Medical Director, Hematology/Oncology | BMT & Cellular Therapy - Remote

UnitedHealth Group•Tampa, FL

3h•$248,500 - $373,000•Remote

About The Position

Optum’s Transplant Resource Solutions is seeking a board-certified Medical Director with expertise in transplantation and cellular therapies. This individual-contributor role serves as a clinical subject matter expert, providing physician support to Enterprise Clinical Services and collaborating with internal and external stakeholders to support evidence-based clinical decision-making. The Medical Director applies specialized transplant knowledge to utilization management activities, benefit coverage determinations, quality programs, and Centers of Excellence evaluations. The role partners with clinical and operational teams to assess complex transplant-related issues, interpret evolving clinical evidence, and support consistent, high-quality coverage decisions for members. It involves extensive collaboration with network and non-network physicians, provider organizations, and client stakeholders, while serving as a trusted clinical resource across transplant and cellular therapy programs. The position is remote and may be performed from anywhere within the United States. Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy. The annual salary range is $248,500–$373,000 based on full-time employment. Pay depends on factors including local labor markets, education, work experience, and certifications. Benefits include a comprehensive benefits package, incentive and recognition programs, an equity stock purchase plan, and a 401(k) contribution, subject to eligibility requirements.

Requirements

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.
Current, unrestricted physician license.
Board certification through an ABMS- or AOA-recognized specialty board.
Specialized expertise in Hematology/Oncology with experience in BMT, stem cell transplantation, CAR-T therapy, immune effector cell therapies, or related cellular therapy programs.
At least 5 years of clinical experience in transplantation and/or cellular therapy, including transplant patient care, transplant program operations, BMT, stem cell transplantation, CAR-T therapy, transplant-related medical management, or utilization management.
Experience evaluating clinical literature, evidence-based guidelines, quality metrics, and healthcare outcomes.
Experience using clinical and operational data to support quality improvement and performance optimization initiatives.
Knowledge of NCQA, URAC, CMS, and applicable state and federal regulatory requirements.
Ability to collaborate effectively with multidisciplinary teams and influence stakeholders through clinical expertise and consultation.
Strong written and verbal communication skills, including the ability to explain complex clinical concepts to diverse stakeholders.
Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

Experience supporting clinical oversight, quality management, utilization management, case review, or program development within transplant or cellular therapy programs.
Experience serving as a physician advisor, consultant, or clinical subject matter expert for BMT, cellular therapy, immune effector cell therapy, or transplant Centers of Excellence programs.
Experience working within large, matrixed healthcare organizations.
Experience integrating clinical and financial information to support quality, utilization, and cost-effectiveness initiatives.
Familiarity with quality and outcomes reporting through organizations such as UNOS, SRTR, CIBMTR, FACT, or NMDP.
Advanced proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint.
Strong analytical, organizational, and project coordination skills.
Demonstrated success supporting improvements in healthcare quality, operational performance, and patient outcomes.

Responsibilities

Serve as a clinical subject matter expert for solid organ transplantation, blood and marrow transplantation (BMT), stem cell transplantation, CAR-T therapies, and emerging cellular therapies.
Apply clinical expertise to support benefit coverage determinations, medical necessity reviews, and utilization management activities.
Participate in evaluating and enhancing transplant and cellular therapy clinical guidelines and Centers of Excellence (COE) criteria.
Review and interpret emerging clinical evidence, industry trends, and regulatory developments related to transplantation, cellular therapies, gene therapies, and hematologic malignancies.
Collaborate with internal and external stakeholders to assess quality outcomes, accreditation standards, clinical performance measures, and COE qualifications.
Provide clinical consultation and expertise for new business opportunities, client renewals, and program development activities.
Participate in client-facing discussions, clinical consultations, and program reviews related to transplant and cellular therapy services.
Build collaborative relationships with client medical directors, physician leaders, provider organizations, and transplant centers.
Support provider qualification, designation, and performance review activities for transplant and cellular therapy Centers of Excellence.
Analyze clinical and operational data to identify trends and opportunities for improvement in quality, utilization, and member outcomes.
Support peer-to-peer discussions and clinical consultations regarding transplant-related coverage determinations and complex clinical cases.
Represent the organization at professional meetings, conferences, and industry organizations, including NMDP, UNOS, SRTR, and CIBMTR.