UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.

Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.

Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.   If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.   We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.   This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.   The TennCare Choices Medical Director TennCare Choices Market Medical Director has accountability for ensuring that Clinical Operations initiatives focus on affordability, clinical excellence, growth and focused improvement are implemented and successfully managed to achieve targets. Responsibility: This position is responsible for leadership and execution of TennCare Choices medical expense management and clinical quality activities. Collaborates with the market lead Medical Director and CEO, clinical operations staff, and other market staff to implement programs to support and meet market and national clinical operations goals, as well as market, network and sales objectives. Responsible for oversight of local market Clinical Operations staff. Liaison to network management for network development related to long term care/ HCBS services. Reports to Lead Market Medical Director with accountability to the local market CEO. Leadership role in local clinical operations initiatives. Affordability: ·          Responsibilities for MEM activities include: HBCS data sharing, hospital data sharing, physician data sharing, working with HSD and other clinical staff to ensure cost-effectiveness. ·          Support local market data sharing activities include reviewing completed data analysis and establishing a process for sharing data with hospitals and physicians. ·           Responsible for implementation of complex case review with clinical staff (care managers) ·          Completing peer to peer communications as required. ·          Support UHN initiatives and Health Plan Medical Expense initiatives as required in order to achieve the affordability objectives of the Health Plan and Clinical Operations. ·          Responsible for managing/monitoring the results of Care Management/ Health services interventions to ensure that utilization goals are achieved; collaborating with Care Management/ health services as necessary to maintain focus on achieving targets. ·          Clinical Excellence: work with lead market medical director on HEDIS data collection process and assist in driving Health Plan accreditation activities. ·          Act as liaison for network development of home and community service providers; potential vendor changes; gather market data; act as an improvement catalyst. ·          Communicate to providers on new focus and measure/process changes. ·          Support all Clinical Quality initiatives and peer review processes including QOC and QOS issues.   Growth:   ·          Deliver the clinical value proposition in support of the sales and growth activities of the Health Plan including conducting Broker/Client presentations. ·          Promote positive relations with State/local regulatory authorities and Medical Societies.   Focused Improvement: ·          The Medical Director is responsible for identifying opportunities through participation in local Medical Expense Committees or Market reviews. ·          Active participation in support of Joint Operating, QM, UM/MEM, executive Committees. ·          Provides local feedback on and oversight of the performance of Care Management and UBH as requested by the lead local market medical directors, National Director of Clinical Quality Outcomes, the Patient Safety, and the National Director of Medical Expense Management.   You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. Qualifications: Experience required:   ·          Board certified/eligible in internal medicine, family practice. REQUIRED .          Unrestricted/active TN Medical License or ability to obtain one. REQUIRED  ·          Added qualifications in Geriatrics desirable. ·          Long Term Care experience (nursing home, post-acute/ short term SNF care, home and community based services, home visits) ·          Managed Medicaid experience desirable ·          Previous work with care managers, social workers, community nurses including review service plans/ plan of care ·          Understanding of home and community based services including: alternative community settings, specialty community settings (home vent units, behavioral health group settings, home  modifications, DME, habilitations ·          Understanding of pharmacology for seniors and individuals with disabilities ·          Experience with integration of care for dual- eligible members.      Additional Assets Preferred: Excellent telephonic communication skills; excellent interpersonal communication skills. Ability to develop relationships with network and community physicians and other providers. Strong knowledge of managed care industry. Excellent project management skills. Data analysis and interpretation skills. Ability to focus on key metrics. Excellent presentation skills for both clinical and non clinical audiences. Familiarity with current medical issues and practices. Creative problem solving skills. Visibility and involvement in medical community. Strong team player and team building skills. Supervisory skills including clinical mentoring and coaching skills Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.