Medical Director - Oncogenetic Program - Remote
About The Position
The Medical Director for the Oncogenetic Program provides clinical leadership and oversight for utilization management related to advanced molecular and genetic testing in oncology. This role ensures evidence-based decision-making, compliance with regulatory standards, and optimal patient outcomes through expert interpretation of genomic data and collaboration with multidisciplinary teams. The position requires experience in molecular pathology and oncogenetics, combined with demonstrated leadership skills and the ability to thrive in a fast-paced, technology-driven environment. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Requirements
- M.D., D.O., or M.B.B.S.
- Specialized training in molecular pathology, oncology, or similar
- Board certification approved by the American Board of Medical Specialties (ABMS)
- Active unrestricted license to practice medicine
- 5+ years of clinical experience in oncology or genetic medicine
- Experience with utilization management in oncology/genetic testing
- Experience with genomic data interpretation software (e.g., NextGen sequencing analysis tools)
- Knowledge of regulatory and compliance standards (CMS, NCCN, ASCO guidelines) for genetic testing and oncology care
- Familiarity with molecular diagnostic coding systems and claims platforms
- Proficiency in interpreting next-generation sequencing (NGS) and other advanced molecular diagnostic technologies
- Demonstrated leadership skills
- Demonstrated ability to work effectively in a fast-paced, technology-driven environment
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Nice To Haves
- Hands-on utilization and/or quality management experience
- Experience in using electronic clinical systems
- Active project participation experience
Responsibilities
- Work to improve quality and promote evidence-based medicine
- Ensure the right service is provided at the right time for each member
- Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Ph.D. or professional degree
