Clinical Guidelines Consultant - Remote - Remote Eligible

Clinical Guidelines Consultant

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

As a member of Clinical Excellence team, the Clinical Guidelines Consultant will be responsible for working with the clinical guidelines team to develop high quality, evidence-based guidelines that will be deployed through Optum Health's vast network of clinicians, national care models, and cross-functional technologies. The scope includes research on the most current medical literature, development of guidelines, interfacing cross-functionally with other teams to apply the clinical guidelines and ensure delivery, and working with reporting teams to develop metrics to measure adherence and application of said guidelines. The role requires strong comprehension of current medical literature, strategic thinking, complex problem solving, and analytical skills to drive the development and application of clinical guidelines.

Primary responsibilities include:

• Work with clinicians to develop clinical guidelines:
• A high level of proficiency in analyzing medical literature
• Proven skills in synthesis and integration of information from multiple resources
• A solid understanding of research study design and quality of clinical evidence
• Strategically prioritize, evaluate, and support the development and maintenance of clinical guidelines in partnership with multidisciplinary internal and external teams
• Support clinical guidelines medical director team and provide guidance on clinical guideline creation, evidence evaluation, and research
• Monitor regulatory changes and healthcare trends to ensure timely compliance and innovation
• Deliver high value and quality across the organization through 'best in class' clinical guidelines
• Engage in the creation and review of clinical education and training materials
• Develop and implement clinical workflows and operational enablement
• Remain up to date on new developments in science, technology, analytics, and business
• Establish business relationships across teams to build effective feedback processes
• Collaborate to align goals and strengthen partnerships across key stakeholders
• Provide support in socializing guidelines and implementing programs
• Focus on increased transparency and administrative simplification in guideline development
• Support internal and external communication strategies for new and updated clinical guidelines
• Coordinate organizational procedures for optimized efficiency and productivity

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 include:

• 7+ years of experience in the health care industry
• 3+ years of progressive leadership responsibility in a medical group or health system, with experience in quality, patient safety, and clinical operations
• Experience in motivating and influencing others at all levels within the organization
• Thorough understanding of evidence-based medicine, with experience in critical review of the medical literature and/or medical research publications
• Proficiency in managing through data, analytics, and reporting
• Proficiency working in a matrix environment, with demonstrated ability in systems thinking and enterprise insight to solve complex business problems
• Proven solid critical thinking and analytic skills
• Proven skills in communicating effectively and efficiently (both verbal and written)
• Proven solid data analytic skills
• Proven solid interpersonal skills
• Proven ability to operate effectively in a fast-paced environment, while being adaptable and assisting individuals through the transition
• Demonstrated ability to provide recommendations and insight regarding improvements to internal and external processes
• Demonstrated ability to manage multiple competing priorities
• Demonstrated ability to synthesize data inputs and drive multidisciplinary teams to consensus, action, and outcomes
• Demonstrated growth mindset in being open and able to break through barriers, while having an ability to leverage innovation
• Demonstrated ability to make strategic, operational, and administrative decisions in response to emerging conditions and environmental circumstances
• Driver's License and access to a reliable transportation

Preferred qualifications include:

• Masters in a healthcare related field, advanced business degree, or Certification by a healthcare specific professional entity such as Fellow of the American College of Healthcare Executives (FACHE) by the American College of Healthcare Executives (ACHE)
• Quality improvement training or certification
• Clinical license (RN, NP, LPN, MA), research degree (e.g., PhD or Masters with dissertation), OR academic healthcare experience (publication experience)
• CPHQ/PMP

Performance factors include:

• Ability to effectively lead others by demonstrating superior inspirational qualities
• Ability to meet deadlines; accomplish work in order of priority; maintain composure and effectiveness under pressure and changing business conditions
• Ability to adjust to new situations encountered on the job within a reasonable amount of time
• Ability to identify opportunities for improvement and develop solutions or innovations to improve outcomes
• Ability to work effectively and relate well with others, including superiors, colleagues, and individuals inside and outside the company
• Exhibit a positive attitude
• Willingness to work extended hours when projects or situations warrant
• Willingness to travel when needed

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 (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all 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.