Medical Director Clinical Advocacy and Support - Telecommute
Company: Optum
Location: Minnetonka
Posted on: May 15, 2022
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Job Description:
Medical Director opening in Minnetonka, Minnesota. This and
other physician jobs brought to you by DocCafe.com
Combine two of the fastest-growing fields on the planet with a
culture of performance, collaboration and opportunity and this is
what you get. Leading edge technology in an industry that's
improving the lives of millions. Here, innovation isn't about
another gadget, it's about making health care data available
wherever and whenever people need it, safely and reliably. There's
no room for error. Join us and start doing your life's best
work.(sm)
Clinical Advocacy & Support has an unrelenting focus on the
customer journey and ensuring we exceed expectations as we deliver
clinical coverage and medical claims reviews. Our role is to
empower providers and members with the tools and information needed
to improve health outcomes, reduce variation in care, deliver
seamless experience, and manage health care costs.
The Medical Director provides physician support to Enterprise
Clinical Services operations, the organization responsible for the
initial clinical review of service requests for Enterprise Clinical
Services. The Medical Director collaborates with Enterprise
Clinical Services leadership and staff to establish, implement,
support and maintain clinical and operational processes related to
benefit coverage determinations, quality improvement and cost
effectiveness of service for members. The Medical Director's
activities primarily focus on the application of clinical knowledge
in various utilization management activities with a focus on
pre-service benefit and coverage determination or medical necessity
(according to the benefit package), and on communication regarding
this process with both network and non-network physicians, as well
as other Enterprise Clinical Services.
The Medical Director collaborates with a multidisciplinary team and
is actively involved in the management of medical benefits. The
collaboration often involves the member's primary care provider or
specialist physician. It is the primary responsibility of the
medical director to ensure that the appropriate and most
cost-effective quality medical care is provided to members.
You'll enjoy the flexibility to telecommute* from anywhere within
the U.S. as you take on some tough challenges.
Primary Responsibilities:
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.
Required Qualifications:
Preferred Qualifications:
To protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment
Careers with Optum. Here's the idea. We built an entire
organization around one giant objective; make health care work
better for everyone. So when it comes to how we use the world's
large accumulation of health-related information, or guide health
and lifestyle choices or manage pharmacy benefits for millions, our
first goal is to leap beyond the status quo and uncover new ways to
serve. Optum, part of the UnitedHealth Group family of businesses,
brings together some of the greatest minds and most advanced ideas
on where health care has to go in order to reach its fullest
potential. For you, that means working on high performance teams
against sophisticated challenges that matter. Optum, incredible
ideas in one incredible company and a singular opportunity to do
your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth
Group's Telecommuter Policy.
Colorado, Connecticut or Nevada Residents Only: The Salary range
for Colorado residents is $254,600 to $295,200. The Salary range
for Connecticut/Nevada residents is $254,600 to $295,200. Pay is
based on several factors including but not limited to education,
work experience, certifications, etc. In addition to your salary,
UnitedHealth Group offers benefits such as, a comprehensive
benefits package, incentive and recognition programs, equity stock
purchase and 401k contribution (all benefits are subject to
eligibility requirements). No matter where or when you begin a
career with UnitedHealth Group, you'll find a far-reaching choice
of benefits and incentives
Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity/Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment.
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Keywords: Optum, Minnetonka , Medical Director Clinical Advocacy and Support - Telecommute, Executive , Minnetonka, Minnesota
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