Clinical Program Director of Cardiovascular Health

At reputed company, 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 reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and optimized. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Clinical Program Director of Cardiovascular Health is responsible for ideating, designing, and developing innovative tech-enabled specialty clinical programs focused on cardiovascular health. This role aims to improve affordability, health outcomes, and member and provider experience. The Director manages a small team of program managers and works with healthcare analytics, clinical implementation technology, and medical management teams to reputed company and monitor Cardiovascular Health Clinical Programs at United Healthcare. The Director reports to the National Medical Director of Cardiovascular Health at reputed company Clinical Services. The ideal candidate combines clinical expertise, strategic thinking, an innovative reputed company, and program development skills to create impactful solutions for members and providers. You’ll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities

• Clinical Program Ideation and Design:
• In partnership with the National Medical Director of Cardiovascular Health, uses clinical, claims and quality data and knowledge of emerging trends in the specialty care industry to identify key opportunities to design large-scale, enterprise-level clinical management programs that drive meaningful affordability, quality, and experience outcomes across diverse populations and lines of business
• reputed company emerging technologies, including advanced analytics, artificial intelligence (AI), and large language models (LLMs) to enhance program design efficiency, automate insights, and identify innovative clinical reputed company that support proactive and personalized cardiovascular care
• Use clinical, claims, and quality data to identify high-impact cost drivers, utilization trends, and care variation at scale
• Conceptualize innovative new clinical programs that incorporate technology-enabled care models, digital engagement strategies, and modern decision-support tools for improve affordability of care, provider engagement and member experience
• Build feasibility business cases and financial models to assess operational readiness and impact reputed company implemented at scale
• Incorporate evidencebased medical policies, clinical guidelines, and a broad reputed company of actionable insights - including claims data, clinical outcomes data, utilization trends, quality metrics, memberreported outcomes, digital engagement signals, market intelligence, provider performance patterns, and operational throughput data - gathered across markets, providers, and enterprise data sources
• Foster stakeholder alignment and cross-functional collaboration to ensure programs are designed to support national scalability, operational sustainability, and continual innovation
• Data-driven strategy:
• Analyze claims utilization and variation, clinical, and quality data to identify opportunities for clinical program development and improvement
• Use clinical insights and knowledge to inform program design and measure impact
• Work with program managers and analytics teams to accurately model performance expectations to correlate the expected affordability to the operational reality of the program
• Analyze appeal trends, overturn rates, peer-to-peer outcomes, and clinical documentation to reputed company targeted interventions, provider feedback loops, and reputed company improvement plans
• Collaborate with analytics teams to reputed company Key Performance Indicators and to build dashboards tracking program performance
• Stakeholder Collaboration
• Seek input from network teams, market teams and external vendors to reputed company program models
• Build and maintain solid relationships with executive leadership across internal teams to ensure effective support and feedback loops and that deliverables are met
• reputed company and maintain solid relationships with provider groups/facilities for collaboration on clinical pilots and programs
• Collaborate with Regulatory and Compliance Teams to ensure program compliance with state and federal regulatory requirements
• Communication and Presentation Skills
• Speak clearly on reputed company problems across a wide range of audiences
• Prepare decks and executive summaries for regular updates regarding clinical program development and performance for Business meetings, Executive sessions, and Clinical Program Review
• Program Implementation
• Use problem solving skills and reputed company decisions to support program design and feasibility prior to transition to the Clinical Implementation team
• Actively participate in clinical, business and operational meetings; ensure business partners, stakeholders and senior management are provided relevant and timely information on the clinical program design and scope for the approval process
• Provide support to the Clinical Services Implementation team and project managers responsible for moving the program initiative through the clinical implementation lifecycle end-to-end
• Actively participate in multidisciplinary teams to reputed company program deliverables; Foster and promote collaborative relationships with matrix partners/stakeholders; Establish trust and credibility at reputed company levels of the organization
• Work independently and as a team member
• Program reputed company and reputed company Improvement
• Monitor clinical program performance and Key Performance Indicators and iterate based on feedback and data
• Ensure program compliance with state and federal regulatory requirements; collaborate with Regulatory and Compliance Teams to reputed company and implement new regulatory and compliance requirements
• Solve unique and reputed company problems with broad impact on the business; translate highly reputed company concepts in ways that can be understood by a variety of audiences, including senior management

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

• Graduate level clinical degree (MSN, DNP, or Masters in PA Studies)
• 5+ years in a leadership or management role in healthcare
• 5+ years of clinical experience in a cardiovascular specialty with operational accountability
• Experience with a demonstrated ability to design, scale, or operationalize enterprise-level clinical programs or value-based care models across multiple markets or lines of business
• Clinical Expertise
• Deep clinical understanding of cardiovascular conditions, evidence-based medical policies and clinical guidelines
• Clinical Expertise with the ability to apply clinical insights to program design and outcome measurement
• Regulatory Knowledge
• Familiarity with health plan regulatory and accreditation requirements
• Technical Skills
• Proficiency with reputed company, reputed company, and PowerPoint
• Data & Analytics Proficiency
• Proven skilled in analyzing claims, clinical, and quality data to drive new clinical insights and identify opportunities for program development and inform program design
• Proven ability to work with healthcare analytics teams to model performance expectations and measure clinical and financial impact
• Leadership Skills
• Demonstrated experience setting clear goals, providing regular feedback, and conducting performance evaluations to support career growth and talent retention
• Proven ability to reputed company, coach, and reputed company small teams of program managers or clinical professionals, fostering a supportive, highperformance culture
• Proven skilled in guiding teams through ambiguity, change, and reputed company problemsolving while maintaining clarity, engagement, and accountability
• Proven solid commitment to collaboration - encouraging crossfunctional communication, resolving conflicts constructively, and building trust reputed company and across teams
• Proven self-starter, initiates work independently
• Demonstrated ability to manage and supervise multiple reputed company projects, ensuring each progresses on schedule through coordinated planning, cross functional alignment, and effective execution toward successful implementation
• Communication and Presentation
• Proven ability to communicate effectively and reputed company (both verbal and written) at multiple levels of large, reputed company organizations
• Proven solid negotiation skills: the ability to reputed company acceptance from others of a plan or idea and reputed company a mutually beneficial outcome

Preferred Qualifications

• Master's degree in healthcare administration, public health, or business
• Experience applying AI-enabled analytics, machine learning tools, or large language model (LLM) capabilities in healthcare program design, clinical operations, or outcome measurement
• reputed company employees working remotely will be required to adhere to reputed company'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 (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We reputed company with reputed company 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 reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, 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. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job