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National Accounts Sr. Medical Director - Remote

$292.3k

Unitedhealth Group

At UnitedHealthcare, 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 National Accounts Medical Director (NA MD) serves as the senior clinical leader for an assigned national Book of Business, supporting large, complex employer clients with proactive, data-driven medical and cost-management insights. This role is designed to function similarly to a Market Medical Director, with a strong focus on anticipatory trend management, utilization strategy, and executive-level clinical consultation.

The NA MD partners closely with Client Account Executives (CAEs), Clinical Insights strategists, Business Analysts, Sales leadership, and network partners to interpret complex medical and pharmacy data, identify emerging cost drivers, and translate insights into actionable recommendations that reduce future medical trends and improve plan performance.

This is a highly visible, consultative role requiring strong clinical credibility, analytical rigor, and the ability to influence decision-making across clinical, financial, and executive stakeholders.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
Client & Book of Business Leadership

  • Serve as the senior clinical lead for approximately 20 assigned national employer clients, with accountability for the clinical performance and cost trajectory of the assigned Book of Business.
  • Shift client engagement away from retrospective claim reviews toward forward-looking trend management, emerging risk identification, and proactive solutioning.
  • Support CAEs by translating complex clinical and utilization insights into clear, client-ready messaging, recommendations, and talking points.

Data Interpretation & Insights Development

  • Analyze and interpret medical and pharmacy utilization data, including inpatient, outpatient, ER utilization, prior authorization trends, high-cost drivers, and trend outliers.
  • Leverage enterprise reporting tools, Power BI dashboards, market trend reports, and Business Analyst outputs to identify improvement opportunities with measurable impact.
  • Connect medical policy, network, regulatory, and legal changes to client-specific data to assess financial and member impact.
  • Develop metrics-driven recommendations that focus on reducing current and future medical spend.

Strategic Clinical Consulting

  • Deliver executive-level clinical guidance to employer HR and benefits leadership, consultants, and brokers.
  • Provide forward-looking insights on network changes, provider disruptions, mandate updates, utilization shifts, and value creation initiatives.
  • Support Quarterly Business Reviews and strategic planning discussions, presenting regional and client-level performance trends, strengths, risks, and opportunities.

Cross-Functional & Market Collaboration

  • Partner closely with Clinical Insights teams, Business Analysts, Market Medical Directors, network leaders, and value creation teams to align solutions and share best practices.
  • Participate in recurring market and national forums to review performance, compare trends, and discuss enterprise-wide improvement opportunities.
  • Develop collaborative relationships with health system clinical leadership, network providers, and community physicians to support alignment and execution.

Leadership & Enablement

  • Provide clinical leadership and mentorship to assigned CAEs, including coaching on data interpretation, client questions, and clinical positioning.
  • Drive consistency, quality, and clarity in how insights are developed and delivered across the Book of Business.
  • Contribute to the development of new playbooks, templates, and standards that support the evolving NA Medical Director role.

Performance & Accountability

  • Support performance tracking across assigned clients and regions, including trend reduction, utilization metrics, insight delivery, and issue resolution.
  • Maintain strong focus on measurable outcomes, ensuring recommendations are tied to clear data, impact estimates, and follow-up tracking

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:

  • Active and unrestricted medical license
  • Current Board Certification in an ABMS/AOBMS Specialty
  • 5+ years of clinical practice experience
  • Solid knowledge of managed care industry
  • Familiarity with current medical issues and practices
  • Solid knowledge of health care utilization data and analytics
  • Proven ability to identify an improvement opportunity through data, implement a solution and achieve measurable impact
  • Solid data analysis and interpretation skills; metrics-driven mindset
  • Ability and experience in developing collaborative relationships with health system clinical leadership
  • Proven ability to develop relationships with network and community physicians and other providers
  • Ability to travel within the assigned market
  • Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
  • Capability to quickly become facile with UHC / UHG-specific data systems

Preferred Qualifications:

  • Experience supporting large, national employer accounts
  • Comfort presenting complex clinical and financial concepts to senior HR, finance, and executive audiences
  • Demonstrated success operating in matrixed, cross-functional environments
  • Solid executive presence with the ability to balance clinical integrity and business outcomes
  • Excellent interpersonal communication skills; ability to influence in executive settings
  • Superior presentation skills for both clinical and non-clinical audiences

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $292,300 to $438,500 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group 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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Vacancy posted 4 days ago
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