Medical Director- Remote

Optum • Phoenix, AZ

431d • $286,104 - $397,743 • Remote

About The Position

The Medical Director position at Optum, part of UnitedHealth Group, is a remote role focused on improving healthcare quality and promoting evidence-based medicine. The role involves working with medical director teams to enhance quality across the national network, ensuring timely and appropriate services for members. This position requires strong leadership skills and the ability to make autonomous decisions in a technology-driven environment, ultimately aiming to improve health outcomes for Medicare, Medicaid, and commercial members.

Requirements

• MD or DO degree
• Active, unrestricted physician state license
• Current board certification in ABMS or AOA specialty
• 5+ years of clinical practice experience post residency
• Solid understanding of and concurrence with evidence-based medicine (EBM) and managed care principles.

Nice To Haves

• Hands-on utilization and/or quality management experience
• Project management or active project participation experience
• Substantial experience in using electronic clinical systems.

Responsibilities

• Work to improve quality and promote evidence-based medicine.
• Provide information on quality and efficiency to doctors, patients, and customers to inform care choices and drive improvement.
• Support initiatives that enhance quality throughout the national network.
• 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

• 401(k) matching
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Insurance Carriers and Related Activities
• Education Level: Ph.D. or professional degree
• Number of Employees: 5,001-10,000 employees