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Medical Director - Pain Management Specialist - Remote

Optum

Atlanta, GA
1 day ago
$238,000 - $357,500

Job Description

Join Optum as a Medical Director specializing in Pain Management, where you'll enhance health outcomes through effective medical review services and policy implementation. Enjoy the flexibility of remote work while making a significant impact on patient care.

Key Responsibilities

  • Conduct coverage reviews based on member plan benefits
  • Document clinical review findings and support compliance
  • Coordinate UM processes with clinical staff
  • Participate in training regarding regulatory compliance
  • Discuss cases with treating providers telephonically
  • Participate in clinical conferences and performance reviews
  • Interpret benefit language in clinical coverage reviews
  • Provide clinical support for initial reviews

Required Qualifications

  • Current, active, and fully unrestricted medical license
  • Current Board Certification in pain subspecialty (PM&R or Anesthesia)
  • 5+ years clinical experience post residency in Pain subspecialty
  • Proficient with MS Office (Word, Email, Excel, PowerPoint)
  • Excellent computer skills and ability to learn new systems
  • Excellent interpersonal skills
  • Participate in rotational call coverage
  • Willing to obtain additional medical licenses as needed

Preferred Qualifications

  • License in North Carolina or New Mexico
  • Experience in managed care UM activities
  • Leadership skills in working with other physicians
  • Experience with integration of clinical and financial data

Benefits & Perks

Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution