Obstetrics Medical Director - Healthy First Steps - Per Diem, Weekend Only - Remote

UnitedHealth Group•Minnetonka, MN

33d•$119 - $179•Remote

About The Position

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. The Healthy First Steps Medical Directors (HFS MDs) team is within the Women’s Health Team at Enterprise Clinical Services. The Per Diem HFS Medical Director works together with our HFS operations team to provide clinical expertise and review data trends in the markets we manage. The position drives performance across our organization by communicating with hospital physicians and utilization management staff at client hospitals to champion best practices for evidence-based care. HFS MDs work closely with HFS nurses reviewing clinical information provided, communicating with providers as they progress in care, providing utilization management (UM) reviews, and facilitate discharge planning. The HFS MD will join a group of obstetricians at HFS where teamwork, communication, and ongoing education are valued. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

MD or DO with an active, unrestricted license
Board Certified in Obstetrics/Gynecology
5+ years clinical practice experience after completing residency training
Experience in utilization and clinical coverage review
Solid understanding of Evidence based Medicine (EBM)
Solid PC skills, specifically using MS Word, Outlook and Excel
Proven excellent oral, written and interpersonal communication skills, facilitation skills
Proven excellent presentation skills for both clinical and non-clinical audiences
Ability to work weekend schedule and occasional holiday backup coverage
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

Engage with a team of obstetricians and HFS nurses in the evaluation of the high-risk maternity patient
Per-dem position requiring weekend-only availability (remote)
Participate in nursing education as it relates to obstetrics
Conduct provider telephonic review and discussion, schedules on-site visits and shares tools, information and guidelines related to cost-effective health care delivery and quality of care
Support all clinical quality initiatives and peer review processes
Appropriate utilization management
Clinical lead for healthcare affordability initiatives at the local market
Effectively engage and bring understanding to our external constituents such as physicians, medical and specialty societies, hospitals and hospital associations, and state regulators
Deliver the clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities
Identifying opportunities through participation in local medical expense committees or market reviews
Participate in data analysis reviewing market trends with the Product team and health plans
Engage with clients reporting trends in individual markets
Engage with Neonatology colleagues in Women’s Health