VP, Molecular Diagnostics Quality Assessments - Telecommute

Company: UnitedHealth Group
Location: Minnetonka
Posted on: January 12, 2022

Job Description:

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work .(sm)

Optum has successfully leveraged healthcare data to bring together a more complete view of health, provide more personalized insights to inform healthcare decisions, to support our customers by providing affordable choices, and drive better options for healthcare that help individuals live a healthy life. In service to this mission, the Optum Genomics team is committed to sourcing high-quality genomics data to inform more complete view of health, to provide more contextualized data to drive desired health behaviors, to help route our customers to the most effective and affordable choices, and to facilitate the evidence needed to get impactful genomics products into the clinic quickly and responsibly.

The VP, Molecular Diagnostics Quality Assessments role be a key contributor on the Optum Genomics team and will support the definition, implementation, and oversight of a technical assessment capability for molecular diagnostics tests. - In addition, this role will support various United Health Group teams, including investments, policy, payer products, test manufacturers, and research partnerships. This role requires a solid understanding of test design and validation principles, a thorough understanding of the history of oversight efforts in molecular diagnostic test quality, and the ability to work with stakeholders across the industry. This person must convince leaders and operators of his / her value, earn their trust and time, and work collaboratively to build actionable strategies.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
Support test developer clients Provide expertise in client-facing discussions regarding Analytical Validity (AV), Clinical Validity (CV), and Clinical Utility (CU) of molecular diagnostic tests
Analytical and clinical validity reviews and gap assessments
Work with internal researchers and data scientists to design and execute studies to fill evidence gaps for new tests
Accompany clients to meet with payers, professional societies, and key opinion leaders

Work with internal medical leadership and statisticians to develop position statements, dossiers, and templates for standardized evidence expectations
Socialize and harmonize with internal and external stakeholders, including regulatory bodies, professional societies, payers, providers, and patient advocacy organizations
Lead and support cross-UHG initiatives spanning growth strategy, operational excellence and client / external party partnerships by directly scoping, initiating, documenting business requirement for the creation of a quality assessment product for laboratory developed tests (LDTs) Establish criteria for assessing analytical validity and clinical validity for molecular tests
Socialize and harmonize with key stakeholders across the industry
Develop and maintain a database of the clinical validity of commonly ordered biomarkers
Onboards and manages the team executing quality assessment reviews
Draft communications strategies for various forums

Support a go to market approach and pipeline for quality assessments Defining operating model / process to review, provide feedback and/or validate
Forecast volume of assessments coming in and associated staffing needs to support
Establishes a scalable format that can be leveraged by other products / businesses needing LDT quality assessment data

Provide consulting / advisory services for test developers, investors, payers, and other internal and external stakeholders Evidence and medical diligence assessments
Test design support and intended use optimization

Provide consulting / advisory services for Optum Care Delivery Organizations (CDOs) Case review of molecular diagnostics utilization management - (UM) test requests, including recommendation based on medical necessity for clinical scenarios and coverage determinations
Support product team for defining business rules for Prior Authorization /Utilization Management /Payment Integrity capabilities

Support R&D to design and execute clinical evidence studies
Partners with the Product team(s) to commercialize new genomics capabilities across businesses, in Client Support and Business Development
Partners with the Product team to commercialize this capability Client Support
Business Development

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:
PhD-FACMG or MD molecular pathologist with 10+ years clinical experience
3+ years of experience working with regulatory and professional societies on quality of laboratory developed tests
Experience with coding, coverage, and reimbursement of molecular diagnostics
Experience with the regulation of laboratory developed tests, including FDA, CLIA, and deemed entities
Experience using test design principles

Preferred Qualifications:
5+ years experience with the validation and interpretation of next generation sequencing based tests
Familiarity with and/or experience with ClinGen resources
Proven organizational skills with ability to be flexible and work with ambiguity
Demonstrated ability to work in a fast-paced environment on multiple projects with tight deadlines
Exceptional ability to drive results through strong collaborating and influencing skills across all business segments and geographies
Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all -federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers at UnitedHealth Group . We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these select few, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you're empowered to be your best. We encourage you to take risks. And we offer a world of rewards and benefits for performance. We believe the most important is the opportunity to do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado/Connecticut/Nevada residents is -$130,300 to $250,200. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Molecular Pathologist, -Genomics, Genetics, Telecommute, Remote, Work From Home

Keywords: UnitedHealth Group, Minnetonka , VP, Molecular Diagnostics Quality Assessments - Telecommute, Executive , Minnetonka, Minnesota