OptumCare Arizona is seeking a Medical Director to join our Clinical Analysis and Consulting Team in Tucson, AZ You will have the opportunity to drive measureable and meaningful outcomes in the Tucson Market with other members of the team. You will be responsible for improving the quality and efficiency of medical care in the market, and leading the provider network (both employed and contracted).

Primary Responsibilities:

• Develop and maintain collegial relationships with the physicians (both employed and contracted) in order to support the business efforts of the organization
• Educate Primary Care Physicians on systems, structure, processes and outcomes that are necessary for assurance of regulatory compliance related to market activities
• Develop strategies for improving all aspects of market performance including coding, documentation, membership and medical management
• Analyze aggregate data and reports to primary care physicians
• Supervise Functions of care coordination
• Access the effectiveness of the specialty network to ensure members have access to multi-specialties within their demographic area
• Evaluate performance of physicians with regard to goals and objectives
• Oversee 2 Medical Coders, and 2 Nurse Practitioner Coordinators that work on proper documentation and coding in order to appropriately identify and capture the managed care conditions for proper risk adjustment.
• Position will require candidate to be out in the field with daily travel within the Tucson Market