Optum
Medical Director - Post-Acute Care - Remote
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. Overview
The Medical Director will partner with cross-functional teams and senior leaders to ensure that Optum leads the industry in innovative health management strategies and is considered an expert in the field of post-acute care. The role as a physician leader has a proven track record of innovation, achievement of measurable goals, and exceptional clinical competencies. They take a proactive approach to the marketplace and are responsible for continuously reshaping Optum's corporate wide strategies. Primary Responsibilities
Provide daily utilization oversight and external communication with network physicians and hospitals Daily utilization management reviews, including authorization and denial reviews Conduct peer-to-peer conversations for clinical case reviews as needed Conduct provider telephonic reviews and discussions, share tools, information, and guidelines related to cost-effective healthcare delivery and quality of care Communicate effectively with providers to ensure the successful administering of Optum's services Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers Collaborate with teams to ensure a coordinated approach toward member health care Develop action plans and programs to implement strategic initiatives, monitor progress toward goals, and address areas of concern Provide leadership to maximize cost management through coordination with network and provider contracting Regularly meet with Optum's leadership to review care coordination issues and develop collaborative intervention plans Provide input on local needs for Analytics and Care Management Teams to enhance Optum's products and services Ensure appropriate management/resolution of local queries regarding patient case management Perform other duties and responsibilities as required or requested Required Qualifications
Graduate of a recognized accredited medical school Possess at least a current, unrestricted medical license and the ability to obtain medical licensure in multiple states Board certified in a recognized ABMS specialty Board Certified in Internal Medicine, Emergency Medicine, Family Medicine or Physiatry 3+ years of experience practicing in an acute inpatient environment with managed care organizations Working knowledge of changing U.S. payer and provider landscape Understanding of population-based medicine with preference given to Medicare, Medicaid, and Commercial populations Proficient computer skills Dedicated office/work area with privacy Live in a location that can receive a high-speed internet connection Preferred Qualifications
Ability to work with others while handling multiple tasks Ability to complete assignments with oversight Motivated, flexible, and adaptable to a fast-paced environment Strong interpersonal skills and business acumen to communicate with management Ability to interact with clinicians, senior management, and all levels of professionals Strong organizational skills, self-motivation, and time management Excellent organizational, verbal, written communication and presentation skills Strong analytic skills and ability to drive innovation Ability to work across functions and maintain positive relationships with customers and providers All remote employees must adhere to UnitedHealth Group's Telecommuter Policy Compensation and Benefits
Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on factors including local labor markets, education, and experience. Benefits include a comprehensive package, incentive programs, equity stock purchase, and 401k contributions (eligibility applies). Application Deadline
This job posting will remain posted for a minimum of 2 business days or until a sufficient candidate pool is collected. The posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities and improves health outcomes. UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Seniority level
Director Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Optum by 2x Get notified about new Medical Director jobs in Austin, TX. #J-18808-Ljbffr
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. Overview
The Medical Director will partner with cross-functional teams and senior leaders to ensure that Optum leads the industry in innovative health management strategies and is considered an expert in the field of post-acute care. The role as a physician leader has a proven track record of innovation, achievement of measurable goals, and exceptional clinical competencies. They take a proactive approach to the marketplace and are responsible for continuously reshaping Optum's corporate wide strategies. Primary Responsibilities
Provide daily utilization oversight and external communication with network physicians and hospitals Daily utilization management reviews, including authorization and denial reviews Conduct peer-to-peer conversations for clinical case reviews as needed Conduct provider telephonic reviews and discussions, share tools, information, and guidelines related to cost-effective healthcare delivery and quality of care Communicate effectively with providers to ensure the successful administering of Optum's services Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers Collaborate with teams to ensure a coordinated approach toward member health care Develop action plans and programs to implement strategic initiatives, monitor progress toward goals, and address areas of concern Provide leadership to maximize cost management through coordination with network and provider contracting Regularly meet with Optum's leadership to review care coordination issues and develop collaborative intervention plans Provide input on local needs for Analytics and Care Management Teams to enhance Optum's products and services Ensure appropriate management/resolution of local queries regarding patient case management Perform other duties and responsibilities as required or requested Required Qualifications
Graduate of a recognized accredited medical school Possess at least a current, unrestricted medical license and the ability to obtain medical licensure in multiple states Board certified in a recognized ABMS specialty Board Certified in Internal Medicine, Emergency Medicine, Family Medicine or Physiatry 3+ years of experience practicing in an acute inpatient environment with managed care organizations Working knowledge of changing U.S. payer and provider landscape Understanding of population-based medicine with preference given to Medicare, Medicaid, and Commercial populations Proficient computer skills Dedicated office/work area with privacy Live in a location that can receive a high-speed internet connection Preferred Qualifications
Ability to work with others while handling multiple tasks Ability to complete assignments with oversight Motivated, flexible, and adaptable to a fast-paced environment Strong interpersonal skills and business acumen to communicate with management Ability to interact with clinicians, senior management, and all levels of professionals Strong organizational skills, self-motivation, and time management Excellent organizational, verbal, written communication and presentation skills Strong analytic skills and ability to drive innovation Ability to work across functions and maintain positive relationships with customers and providers All remote employees must adhere to UnitedHealth Group's Telecommuter Policy Compensation and Benefits
Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on factors including local labor markets, education, and experience. Benefits include a comprehensive package, incentive programs, equity stock purchase, and 401k contributions (eligibility applies). Application Deadline
This job posting will remain posted for a minimum of 2 business days or until a sufficient candidate pool is collected. The posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities and improves health outcomes. UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Seniority level
Director Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Optum by 2x Get notified about new Medical Director jobs in Austin, TX. #J-18808-Ljbffr