Medical Director - Post-Acute Care Management - Care Transitions - Remote
Optum
Houston, TX
1 day ago
$238,000 - $357,500
Job Description
Join Optum as a Medical Director to lead initiatives that improve healthcare quality and promote evidence-based practices. Your expertise will directly impact patient care and health outcomes across our national network.
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 our 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 physician 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