideating, designing, and developing innovative technology-enabled specialty clinical programs focused initially on improving affordability, health outcomes, and member and provider experience for individuals with heart failure and closely related cardiovascular and cardiometabolic conditions. This role provides clinical leadership and oversight for the development and implementation of care pathways that support rapid initiation and optimization of guideline-directed medical therapy (GDMT) for heart failure.

Recognizing that individuals with heart failure frequently have interconnected cardiovascular and cardiometabolic conditions, the Director will apply this expertise to related care pathways and, as organizational priorities evolve, contribute to the broader portfolio of cardiovascular program development, including coronary artery disease, arrhythmia management, cardiovascular devices, vascular disease, stroke, and aneurysm care.

The Director works with healthcare analytics, pharmacy, clinical implementation, case management, technology, and medical management teams to develop, monitor, and continuously improve Cardiovascular Health Clinical Programs at United Healthcare. The Director serves as a clinical subject matter expert, providing consultation on complex cases, evaluating program performance and outcomes, and identifying opportunities to optimize clinical pathways, improve operational efficiency, and enhance affordability and quality outcomes.

The Director reports to the National Medical Director of Cardiovascular Health at United Healthcare Clinical Services. The ideal candidate combines deep heart failure clinical expertise, broad cardiovascular knowledge, strategic thinking, an innovative mindset, program development capabilities, operational leadership experience, adaptability, and data-driven decision-making 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.

• Clinical Program Strategy and Design
  • Partner with the National Medical Director of Cardiovascular Health to identify opportunities and design scalable cardiovascular clinical programs that improve affordability, quality, clinical outcomes, and member and provider experience
  • Lead the development of technology-enabled care models focused on heart failure, GDMT optimization, transitions of care, medication adherence, and coordinated longitudinal management
  • Design clinical pathways, protocols, provider engagement strategies, decision-support tools, and operating models informed by evidence-based guidelines and real-world clinical practice
  • Develop business cases, operational models, and implementation strategies that assess clinical impact, scalability, operational readiness, and financial performance
  • Expand program development efforts across additional cardiovascular priorities, including arrhythmia management, coronary artery disease, vascular disease, stroke, cardiovascular devices, and related cardiometabolic conditions
• Clinical Leadership and Consultation
  • Serve as the clinical subject matter expert for heart failure and cardiovascular program strategy, care pathway development, and GDMT optimization
  • Provide consultation on complex cardiovascular cases and support appropriate escalation, provider engagement, and clinical decision-making
  • Partner with clinical leaders to establish and maintain clinical governance processes, safety standards, escalation pathways, and care delivery expectations
  • Support continuous evaluation of clinical trends, protocol performance, quality outcomes, and provider feedback to improve program effectiveness
• Data, Analytics and Performance Improvement
  • Leverage clinical, claims, pharmacy, quality, utilization, and operational data to identify opportunities for program development and optimization
  • Partner with analytics teams to develop KPIs, performance dashboards, and outcome measurement strategies
  • Evaluate…