Manager Jobs

About The Position

Requirements

• MD or DO with an active, unrestricted medical license
• Current Board Certification in an ABMS or AOBMS specialty
• 5+ years of clinical practice experience post residency
• Technical proficiency in computer software and systems
• Demonstrated ability to participate in rotational call and holiday coverage
• Private home office and access to high-speed Internet
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

• 2+ years managed care, Quality Management experience and/or administrative leadership experience
• Clinical experience within the past 2 years
• UM experience

Responsibilities

• Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
• Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
• Is grounded in the use and application of evidence-based medicine (EBM) such as InterQual care guidelines and criteria review
• Occasionally, may participate in periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers
• Maintain proficiency in all required software and platforms
• Although the United Health Services ICM Medical Director's work is typically concentrated in a region, they are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer needs and expectations, Optum is continuously modifying its programs and approaches. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management.
• 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.

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution