Utilization Management Medical Director, Clinical Performance - Remote
Optum
Burnsville, MN
1 day ago
$269,500 - $425,500
Job Description
Join Optum as a Utilization Management Medical Director, where you will lead initiatives to improve healthcare quality and efficiency. This remote role allows you to make a significant impact on patient care and health outcomes across the nation.
Key Responsibilities
Work to 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
Required Qualifications
MD or DO degree
Active, unrestricted 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