Optum
Inpatient UM - Medical Director - CA Licensure Needed - Remote
Optum, Sacramento, California, United States, 95828
Inpatient UM - Medical Director - CA Licensure Needed - Remote
Join Optum in a role that directly improves health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. This position is fully remote and focuses on utilization management for inpatient care in California.
Responsibilities
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.
Qualifications Required Qualifications:
MD or DO degree.
Active, unrestricted California 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.
Preferred Qualifications:
Hands‑on utilization and/or quality management experience.
Project management or active project participation experience.
Substantial experience with electronic clinical systems.
Compensation Base salary ranges from $238,000 to $357,500 annually, with additional total cash compensation including bonus. Compensation is based on factors such as local labor markets, education, work experience, and performance. Benefit options include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contributions.
Application Deadline This posting will remain open for two business days or until a sufficient candidate pool is collected. Early closing may occur depending on applicant volume.
Equal Employment Opportunity 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, 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 must pass a drug test before beginning employment.
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Responsibilities
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.
Qualifications Required Qualifications:
MD or DO degree.
Active, unrestricted California 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.
Preferred Qualifications:
Hands‑on utilization and/or quality management experience.
Project management or active project participation experience.
Substantial experience with electronic clinical systems.
Compensation Base salary ranges from $238,000 to $357,500 annually, with additional total cash compensation including bonus. Compensation is based on factors such as local labor markets, education, work experience, and performance. Benefit options include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contributions.
Application Deadline This posting will remain open for two business days or until a sufficient candidate pool is collected. Early closing may occur depending on applicant volume.
Equal Employment Opportunity 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, 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 must pass a drug test before beginning employment.
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