Note: The job is a remote job and is open to candidates in USA. UnitedHealthcare is simplifying the health care experience and creating healthier communities by improving access to quality care. The Clinical Program Director will lead the design, development, implementation, and optimization of technology-enabled heart failure and cardiovascular clinical programs, including care pathways, GDMT optimization, analytics, and performance improvement. The role provides clinical leadership, complex case consultation, cross-functional collaboration, and strategic oversight of cardiovascular program execution and continuous improvement.
Responsibilities
- Partner with the National Medical Director of Cardiovascular Health to identify opportunities and design scalable cardiovascular clinical programs that improve affordability, quality, clinical outcomes, and member and provider experience
- Lead the development of technology-enabled care models focused on heart failure, GDMT optimization, transitions of care, medication adherence, and coordinated longitudinal management
- Design clinical pathways, protocols, provider engagement strategies, decision-support tools, and operating models informed by evidence-based guidelines and real-world clinical practice
- Develop business cases, operational models, and implementation strategies that assess clinical impact, scalability, operational readiness, and financial performance
- Expand program development efforts across additional cardiovascular priorities, including arrhythmia management, coronary artery disease, vascular disease, stroke, cardiovascular devices, and related cardiometabolic conditions
- Serve as the clinical subject matter expert for heart failure and cardiovascular program strategy, care pathway development, and GDMT optimization
- Provide consultation on complex cardiovascular cases and support appropriate escalation, provider engagement, and clinical decision-making
- Partner with clinical leaders to establish and maintain clinical governance processes, safety standards, escalation pathways, and care delivery expectations
- Support continuous evaluation of clinical trends, protocol performance, quality outcomes, and provider feedback to improve program effectiveness
- Leverage clinical, claims, pharmacy, quality, utilization, and operational data to identify opportunities for program development and optimization
- Partner with analytics teams to develop KPIs, performance dashboards, and outcome measurement strategies
- Evaluate program performance, identify care variation and optimization opportunities, and recommend data-driven improvements
- Measure and communicate clinical, operational, quality, and affordability outcomes to support ongoing program refinement
- Lead and influence cross-functional partnerships across clinical, operational, pharmacy, analytics, technology, implementation, provider, and market teams
- Build alignment among executive leadership, provider organizations, and key stakeholders to advance cardiovascular program strategy and execution
- Collaborate with Regulatory, Compliance, Legal, and Clinical Governance partners to ensure compliant and sustainable program design
- Mentor and support clinical and non-clinical partners on cardiovascular care pathways, workflows, and performance improvement initiatives
- Support program implementation, transition planning, operational readiness, and adoption across business and clinical teams
- Monitor program performance and recommend enhancements that improve clinical outcomes, care coordination, member engagement, provider experience, and affordability
- Identify opportunities to increase scalability, efficiency, and innovation across cardiovascular and cardiometabolic care programs
- Support a culture of accountability, collaboration, clinical excellence, and continuous improvement
Skills
- 5+ years of clinical experience in heart failure, advanced cardiovascular care, or a related cardiovascular specialty
- Solid healthcare analytics experience utilizing claims, clinical, pharmacy, quality, and operational data to drive program performance and outcome measurement
- Experience designing, implementing, scaling, and optimizing cardiovascular, population health, value-based care, or technology-enabled clinical programs
- Experience developing KPIs, interpreting dashboards, and translating data into actionable clinical and operational strategies
- Experience collaborating with physicians, advanced practice clinicians, pharmacists, care management teams, provider organizations, and business partners to improve care delivery and outcomes
- Experience leading heart failure clinics, disease management programs, or advanced cardiovascular services
- Deep clinical expertise in heart failure, cardiovascular disease, GDMT optimization, evidence-based guidelines, and associated cardiometabolic conditions
- Familiarity with health plan regulatory, accreditation, compliance, privacy, documentation, and clinical governance requirements
- Proven success improving quality, utilization, affordability, operational performance, and patient outcomes through clinical program leadership
- Proven ability to lead and influence cross-functional teams in a matrixed healthcare environment
- Demonstrated ability to manage ambiguity, competing priorities, and complex initiatives while driving measurable results
- Demonstrated exceptional communication, presentation, negotiation, and stakeholder management skills
- Experience within payer, value-based care, accountable care, population health, or technology-enabled care environment
- Experience applying AI-enabled analytics, machine learning tools, clinical decision-support tools, or large language model capabilities in healthcare program design, clinical operations, or outcome measurement
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Remote work from anywhere within the U.S.
Company Overview
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