Chief Medical Officer - Medicare & Retirement

UnitedHealthcare is seeking a Chief Medical Officer (CMO) for Medicare and Retirement (M&R) to lead enterprise clinical strategy, medical oversight, and clinical performance for its Medicare Advantage portfolio. This senior clinical executive will drive data-driven clinical innovation to improve outcomes, affordability, and member experience. The role involves close collaboration with various internal and Optum clinical organizations to build the healthcare system of tomorrow.

Practice Info

• Member of the Medicare & Retirement Executive Team and UnitedHealthcare Clinical Services (UCS) leadership team
• Oversees UCS M&R CMO leadership team
• Senior clinical liaison with the Centers for Medicare & Medicaid Services (CMS) and other regulators

Responsibilities

• Collaborate with Medicare & Retirement leadership to develop the end-to-end Medicare Advantage clinical model and design clinically differentiated product offerings
• Use data-driven insight to identify opportunity areas; design and scale evidence-based clinical programs
• Provide clinical guidance on initiatives to meet or exceed CMS Star Ratings thresholds, HEDIS® quality standards, CAHPS® measures and accreditation requirements
• Partner with Healthcare Economics and UCS to set affordability targets; understand medical/pharmacy trend drivers; build and govern a pipeline of affordability initiatives
• Partner with regional CMOs, UnitedHealthcare Networks (UHN), and market leaders to adapt clinical strategy to local dynamics
• Support annual Medicare Advantage bid and product development processes through superior clinical benefit design
• Engage CMS leadership and policymakers to inform and advance proactive advocacy and relationship strategies
• Ensure compliance with Medicare requirements for utilization management, prior authorization, appeals and grievances and clinical delegation

Compensation

• The salary for this role will range from $225,000-$375,000 annually based on full-time employment.
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Benefits

• Comprehensive benefits package

Shift & Schedule

• You'll enjoy the flexibility to work remotely from anywhere within the U.S.
• Hybrid in MN/DC: This position follows a hybrid schedule with four in-office days per week.

Requirements

• Active, unrestricted medical license (aligned to assigned market needs); board certification in an ABMS or AOBMS specialty
• 12+ years of clinical practice experience; strong knowledge of the managed care industry
• 12+ years of Medicare Advantage experience and/or demonstrated expertise in CMS policy and alternative payment models
• 8+ years in a significant leadership role within a large clinical organization or payer
• 5+ years of experience in a Medicare Advantage health plan
• Demonstrated executive presence, interpersonal effectiveness and ability to influence senior leaders
• Solid data analysis and interpretation skills with focus on key performance metrics
• Proven relationship-building capability with provider networks and community physicians
• Preferred: Advanced degree in business, public health, medical management or related field