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